Evidence map›Paper›PMID 29090037›Full record

ArticleClinical epigenetics2017

Performance of a methylation specific real-time PCR assay as a triage test for HPV-positive women.

Martina Schmitz, Kristina Wunsch, Heike Hoyer, Cornelia Scheungraber, Ingo B Runnebaum, Alfred Hansel, Matthias Dürst

Open access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 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 2 institutions in 1 country.

Martina Schmitzoncgnostics GmbH, Jena, Germany.
Kristina Wunschoncgnostics GmbH, Jena, Germany.
Heike HoyerInstitute of Medical Statistics, Information Sciences and Documentation, Jena University Hospital, Jena, Germany.
Cornelia ScheungraberDepartment of Gynaecology and Reproductive Medicine, Jena University Hospital, Jena, Germany.
Ingo B RunnebaumDepartment of Gynaecology and Reproductive Medicine, Jena University Hospital, Jena, Germany.
Alfred Hanseloncgnostics GmbH, Jena, Germany.
Matthias DürstDepartment of Gynaecology and Reproductive Medicine, Jena University Hospital, Jena, Germany.ORCID 0000-0003-1235-1150
Jena University Hospital · DEoncgnostics (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHPV DNA testing as a primary screening marker is being implemented in several countries. Due to the high HPV prevalence in the screening population, effective triage strategies for HPV-positive cases are required. The aim of this study was to evaluate the performance of a methylation-specific real-time PCR  assay (GynTect®) comprising six marker regions as a triage test.

resultsAn analytical sensitivity of 0.1 ng genomic DNA corresponding to 15 SiHa cells was achieved. Absolute specificity was observed in the presence of 20 ng unmethylated genomic DNA. In a clinical setting, cervical scrapes of 306 women showing abnormal colposcopy were tested for cytology, HPV positivity, and the GynTect markers ASTN1, DLX1, ITGA4, RXFP3, SOX17, and ZNF671. Of all women, histopathological data were available. The overall sensitivity for GynTect to detect CIN3+ was 67.7% (95% CI 57.3%-77.1%) whereas sensitivity was significantly higher for women of age ≥ 30 years (

conclusionThe GynTect® assay is a robust easy to use assay with high analytical sensitivity and specificity. Moreover, the performance of the assay based on cervical scrapes provides further evidence for the usefulness of methylation markers to detect HPV-positive women with clinically relevant disease.

Indexed as

DNA MethylationAdultCell Line, TumorEarly Detection of CancerFemaleHuman papillomavirus 16HumansMass ScreeningMiddle AgedPapillomavirus InfectionsPregnancyReal-Time Polymerase Chain ReactionSensitivity and SpecificityTriageUterine Cervical NeoplasmsCervical cancerCINHPVMethylation marker panelScreeningTriage

Identifiers

PMID29090037
PMCPMC5655856
OpenAlexW2765119968

What OpenQuestion holds

Textmetadata
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.