Evidence map›Paper›PMID 26376647›Full record

Observational studyLung2015

Clinical Utility of a Plasma Protein Classifier for Indeterminate Lung Nodules.

Anil Vachani, Zane Hammoud, Steven Springmeyer, Neri Cohen, Dao Nguyen, Christina Williamson, Sandra Starnes, Stephen Hunsucker, Scott Law, Xiao-Jun Li and 2 more

Abstract readObservational Study
In one paragraph

Observational study in Lung, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Validation of the SHOX2/PTGER4 DNA Methylation Marker Panel for Plasma-Based Discrimination between Patients with Malignant and Nonmalignant Lung Disease.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2017
    Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Biomarkers for Lung Cancer Screening and Detection.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Article
  10. Verification of a Blood-Based Targeted Proteomics Signature for Malignant Pleural Mesothelioma.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Article
  11. Article
  12. Review
  13. Observational
  14. Article
  15. Review
  16. Article
  17. Article
  18. The Pursuit of Noninvasive Diagnosis of Lung Cancer.Seminars in respiratory and critical care medicine · 2016
    Review
  19. Article
  20. 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

12 authors.

Anil VachaniPulmonary, Allergy, and Critical Care Division, Perelman School of Medicine, University of Pennsylvania/Abramson Research Center, 3615 Civic Center Boulevard, Suite 1016E, Philadelphia, PA, 19104, USA.
Zane HammoudHenry Ford Hospital, 2799 W. Grand Blvd., Detroit, MI, 48202, USA.
Steven SpringmeyerIntegrated Diagnostics, 818 Stewart St., Suite 1101, Seattle, WA, 98101, USA.
Neri CohenGreater Baltimore Medical Center, 6569 North Charles Street, Suite 701, Baltimore, MD, 21204, USA.
Dao NguyenSylvester Comprehensive Cancer Center, University of Miami Hospital & Clinics, 1550 NW 10th Avenue, Fox Building, Suite 308, Office 314, Miami, FL, 33136, USA.
Christina WilliamsonDepartment of Thoracic and Cardiovascular Surgery, Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA, 01805, USA.
Sandra StarnesUniversity of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH, 45267-0562, USA.
Stephen HunsuckerIntegrated Diagnostics, 818 Stewart St., Suite 1101, Seattle, WA, 98101, USA.
Scott LawIntegrated Diagnostics, 818 Stewart St., Suite 1101, Seattle, WA, 98101, USA.
Xiao-Jun LiIntegrated Diagnostics, 818 Stewart St., Suite 1101, Seattle, WA, 98101, USA.
Alexander PorterIntegrated Diagnostics, 818 Stewart St., Suite 1101, Seattle, WA, 98101, USA.
Paul KearneyIntegrated Diagnostics, 818 Stewart St., Suite 1101, Seattle, WA, 98101, USA. pkearney@indidx.com.

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca A Simmons · 2006 to 2026
$35.3M
NIEHS NIH HHS P30 ES013508
6 · The paper itself

Abstract

Evaluation of indeterminate pulmonary nodules is a complex challenge. Most are benign but frequently undergo invasive and costly procedures to rule out malignancy. A plasma protein classifier was developed that identifies likely benign nodules that can be triaged to CT surveillance to avoid unnecessary invasive procedures. The clinical utility of this classifier was assessed in a prospective-retrospective analysis of a study enrolling 475 patients with nodules 8-30 mm in diameter who had an invasive procedure to confirm diagnosis at 12 sites. Using this classifier, 32.0 % (CI 19.5-46.7) of surgeries and 31.8 % (CI 20.9-44.4) of invasive procedures (biopsy and/or surgery) on benign nodules could have been avoided. Patients with malignancy triaged to CT surveillance by the classifier would have been 24.0 % (CI 19.2-29.4). This rate is similar to that described in clinical practices (24.5 % CI 16.2-34.4). This study demonstrates the clinical utility of a non-invasive blood test for pulmonary nodules.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorBlood ProteinsBronchoscopyCarcinoma, Non-Small-Cell LungFemaleHumansImage-Guided BiopsyLung NeoplasmsMaleMiddle AgedProspective StudiesRetrospective StudiesSensitivity and SpecificityBiomarkers, TumorBlood ProteinsBiomarkerClinical utilityLung cancerLung noduleProspectiveXpresys lung

Identifiers

PMID26376647
PMCPMC4651976

What OpenQuestion holds

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LicenceCC BY
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.