Evidence map›Paper›PMID 27383773›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2016

A Nomogram Derived by Combination of Demographic and Biomarker Data Improves the Noninvasive Evaluation of Patients at Risk for Bladder Cancer.

Sijia Huang, Lei Kou, Hideki Furuya, Changhong Yu, Steve Goodison, Michael W Kattan, Lana Garmire, Charles J Rosser

Abstract readValidation Study
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Clinical Validation of a Multiplex Urine Biomarker Assay for Surveillance of Recurrent Bladder Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

8 authors.

Sijia HuangCancer Epidemiology Research Program, University of Hawaii Cancer Center, Honolulu, Hawaii.
Lei KouDepartment of Biostatistics, Cleveland Clinic, Cleveland, Ohio.
Hideki FuruyaClinical and Translational Research Program, University of Hawaii Cancer Center, Honolulu, Hawaii.
Changhong YuDepartment of Biostatistics, Cleveland Clinic, Cleveland, Ohio.
Steve GoodisonNonagen Bio-Science Corp., Jacksonville, Florida. Department of Health Sciences Research, Mayo Clinic Florida, Jacksonville, Florida.
Michael W KattanDepartment of Biostatistics, Cleveland Clinic, Cleveland, Ohio.
Lana GarmireCancer Epidemiology Research Program, University of Hawaii Cancer Center, Honolulu, Hawaii.
Charles J RosserClinical and Translational Research Program, University of Hawaii Cancer Center, Honolulu, Hawaii. Nonagen Bio-Science Corp., Jacksonville, Florida. crosser@cc.hawaii.edu.

Funding

Transgenic Mouse, ICSI and IVF CoreP20GM103457 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI WARD, WILLIAM S · 2012 to 2018
$12.9M
VALIDATION OF A MULTIPLEXED ASSAY FOR BLADDER CANCER DIAGNOSISR01CA198887 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI ROSSER, CHARLES J · 2016 to 2025
$6.8M
Towards a non-invasive molecular test for bladder cancerR01CA116161 · NCI · UNIVERSITY OF FLORIDA · PI GOODISON, STEVE · 2007 to 2019
$2.9M
Cancer precision medicine through spatially informative single cell image and transcriptomics data analysisR01LM012373 · NLM · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GARMIRE, LANA X · 2016 to 2024
$2.4M
Development of molecular assays for non-invasive bladder cancer detectionR44CA173921 · NCI · NONAGEN BIOSCIENCE CORPORATION · PI GOODISON, STEVE · 2013 to 2015
$2.0M
An Integrative Bioinformatics Approach to Study Single Cancer Cell HeterogeneityK01ES025434 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GARMIRE, LANA X · 2014 to 2018
$905k
NCI NIH HHS R01 CA116161NCI NIH HHS R01 CA198887NCI NIH HHS R44 CA173921NIEHS NIH HHS K01 ES025434NIGMS NIH HHS P20 GM103457NLM NIH HHS R01 LM012373
6 · The paper itself

Abstract

backgroundImprovements in the noninvasive clinical evaluation of patients at risk for bladder cancer would be of benefit both to individuals and to health care systems. We investigated the potential utility of a hybrid nomogram that combined key demographic features with the results of a multiplex urinary biomarker assay in hopes of identifying patients at risk of harboring bladder cancer.

methodsLogistic regression analysis was used to model the probability of bladder cancer burden in a cohort of 686 subjects (394 with bladder cancer) using key demographic features alone, biomarker data alone, and the combination of demographic features and key biomarker data. We examined discrimination, calibration, and decision curve analysis techniques to evaluate prediction model performance.

resultsArea under the receiver operating characteristic curve (AUC) analyses revealed that demographic features alone predicted tumor burden with an accuracy of 0.806 [95% confidence interval (CI), 0.76-0.85], while biomarker data had an accuracy of 0.835 (95% CI, 0.80-0.87). The addition of molecular data into the nomogram improved the predictive performance to 0.891 (95% CI, 0.86-0.92). Decision curve analyses showed that the hybrid nomogram performed better than demographic or biomarker data alone.

conclusionA nomogram construction strategy that combines key demographic features with biomarker data may facilitate the accurate, noninvasive evaluation of patients at risk of harboring bladder cancer. Further research is needed to evaluate the bladder cancer risk nomogram for potential clinical utility. IMPACT: The application of such a nomogram may better inform the decision to perform invasive diagnostic procedures. Cancer Epidemiol Biomarkers Prev; 25(9); 1361-6. ©2016 AACR.

Indexed as

Decision Support TechniquesNomogramsAdolescentAdultAgedAged, 80 and overArea Under CurveBiomarkers, TumorCase-Control StudiesCohort StudiesFemaleHumansLogistic ModelsMaleMiddle AgedROC CurveBiomarkers, Tumor

Identifiers

PMID27383773
PMCPMC5106243

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.