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. 2019 Nov 6;19:1054. doi: 10.1186/s12885-019-6304-y

Table 4.

Recommendations of intravesical therapy for low and intermediate risk patientsa

Guideline ID Low risk Intermediate risk
Induction Induction Maintenance
Not be recommended Be recommended Course of treatment Be recommended Course of treatment
SOR/LOE Chemotherapy BCG Chemotherapy BCG Chemotherapy BCG
SOR/LOE SOR/LOE Course SOR/LOE SOR/LOE SOR/LOE Course SOR/LOE Course SOR/LOE
ESMO, 2014 [8] −/− −/− −/− −/− −/− −/− −/− −/−
NICE, 2015 [9]b −/− A/high-low −/− At least 6 doses A/high-low −/− −/− −/− −/−
CUA, 2015 [10] −/− B/− B/− −/− B/− B/− 1 years B/− −/−
AUA/SUO, 2016 [3] Moderate/C Moderate/B Moderate/B 6 weeks Moderate/B Conditional/C Moderate/C −/− 1 year Moderate/C
JUA, 2016 [11] −/− −/− −/− −/− −/− −/− −/− −/−
EAU, 2018 [12] −/− −/− Strong/1a-3 −/− Strong/1a-3 Strong/1a-3 ≤ 1 years Weak/3

Full dose, 1 year

Three-weekly instillations at 3, 6 and 12 months

Strong/1a-1b
ICUD/SIU, 2018 [13] A/1a B/2a A/1a −/− B/2a A/1a 6-12 months B/2a Full dose, 1 year A/1a
CRHA/CPAM, 2018 [14] B/1a A/1a B/1a-1b Weekly for 4–8 weeks A/1a A/1a A/1a Monthly for 6–10 months A/1a Low dose B/1a-1b
1–3 years B/1b
NCCN, 2019 [15]c −/− B/2A A/2A Initiated 3–4 weeks after TURBT B/2A B/2A A/2A −/− 1 year B/2A
Weekly for 6 weeks B/2A

a The SOR and LOE are presented as “SOR/LOE”. “-” indicates that the recommendation or evidence was not presented

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

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