Evidence map›Paper›PMID 23776200›Full record

SynthesisJournal of nuclear medicine : official publication, Society of Nuclear Medicine2013

The lack of evidence for PET or PET/CT surveillance of patients with treated lymphoma, colorectal cancer, and head and neck cancer: a systematic review.

Kamal Patel, Nira Hadar, Jounghee Lee, Barry A Siegel, Bruce E Hillner, Joseph Lau

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Colorectal cancer (CRC) monitoring by 6-monthly 18FDG-PET/CT: an open-label multicentre randomised trial.Annals of oncology : official journal of the European Society for Medical Oncology · 2018
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Standards for reporting PET clinical trials.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2013
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Kamal PatelInstitute of Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts, USA.
Nira Hadar
Jounghee Lee
Barry A Siegel
Bruce E Hillner
Joseph Lau

Funding

Comparative Effectiveness of Advanced Imaging in CancerRC2CA148259 · NCI · DARTMOUTH COLLEGE · PI BLACK, WILLIAM C, HILLNER, BRUCE ELLIS · 2009 to 2009
$2.0M
NCI NIH HHS RC2 CA148259NCI NIH HHS RC2CA148259
6 · The paper itself

Abstract

unlabelledPET and PET/CT are widely used for surveillance of patients after cancer treatments. We conducted a systematic review to assess the diagnostic accuracy and clinical impact of PET and PET/CT used for surveillance in several cancers.

methodsWe searched MEDLINE and Cochrane Library databases from 1996 to March 2012 for English-language studies of PET or PET/CT used for surveillance of patients with lymphoma, colorectal cancer, or head and neck cancer. We included prospective or retrospective studies that reported test accuracy and comparative studies that assessed clinical impact.

resultsTwelve studies met our inclusion criteria: 6 lymphoma (n = 767 patients), 2 colorectal cancer (n = 96), and 4 head and neck cancer (n = 194). All studies lacked a uniform definition of surveillance and scan protocols. Half the studies were retrospective, and a third were rated as low quality. The majority reported sensitivities and specificities in the range of 90%-100%, although several studies reported lower results. The only randomized controlled trial, a colorectal cancer study with 65 patients in the surveillance arm, reported earlier detection of recurrences with PET and suggested improved clinical outcomes.

conclusionThere is insufficient evidence to draw conclusions on the clinical impact of PET or PET/CT surveillance for these cancers. The lack of standard definitions for surveillance, heterogeneous scanning protocols, and inconsistencies in reporting test accuracy preclude making an informed judgment on the value of PET for this potential indication.

Indexed as

Population SurveillancePositron-Emission TomographyTomography, X-Ray ComputedColorectal NeoplasmsEvidence-Based MedicineHead and Neck NeoplasmsHumansLymphomaMass ScreeningMultimodal ImagingNeoplasmsNeoplasm StagingOutcome Assessment, Health CarePrevalenceReproducibility of ResultsRisk AssessmentcolorectallymphomaPETPET/CTsurveillance

Identifiers

PMID23776200
PMCPMC3980728

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.