Evidence map›Paper›PMID 29843756›Full record

Trial reportHead & face medicine2018

Clinical comparison of liquid-based and conventional cytology of oral brush biopsies: a randomized controlled trial.

Constanze Olms, Nathalie Hix, Heinrich Neumann, Maryam Yahiaoui-Doktor, Torsten W Remmerbach

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Head & face medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 31 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

5 authors at 1 institution in 1 country.

Constanze OlmsDepartment of Dental Prosthodontics and Materials Science, University of Leipzig, Liebigstraße 12, 04103, Leipzig, Germany. constanze.olms@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0003-3678-7848
Nathalie HixDepartment of Dental Prosthodontics and Materials Science, University of Leipzig, Liebigstraße 12, 04103, Leipzig, Germany.
Heinrich NeumannInstitute of Cytopathology, Am Propsthof 3, 53121, Bonn, Germany.
Maryam Yahiaoui-DoktorInstitute for Medical Informatics, Statistics and Epidemiology (IMISE), University of Leipzig, Leipzig, Germany.
Torsten W RemmerbachSection of Oral Medicine, Department of Head Medicine and Oral Health, University of Leipzig, Liebigstraße 10-14, 04103, Leipzig, Germany.
Leipzig University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExfoliative cytology performed on oral brush samples can help dentists to decide, whether a given oral lesion is (pre-) malignant. The use of non-invasive brush biopsies as an auxiliary tool in the diagnosis of oral mucosal lesions has gained renewed interest since improvements in cytological techniques such as the development of adjuvant diagnostic tools and liquid-based cell preparation techniques.

methodsThe aim of this study was to compare the quality of two different preparation techniques (cell collectors): the conventional transfer procedure to glass slides and the so-called liquid-based cytology preparation method. Cell smears were collected from 10 orally healthy individuals (mean age: 24 years) from the palatine mucosa at two different times (baseline and 4 weeks later). Slides of both techniques were stained by Giemsa (n = 40) and May-Gruenwald Giemsa (n = 40). The statistical analysis was performed with Excel.

resultsOn specimen analysis, the liquid-based cytology showed statistically significant improvement compared to conventional glass sides (p < 0.001). Thin layers, which were performed by liquid-based cytology showed significantly better results in the parameters (p < 0.001): uniform distribution, cellular overlapping, cellular disformation, mucus, microbial colonies and debris. The conventional glass slides approach showed more cell overlapping and contamination with extraneous material than thin layers, which were performed by Orcellex® Brush cell collectors.

conclusionsBoth techniques are diagnostically reliable. The liquid-based method showed an overall improvement on sample preservation, specimen adequacy, visualization of cell morphology and reproducibility. Liquid-based cytology simplifies cell collection due to easier handling and less transfer errors by dentists.

Indexed as

AdultBiopsyCytodiagnosisEarly Detection of CancerFemaleHumansImmunohistochemistryMaleMiddle AgedMouth MucosaMouth NeoplasmsSensitivity and SpecificityYoung AdultCollection methodsConventional cytologyLiquid-based cytologyOral brush biopsyPreparation methods

Identifiers

PMID29843756
PMCPMC5975412
OpenAlexW2806850853

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LicenceCC BY
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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.