Evidence map›Paper›PMID 25386659›Full record

ArticlePloS one2014

The relevance of external quality assessment for molecular testing for ALK positive non-small cell lung cancer: results from two pilot rounds show room for optimization.

Lien Tembuyser, Véronique Tack, Karen Zwaenepoel, Patrick Pauwels, Keith Miller, Lukas Bubendorf, Keith Kerr, Ed Schuuring, Erik Thunnissen, Elisabeth M C Dequeker

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
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  4. Article
  5. Lung cancer biomarker testing: perspective from Europe.Translational lung cancer research · 2020
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  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. The ins and outs of molecular pathology reporting.Virchows Archiv : an international journal of pathology · 2017
    Review
  14. Testing for ROS1 in non-small cell lung cancer: a review with recommendations.Virchows Archiv : an international journal of pathology · 2016
    Review
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 4 countries.

Lien TembuyserDepartment of Public Health and Primary Care, Biomedical Quality Assurance Research Unit, KU Leuven - University of Leuven, Leuven, Belgium.
Véronique TackDepartment of Public Health and Primary Care, Biomedical Quality Assurance Research Unit, KU Leuven - University of Leuven, Leuven, Belgium.
Karen ZwaenepoelDepartment of Pathology, Antwerp University Hospital, Edegem, Belgium.
Patrick PauwelsDepartment of Pathology, Antwerp University Hospital, Edegem, Belgium.
Keith MillerUK NEQAS ICC & ISH, London, United Kingdom.
Lukas BubendorfInstitute for Pathology, Basel University Hospital, Basel, Switzerland.
Keith KerrDepartment of Pathology, Aberdeen Royal Infirmary, Aberdeen, United Kingdom.
Ed SchuuringDepartment of Pathology and Medical Biology, University of Groningen, Groningen, the Netherlands.
Erik ThunnissenDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands.
Elisabeth M C DequekerDepartment of Public Health and Primary Care, Biomedical Quality Assurance Research Unit, KU Leuven - University of Leuven, Leuven, Belgium.
KU Leuven · BEAberdeen Royal Infirmary · GBAmsterdam UMC Location VUmc · NLAntwerp University Hospital · BEUniversity Hospital of Basel · CHUniversity Medical Center Groningen · NLUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeMolecular profiling should be performed on all advanced non-small cell lung cancer with non-squamous histology to allow treatment selection. Currently, this should include EGFR mutation testing and testing for ALK rearrangements. ROS1 is another emerging target. ALK rearrangement status is a critical biomarker to predict response to tyrosine kinase inhibitors such as crizotinib. To promote high quality testing in non-small cell lung cancer, the European Society of Pathology has introduced an external quality assessment scheme. This article summarizes the results of the first two pilot rounds organized in 2012-2013. MATERIALS AND

methodsTissue microarray slides consisting of cell-lines and resection specimens were distributed with the request for routine ALK testing using IHC or FISH. Participation in ALK FISH testing included the interpretation of four digital FISH images.

resultsData from 173 different laboratories was obtained. Results demonstrate decreased error rates in the second round for both ALK FISH and ALK IHC, although the error rates were still high and the need for external quality assessment in laboratories performing ALK testing is evident. Error rates obtained by FISH were lower than by IHC. The lowest error rates were observed for the interpretation of digital FISH images.

conclusionThere was a large variety in FISH enumeration practices. Based on the results from this study, recommendations for the methodology, analysis, interpretation and result reporting were issued. External quality assessment is a crucial element to improve the quality of molecular testing.

Indexed as

Quality Assurance, Health CareAnaplastic Lymphoma KinaseCarcinoma, Non-Small-Cell LungErbB ReceptorsGene RearrangementHumansIn Situ Hybridization, FluorescenceLaboratoriesLung NeoplasmsReceptor Protein-Tyrosine KinasesALK protein, humanAnaplastic Lymphoma KinaseErbB ReceptorsReceptor Protein-Tyrosine Kinases

Identifiers

PMID25386659
PMCPMC4227804
OpenAlexW2047295402

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Registered trials

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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.