Evidence map›Paper›PMID 26623107›Full record

ArticleJournal of thoracic disease2015

Establishment of a mathematic model for predicting malignancy in solitary pulmonary nodules.

Man Zhang, Na Zhuo, Zhanlin Guo, Xingguang Zhang, Wenhua Liang, Sheng Zhao, Jianxing He

Open access · greenAbstract read
In one paragraph

Article in Journal of thoracic disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
1.4field-weighted citation impact, top 18% 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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Man Zhang1 The First Clinical College, Southern Medical University, Guangzhou 510515, China ; 2 Department of Thoracic Surgery, 3 Department of Dermatology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China ; 4 School of Public Health, Inner Mongolia Medical University, Hohhot 010059, China ; 5 Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 6 Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou 510120, China ; 7 Department of Radiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China.
Na Zhuo1 The First Clinical College, Southern Medical University, Guangzhou 510515, China ; 2 Department of Thoracic Surgery, 3 Department of Dermatology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China ; 4 School of Public Health, Inner Mongolia Medical University, Hohhot 010059, China ; 5 Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 6 Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou 510120, China ; 7 Department of Radiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China.
Zhanlin Guo1 The First Clinical College, Southern Medical University, Guangzhou 510515, China ; 2 Department of Thoracic Surgery, 3 Department of Dermatology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China ; 4 School of Public Health, Inner Mongolia Medical University, Hohhot 010059, China ; 5 Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 6 Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou 510120, China ; 7 Department of Radiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China.
Xingguang Zhang1 The First Clinical College, Southern Medical University, Guangzhou 510515, China ; 2 Department of Thoracic Surgery, 3 Department of Dermatology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China ; 4 School of Public Health, Inner Mongolia Medical University, Hohhot 010059, China ; 5 Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 6 Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou 510120, China ; 7 Department of Radiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China.
Wenhua Liang1 The First Clinical College, Southern Medical University, Guangzhou 510515, China ; 2 Department of Thoracic Surgery, 3 Department of Dermatology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China ; 4 School of Public Health, Inner Mongolia Medical University, Hohhot 010059, China ; 5 Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 6 Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou 510120, China ; 7 Department of Radiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China.
Sheng Zhao1 The First Clinical College, Southern Medical University, Guangzhou 510515, China ; 2 Department of Thoracic Surgery, 3 Department of Dermatology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China ; 4 School of Public Health, Inner Mongolia Medical University, Hohhot 010059, China ; 5 Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 6 Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou 510120, China ; 7 Department of Radiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China.
Jianxing He1 The First Clinical College, Southern Medical University, Guangzhou 510515, China ; 2 Department of Thoracic Surgery, 3 Department of Dermatology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China ; 4 School of Public Health, Inner Mongolia Medical University, Hohhot 010059, China ; 5 Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 6 Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou 510120, China ; 7 Department of Radiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China.
First Affiliated Hospital of Guangzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to establish a model for predicting the probability of malignancy in solitary pulmonary nodules (SPNs) and provide guidance for the diagnosis and follow-up intervention of SPNs.

methodsWe retrospectively analyzed the clinical data and computed tomography (CT) images of 294 patients with a clear pathological diagnosis of SPN. Multivariate logistic regression analysis was used to screen independent predictors of the probability of malignancy in the SPN and to establish a model for predicting malignancy in SPNs. Then, another 120 SPN patients who did not participate in the model establishment were chosen as group B and used to verify the accuracy of the prediction model.

resultsMultivariate logistic regression analysis showed that there were significant differences in age, smoking history, maximum diameter of nodules, spiculation, clear borders, and Cyfra21-1 levels between subgroups with benign and malignant SPNs (P<0.05). These factors were identified as independent predictors of malignancy in SPNs. The area under the curve (AUC) was 0.910 [95% confidence interval (CI), 0.857-0.963] in model with Cyfra21-1 significantly better than 0.812 (95% CI, 0.763-0.861) in model without Cyfra21-1 (P=0.008). The area under receiver operating characteristic (ROC) curve of our model is significantly higher than the Mayo model, VA model and Peking University People's (PKUPH) model. Our model (AUC =0.910) compared with Brock model (AUC =0.878, P=0.350), the difference was not statistically significant.

conclusionsThe model added Cyfra21-1 could improve prediction. The prediction model established in this study can be used to assess the probability of malignancy in SPNs, thereby providing help for the diagnosis of SPNs and the selection of follow-up interventions.

Indexed as

diagnosislogistic modelmalignant tumorpredictionSolitary pulmonary nodule (SPN)

Identifiers

PMID26623107
PMCPMC4635307
OpenAlexW1920765290

What OpenQuestion holds

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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.