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Table 5 Recommendations of intravesical therapy for high risk patientsa

From: Management of non-muscle-invasive bladder cancer: quality of clinical practice guidelines and variations in recommendations

Guideline ID

High risk

Induction

Maintenance

Be recommended

Be recommended

Course of treatment

Chemotherapy

BCG

Chemotherapy

BCG

Chemotherapy

BCG

SOR/LOE

SOR/LOE

SOR/LOE

SOR/LOE

Course

SOR/LOE

Course

SOR/LOE

ESMO, 2014 [8]

−/−

−/−

−/−

−/−

−/−

−/−

NICE, 2015 [9]b

−/−

A/high-very low

−/−

A/high-very low

−/−

−/−

CUA, 2015 [10]

−/−

A/−

−/−

B/−

−/−

Full dose, 3 years

B/−

AUA/SUO, 2016 [3]

−/−

Strong/B

−/−

Moderate/B

−/−

3 years

Moderate/B

JUA, 2016 [11]

−/−

−/−

−/−

−/−

−/−

−/−

EAU, 2018 [12]

−/−

−/−

−/−

Strong/1a-1b

−/−

Full dose, 1–3 years

Three-weekly instillations at 3, 6, 12, 18, 24, 30 and 36 months

Strong/1a-1b

ICUD/SIU, 2018 [13]

B/2

A/1

C/2

B/2

1 year

C/2

3 years

B/2

CRHA/CPAM, 2018 [14]

A/1a

A/1a

A/1a

A/1a

Monthly for 6–10 months

A/1a

Full dose, 3 years

B/1b

NCCN, 2019 [15]c

B/2A

A/1

B/2A

A/2A

B/2A

3 years

Three-weekly instillations at 3, 6, 12, 18, 24, 30 and 36 months

B/2A

  1. a The SOR and LOE are presented as “SOR/LOE”. “-” indicates that the recommendation or evidence was not presented
  2. b To simplify the table, we used “A” and “B” instead of “should/should not/offer/do not offer/refer/advise” or “consider” for presenting SOR
  3. c To simplify the table, we used “A” and “B”, “C” instead of “preferred intervention”, “other recommended intervention”, or “useful in certain circumstances” for presenting SOR