Summary Demographic Table

Table 1 . summary Distribution of all variables ,Groupwise

Dependent: MUSCLE_PRESENT_IN_HPE_OF_RE_TURBT MUSCLE FREE MUSCLE INVOLVED p
AGE Mean (SD) 56.2 (13.1) 53.0 (18.3) 0.373
SEX F 38 (16.0) 0 (0.0) 0.117
M 199 (84.0) 13 (100.0)
SMOKING_TOBACCO_CHEWING_HISTORY No 103 (43.5) 4 (30.8) 0.368
Yes 134 (56.5) 9 (69.2)
IMAGING_FINDING_OF_UB_MASS Multiple Growth 36 (15.2) 1 (7.7) 0.459
Single Growth 201 (84.8) 12 (92.3)
UPPER_TRACT_ON_IMAGING HDUN 7 (3.0) 4 (30.8) <0.001
NORMAL 230 (97.0) 9 (69.2)
PERIVESICAL_FAT_STRANDING_ON_IMAGING Absent 203 (85.7) 3 (23.1) <0.001
Present 34 (14.3) 10 (76.9)
LYPHM_NODE_STATUS_ON_IMAGING Negative 237 (100.0) 13 (100.0) NA
SIZE_OF_GROWTH_DURING_PRIMARY_TURBT < 3 CM 84 (35.4) 1 (7.7) 0.040
>3 CM 153 (64.6) 12 (92.3)
NO_OF_GROWTH_DURING_PRIMARY_TURBT Multiple 56 (23.6) 2 (15.4) 0.493
Single 181 (76.4) 11 (84.6)
TYPE_OF_GROWTH Carpet 6 (2.5) 0 (0.0) 0.817
Papillary 189 (79.7) 11 (84.6)
Solid 42 (17.7) 2 (15.4)
BTA_TEST NEGATIVE 83 (35.0) 2 (15.4) 0.146
POSITIVE 154 (65.0) 11 (84.6)
URINE_FOR_MALIGNANTCYTOLOGY NEGATIVE 153 (64.6) 7 (53.8) 0.433
POSITIVE 84 (35.4) 6 (46.2)
TIME_REQUIRED_FOR_PRIMARY_TURBT < 30 MIN 94 (39.7) 1 (7.7) 0.021
>30 MIN 143 (60.3) 12 (92.3)
POST_OP_INTRAVESICAL_MMC_GIVEN Given 237 (100.0) 13 (100.0) NA
HPE_OF_PRIMARY_TURBT CIS 2 (0.8) 0 (0.0) 0.443
T1G1 116 (48.9) 4 (30.8)
T1G3 111 (46.8) 9 (69.2)
TaG3 8 (3.4) 0 (0.0)
MUSCLE_PRESENT_IN_PRIMARY_SPECIMEN Absent 36 (15.2) 7 (53.8) <0.001
Present 201 (84.8) 6 (46.2)
TIMING_OF_RE_TURBT_AFTER_PRIMARY_TURBT_WEEKS Mean (SD) 3.9 (0.7) 4.2 (0.7) 0.173
CYSTOSCOPIC_FINDING_OF_RE_TURBT No growth 200 (84.4) 4 (30.8) <0.001
Recurrent growth present 37 (15.6) 9 (69.2)
HPE_OF_RE_TURBT No tumour 179 (75.5) 0 (0.0) <0.001
T1G1 5 (2.1) 0 (0.0)
T1G3 53 (22.4) 0 (0.0)
T2G3 0 (0.0) 13 (100.0)
CHECK_CPE_3MONTHS N 195 (82.3) NA NA
Recurrent growth present 42 (17.7) NA

Demographic Variables

Distribution of Demographic Variables in Our Population

Age

Fig.1 Plot of Age distribution across Groups

The Dodged bar chart above represents individual counts representing frequency of age_grp categories 40-50,60-70,50-60,70-80,80-90,30-40 and 20-30 in categories MUSCLE FREE and MUSCLE INVOLVED . Subgroup 50-60 has highest percentage 73/237 ( 30.8 % ) in group MUSCLE FREE . Subgroup 50-60 has highest percentage 4/13 ( 30.77 % ) in group MUSCLE INVOLVED . To formally check for association between groups we performed pearson chi-square test .

we found a Non-significant association between age_grp and MUSCLE INVOLVEMENT on restage TURBT. The chi-square statistic was 7.17 . The degree of freedom was 6 and P value was 0.31 .Contingency and Proportion table are shown below

Table 2

MUSCLE_INVOLVEMENT age_grp n value 95 % Confidence Interval
MUSCLE FREE 20-30 12 12/237 ( 5.06 %) 2.8% - 8.42%
MUSCLE FREE 30-40 20 20/237 ( 8.44 %) 5.4% - 12.48%
MUSCLE FREE 40-50 39 39/237 ( 16.46 %) 12.16% - 21.57%
MUSCLE FREE 50-60 73 73/237 ( 30.8 %) 25.18% - 36.89%
MUSCLE FREE 60-70 66 66/237 ( 27.85 %) 22.44% - 33.8%
MUSCLE FREE 70-80 23 23/237 ( 9.7 %) 6.42% - 13.96%
MUSCLE FREE 80-90 4 4/237 ( 1.69 %) 0.57% - 3.96%
MUSCLE INVOLVED 20-30 2 2/13 ( 15.38 %) 3.34% - 40.9%
MUSCLE INVOLVED 30-40 2 2/13 ( 15.38 %) 3.34% - 40.9%
MUSCLE INVOLVED 40-50 2 2/13 ( 15.38 %) 3.34% - 40.9%
MUSCLE INVOLVED 50-60 4 4/13 ( 30.77 %) 11.39% - 57.7%
MUSCLE INVOLVED 60-70 1 1/13 ( 7.69 %) 0.84% - 30.71%
MUSCLE INVOLVED 70-80 1 1/13 ( 7.69 %) 0.84% - 30.71%
MUSCLE INVOLVED 80-90 1 1/13 ( 7.69 %) 0.84% - 30.71%

Table 3

MUSCLE FREE MUSCLE INVOLVED
20-30 12 2
30-40 20 2
40-50 39 2
50-60 73 4
60-70 66 1
70-80 23 1
80-90 4 1

Gender

Figure 2 Sex Distribution in Our Population

The Dodged bar chart above represents individual counts representing frequency of Males and Females in categories MUSCLE FREE and MUSCLE INVOLVED . Males have highest percentage 199/237 ( 83.97 % ) in group MUSCLE FREE . Males also have highest percentage 13/13 ( 100 % ) in group MUSCLE INVOLVED . To formally check for association between groups we performed pearson chi-square test .

we found a Non-significant association between SEX and MUSCLE INVOLVEMENT. The chi-square statistic was 1.37 . The degree of freedom was 1 and P value was 0.117 .Contingency and Proportion table are shown below

Table 5

MUSCLE_INVOLVEMENT SEX n value 95 % Confidence Interval
MUSCLE FREE F 38 38/237 ( 16.03 %) 11.79% - 21.1%
MUSCLE FREE M 199 199/237 ( 83.97 %) 78.9% - 88.21%
MUSCLE INVOLVED M 13 13/13 ( 100 %) 82.74% - 100%

Table 6

MUSCLE FREE MUSCLE INVOLVED
F 38 0
M 199 13

UPPER TRACT IMAGING

Figure 3 UPPER_TRACT_ON_IMAGING Distribution in Our Population

The Dodged bar chart above represents individual counts representing frequency of UPPER_TRACT_ON_IMAGING categories NORMAL and HDUN in categories MUSCLE FREE and MUSCLE INVOLVED belonging to group MUSCLE INVOLVEMENT. Subgroup NORMAL has highest percentage 230/237 ( 97.05 % ) in group MUSCLE FREE . Subgroup NORMAL has highest percentage 9/13 ( 69.23 % ) in group MUSCLE INVOLVED . To formally check for association between groups we performed pearson chi-square test .

we found a Significant association between UPPER_TRACT_ON_IMAGING and MUSCLE_INVOLVEMENT. The chi-square statistic was 16.54 . The degree of freedom was 1 and P value was <0.001 .Contingency and Proportion table are shown below.

Table 7

MUSCLE_INVOLVEMENT UPPER_TRACT_ON_IMAGING n value 95 % Confidence Interval
MUSCLE FREE HDUN 7 7/237 ( 2.95 %) 1.33% - 5.71%
MUSCLE FREE NORMAL 230 230/237 ( 97.05 %) 94.29% - 98.67%
MUSCLE INVOLVED HDUN 4 4/13 ( 30.77 %) 11.39% - 57.7%
MUSCLE INVOLVED NORMAL 9 9/13 ( 69.23 %) 42.3% - 88.61%

Table 8

MUSCLE FREE MUSCLE INVOLVED
HDUN 7 4
NORMAL 230 9

SIZE OF GROWTH

Figure 4 SIZE OF TUMOUR GROWTH_DURING_PRIMARY_TURBT Distribution in Our Population

The Dodged bar chart above represents individual counts representing frequency of TUMOUR_SIZE categories >3 CM and < 3 CM in categories MUSCLE FREE and MUSCLE INVOLVED belonging to group MUSCLE_INVOLVEMENT. Subgroup >3 CM has highest percentage 153/237 ( 64.56 % ) in group MUSCLE FREE . Subgroup >3 CM has highest percentage 12/13 ( 92.31 % ) in group MUSCLE INVOLVED . To formally check for association between groups we performed pearson chi-square test .

we found a significant association between TUMOUR_SIZE and MUSCLE_INVOLVEMENT. The chi-square statistic was 4.01 . The degree of freedom was 1 and P value was 0.04 .Contingency and Proportion table are shown below

Table 9

MUSCLE_INVOLVEMENT TUMOUR_SIZE n value 95 % Confidence Interval
MUSCLE FREE < 3 CM 84 84/237 ( 35.44 %) 29.56% - 41.68%
MUSCLE FREE >3 CM 153 153/237 ( 64.56 %) 58.32% - 70.44%
MUSCLE INVOLVED < 3 CM 1 1/13 ( 7.69 %) 0.84% - 30.71%
MUSCLE INVOLVED >3 CM 12 12/13 ( 92.31 %) 69.29% - 99.16%

Table 10

MUSCLE FREE MUSCLE INVOLVED
< 3 CM 84 1
>3 CM 153 12

BLADDER TUMOUR ANTIGEN TEST

Figure 5 BTA_TEST Distribution in Our Population

The Dodged bar chart above represents individual counts representing frequency of BTA_TEST categories NEGATIVE and POSITIVE in categories MUSCLE FREE and MUSCLE INVOLVED belonging to group MUSCLE_INVOLVEMENT. Subgroup POSITIVE has highest percentage 154/237 ( 64.98 % ) in group MUSCLE FREE . Subgroup POSITIVE has highest percentage 11/13 ( 84.62 % ) in group MUSCLE INVOLVED . To formally check for association between groups we performed pearson chi-square test .

we found a Non-significant association between BTA_TEST and MUSCLE_INVOLVEMENT. The chi-square statistic was 1.33 . The degree of freedom was 1 and P value was 0.146 .Contingency and Proportion table are shown below

Table 11

MUSCLE_INVOLVEMENT BTA_TEST n value 95 % Confidence Interval
MUSCLE FREE NEGATIVE 83 83/237 ( 35.02 %) 29.16% - 41.25%
MUSCLE FREE POSITIVE 154 154/237 ( 64.98 %) 58.75% - 70.84%
MUSCLE INVOLVED NEGATIVE 2 2/13 ( 15.38 %) 3.34% - 40.9%
MUSCLE INVOLVED POSITIVE 11 11/13 ( 84.62 %) 59.1% - 96.66%

Table 12

MUSCLE FREE MUSCLE INVOLVED
NEGATIVE 83 2
POSITIVE 154 11

URINE FOR MALIGNANT CYTOLOGY

Figure 6 URINE_FOR_MALIGNANTCYTOLOGY Distribution in Our Population

The Dodged bar chart above represents individual counts representing frequency of URINE_FOR_MALIGNANTCYTOLOGY categories NEGATIVE and POSITIVE in categories MUSCLE FREE and MUSCLE INVOLVED belonging to group MUSCLE_INVOLVEMENT. Subgroup NEGATIVE has highest percentage 153/237 ( 64.56 % ) in group MUSCLE FREE . Subgroup NEGATIVE has highest percentage 7/13 ( 53.85 % ) in group MUSCLE INVOLVED . To formally check for association between groups we performed pearson chi-square test .

we found a Non-significant association between URINE_FOR_MALIGNANTCYTOLOGY and MUSCLE_INVOLVEMENT. The chi-square statistic was 0.24 . The degree of freedom was 1 and P value was 0.63 .Contingency and Proportion table are shown below

Table 13

MUSCLE_INVOLVEMENT URINE_FOR_MALIGNANTCYTOLOGY n value 95 % Confidence Interval
MUSCLE FREE NEGATIVE 153 153/237 ( 64.56 %) 58.32% - 70.44%
MUSCLE FREE POSITIVE 84 84/237 ( 35.44 %) 29.56% - 41.68%
MUSCLE INVOLVED NEGATIVE 7 7/13 ( 53.85 %) 28.29% - 77.89%
MUSCLE INVOLVED POSITIVE 6 6/13 ( 46.15 %) 22.11% - 71.71%

Table 14

MUSCLE FREE MUSCLE INVOLVED
NEGATIVE 153 7
POSITIVE 84 6

CYSTOSCOPIC FINDINGS OF RE TURBT

Figure 7 CYSTOSCOPIC_FINDING_OF_RE_TURBT Distribution in Our Population

The Dodged bar chart above represents individual counts representing frequency of CYSTOSCOPIC_FINDING_OF_RE_TURBT categories No growth and Recurrent growth present in categories MUSCLE FREE and MUSCLE INVOLVED belonging to group MUSCLE_INVOLVEMENT. Subgroup No growth has highest percentage 200/237 ( 84.39 % ) in group MUSCLE FREE . Subgroup Recurrent growth present has highest percentage 9/13 ( 69.23 % ) in group MUSCLE INVOLVED . To formally check for association between groups we performed pearson chi-square test .

we found a Significant association between CYSTOSCOPIC_FINDING_OF_RE_TURBT and MUSCLE_INVOLVEMENT. The chi-square statistic was 20.16 . The degree of freedom was 1 and P value was <0.001 .Contingency and Proportion table are shown below.

Table 15

MUSCLE_INVOLVEMENT CYSTOSCOPIC_FINDING_OF_RE_TURBT n value 95 % Confidence Interval
MUSCLE FREE No growth 200 200/237 ( 84.39 %) 79.36% - 88.58%
MUSCLE FREE Recurrent growth present 37 37/237 ( 15.61 %) 11.42% - 20.64%
MUSCLE INVOLVED No growth 4 4/13 ( 30.77 %) 11.39% - 57.7%
MUSCLE INVOLVED Recurrent growth present 9 9/13 ( 69.23 %) 42.3% - 88.61%

Table 16

MUSCLE FREE MUSCLE INVOLVED
No growth 200 4
Recurrent growth present 37 9

MUSCLE PRESENT IN PRIMARY SPECIMEN

Figure 8 MUSCLE_PRESENT_IN_PRIMARY_SPECIMEN Distribution in Our Population

The Dodged bar chart above represents individual counts representing frequency of MUSCLE_PRESENT_IN_PRIMARY_SPECIMEN categories Present and Absent in categories MUSCLE FREE and MUSCLE INVOLVED belonging to group MUSCLE_INVOLVEMENT. Subgroup Present has highest percentage 201/237 ( 84.81 % ) in group MUSCLE FREE . Subgroup Absent has highest percentage 7/13 ( 53.85 % ) in group MUSCLE INVOLVED . To formally check for association between groups we performed pearson chi-square test

we found a Significant association between MUSCLE_PRESENT_IN_PRIMARY_SPECIMEN and MUSCLE_INVOLVEMENT. The chi-square statistic was 10.36 . The degree of freedom was 1 and P value was <0.001 .Contingency and Proportion table are shown below

Table 17

MUSCLE_INVOLVEMENT MUSCLE_PRESENT_IN_PRIMARY_SPECIMEN n value 95 % Confidence Interval
MUSCLE FREE Absent 36 36/237 ( 15.19 %) 11.05% - 20.17%
MUSCLE FREE Present 201 201/237 ( 84.81 %) 79.83% - 88.95%
MUSCLE INVOLVED Absent 7 7/13 ( 53.85 %) 28.29% - 77.89%
MUSCLE INVOLVED Present 6 6/13 ( 46.15 %) 22.11% - 71.71%

Table 18

MUSCLE FREE MUSCLE INVOLVED
Absent 36 7
Present 201 6

PERIVESICAL FAT STRANDING ON IMAGING

Figure 9 PERIVESICAL FAT STRANDING_ON_IMAGING Distribution in Our Population

The Dodged bar chart above represents individual counts representing frequency of PERIVESICAL_FAT_STRANDING t in categories MUSCLE FREE and MUSCLE INVOLVED belonging to group MUSCLE_INVOLVEMENT. Subgroup Absent has highest percentage 203/237 ( 85.65 % ) in group MUSCLE FREE . Subgroup Present has highest percentage 10/13 ( 76.92 % ) in group MUSCLE INVOLVED . To formally check for association between groups we performed pearson chi-square test .

e found a Significant association between PERIVESICAL_FAT_STRANDING_ON_IMAGING and MUSCLE_INVOLVEMENT. The chi-square statistic was 29.1 . The degree of freedom was 1 and P value was <0.001 .Contingency and Proportion table are shown below

Table 19

MUSCLE_INVOLVEMENT PERIVESICAL_FAT_STRANDING_ON_IMAGING n value 95 % Confidence Interval
MUSCLE FREE Absent 203 203/237 ( 85.65 %) 80.77% - 89.67%
MUSCLE FREE Present 34 34/237 ( 14.35 %) 10.33% - 19.23%
MUSCLE INVOLVED Absent 3 3/13 ( 23.08 %) 6.97% - 49.74%
MUSCLE INVOLVED Present 10 10/13 ( 76.92 %) 50.26% - 93.03%

Table 20

MUSCLE FREE MUSCLE INVOLVED
Absent 203 3
Present 34 10

TYPE OF GROWTH

Figure 10 TYPE_OF_GROWTH Distribution in Our Population

The Dodged bar chart above represents individual counts representing frequency of TYPE_OF_GROWTH categories Papillary,Solid and Carpet in categories MUSCLE FREE and MUSCLE INVOLVED belonging to group MUSCLE_INVOLVEMENT. Subgroup Papillary has highest percentage 189/237 ( 79.75 % ) in group MUSCLE FREE . Subgroup Papillary has highest percentage 11/13 ( 84.62 % ) in group MUSCLE INVOLVED . To formally check for association between groups we performed pearson chi-square test .

we found a Non-significant association between TYPE_OF_GROWTH and MUSCLE_INVOLVEMENT. The chi-square statistic was 0.4 . The degree of freedom was 2 and P value was 0.82 .Contingency and Proportion table are shown below

Table 21

MUSCLE_INVOLVEMENT TYPE_OF_GROWTH n value 95 % Confidence Interval
MUSCLE FREE Carpet 6 6/237 ( 2.53 %) 1.06% - 5.14%
MUSCLE FREE Papillary 189 189/237 ( 79.75 %) 74.29% - 84.48%
MUSCLE FREE Solid 42 42/237 ( 17.72 %) 13.27% - 22.96%
MUSCLE INVOLVED Papillary 11 11/13 ( 84.62 %) 59.1% - 96.66%
MUSCLE INVOLVED Solid 2 2/13 ( 15.38 %) 3.34% - 40.9%

Table 22

MUSCLE FREE MUSCLE INVOLVED
Carpet 6 0
Papillary 189 11
Solid 42 2

LOGISTIC REGRESSION

Logistic regression with Univariate and Multivariate odds ratio . With (Muscle involvement at restage TURBT as dependent variable and variables based on presepecified clinical importance and sttaistical significance(p<0.2) as independent variables.

Dependent: MUSCLE_INVOLVEMENT MUSCLE FREE MUSCLE INVOLVED OR (univariable) OR (multivariable)
AGE Mean (SD) 56.2 (13.1) 53.0 (18.3) 0.98 (0.94-1.02, p=0.406) 0.99 (0.95-1.03, p=0.688)
TUMOUR_SIZE < 3 CM 84 (35.4) 1 (7.7)
>3 CM 153 (64.6) 12 (92.3) 6.59 (1.26-121.06, p=0.072) 1.47 (0.17-31.45, p=0.748)
PERIVESICAL_FAT_STRANDING_ON_IMAGING Absent 203 (85.7) 3 (23.1)
Present 34 (14.3) 10 (76.9) 19.90 (5.76-92.19, p<0.001) 14.92 (2.71-123.49, p=0.004)
SEX F 38 (16.0) 0 (0.0)
M 199 (84.0) 13 (100.0) 20536473.26 (0.00-NA, p=0.992) 21611750.92 (0.00-NA, p=0.991)
MUSCLE_PRESENT_IN_PRIMARY_SPECIMEN Absent 36 (15.2) 7 (53.8)
Present 201 (84.8) 6 (46.2) 0.15 (0.05-0.49, p=0.001) 0.17 (0.04-0.68, p=0.012)
BTA_TEST NEGATIVE 83 (35.0) 2 (15.4)
POSITIVE 154 (65.0) 11 (84.6) 2.96 (0.77-19.45, p=0.164) 0.47 (0.05-4.46, p=0.482)
URINE_FOR_MALIGNANTCYTOLOGY NEGATIVE 153 (64.6) 7 (53.8)
POSITIVE 84 (35.4) 6 (46.2) 1.56 (0.49-4.85, p=0.437) 1.39 (0.33-6.17, p=0.652)
UPPER_TRACT_ON_IMAGING HDUN 7 (3.0) 4 (30.8)
NORMAL 230 (97.0) 9 (69.2) 0.07 (0.02-0.30, p<0.001) 0.32 (0.05-1.92, p=0.203)

Since the number of Outcomes was less .We penalised excessive variance as the results of the penalised logistic regression are as follows

[1] 1.5
Variable Effect Lower.0.95 Upper.0.95
AGE 0.8338590 0.4414429 1.575109
TUMOUR_SIZE - < 3 CM:>3 CM 0.6247336 0.1410979 2.766109
PERIVESICAL_FAT_STRANDING_ON_IMAGING - Present:Absent 6.3607342 1.9142678 21.135465
SEX - F:M 0.3655986 0.0693721 1.926744
MUSCLE_PRESENT_IN_PRIMARY_SPECIMEN - Absent:Present 3.5804983 1.1887718 10.784213
BTA_TEST - NEGATIVE:POSITIVE 0.9440269 0.2334379 3.817661
URINE_FOR_MALIGNANTCYTOLOGY - POSITIVE:NEGATIVE 1.1674145 0.3802846 3.583781
UPPER_TRACT_ON_IMAGING - HDUN:NORMAL 2.3945838 0.6214715 9.226540

Effect plot

Cox regression, Time to growth

Dependent: Surv(time, status) HR (univariable) HR (multivariable)
AGE Mean (SD) 0.99 (0.95-1.03, p=0.601) 1.00 (0.96-1.04, p=0.906)
TUMOUR_SIZE < 3 CM
>3 CM 7.46 (0.96-57.69, p=0.054) 1.53 (0.12-19.70, p=0.745)
PERIVESICAL_FAT_STRANDING_ON_IMAGING Absent
Present 18.73 (4.96-70.69, p<0.001) 14.73 (1.84-117.71, p=0.011)
SEX F
M 88323572.24 (0.00-Inf, p=0.998) 536652693.35 (0.00-Inf, p=0.998)
MUSCLE_PRESENT_IN_PRIMARY_SPECIMEN Absent
Present 0.14 (0.05-0.42, p<0.001) 0.12 (0.03-0.47, p=0.002)
BTA_TEST NEGATIVE
POSITIVE 2.73 (0.61-12.34, p=0.191) 0.22 (0.02-2.32, p=0.210)
URINE_FOR_MALIGNANTCYTOLOGY NEGATIVE
POSITIVE 1.65 (0.54-5.03, p=0.377) 1.76 (0.40-7.79, p=0.459)
UPPER_TRACT_ON_IMAGING HDUN
NORMAL 0.05 (0.01-0.20, p<0.001) 0.16 (0.03-0.73, p=0.018)