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. 2022 Apr 8;2022(4):CD014887. doi: 10.1002/14651858.CD014887.pub2

Longo 2013.

Study characteristics
Methods Study design: randomized controlled trial
Study grouping: parallel group
Participants Inclusion criteria: people who underwent a TURBT for suspicious bladder cancer diagnosed by WLC
Exclusion criteria: not reported 
Number randomized: 66 participants to undergo WLC TURBT alone and 71 participants to undergo NBI + WLC TURBT
Number analyzed by authors:  66 participants who underwent WLC TURBT alone and 71 participants who underwent NBI + WLC TURBT
Baseline characteristics of participants analyzed
Comparator group, n = 66
  • Age: not reported

  • Gender‐male, n (%): not reported

  • Focality, n (%): not reported

  • Tumour size, n (%): not reported

  • Pathological classification, n (%): not reported

  • Pathological grade, n (%): not reported


Intervention group, n = 71
  • Age: not reported

  • Gender‐male, n (%): not reported

  • Focality, n (%): not reported

  • Tumor size, n (%):  not reported

  • Pathological classification, n (%): not reported

  • Pathological grade, n (%): not reported


Subsequent intravesical treatment among either group: no documentation of subsequent intravesical treatment
Interventions Comparator arm: WLC TURBT alone
Intervention arm: NBI + WLC TURBT (Olympus)
Outcomes Surgical complication (Clavien‐Dindo)
Mean time to catheter removal
Absence of muscle tissue in the specimen
False‐positive rate 
Funding sources Not reported
Declarations of interest Not reported
Notes Contact with study author
Date of contact attempt: 5 October 2020
Contact status: no reply to‐date
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: Authors did not specify how random assignments were generated; however, only the abstract was available.
Allocation concealment (selection bias) Unclear risk Comment: The authors did not describe how, if any, concealment of allocations prior to assignment was conducted; however, only the abstract was available.
Blinding of participants and personnel (performance bias) High risk Comment: Personnel could not be blinded due to the nature of the intervention.
Blinding of outcome assessment (detection bias)
Subjective outcomes: time to disease recurrence, minor adverse event High risk Comment: Authors did not specify how, if any, outcome assessment blinding was achieved. The detection of minor adverse events would be affected by a lack of blinding of outcome assessors.
Blinding of outcome assessment (detection bias)
Objective outcomes: major adverse event Low risk Comment: The authors did not specify how, if any, blinding of outcome assessment was conducted. However, we do not expect the lack of blinding to bias the detection or reporting of major adverse events as no clinical judgement was involved.
Incomplete outcome data (attrition bias)
Major adverse event Low risk Comment: Of the 137 participants randomized, 66 and 71 were randomized to the WLC TURBT arm and to the NBI + WLC TURBT arm, respectively. All participants were included in the analysis of adverse events. The attrition rate was less than 10% in both arms. 
Incomplete outcome data (attrition bias)
Minor adverse event Low risk Comment: Of the 137 participants randomized, 66 and 71 were randomized to the WLC TURBT arm and to the NBI + WLC TURBT arm, respectively. All participants were included in the analysis of adverse events. The attrition rate was less than 10% in both arms. 
Selective reporting (reporting bias) Unclear risk Comment: No associated trial registration was found.
Other bias Low risk Comment: No additional potential sources of bias were identified.