Evidence map›Paper›PMID 30022330›Full record

SynthesisTechniques in coloproctology2018

Systematic review of blood diagnostic markers in colorectal cancer.

Stella Nikolaou, Shengyang Qiu, Francesca Fiorentino, Shahnawaz Rasheed, Paris Tekkis, Christos Kontovounisios

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 5 pooled it
4.9field-weighted citation impact, top 4% 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

76 citing papers in PubMed, 5 syntheses or guidelines pooled it, 144 citations in OpenAlex.

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  15. Biomarkers in Colorectal Cancer: Actual and Future Perspectives.International journal of molecular sciences · 2024
    Review
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Stella NikolaouDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, London, UK. stella.nikolaou02@imperial.ac.uk.
Shengyang QiuDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, London, UK.
Francesca FiorentinoDepartment of Surgery and Cancer, Imperial College, Royal Marsden Hospital, Fulham Road and Chelsea and Westminster Campus, 369 Fulham Road, London, SW10 9NH, UK.
Shahnawaz RasheedDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, London, UK.
Paris TekkisDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, London, UK.
Christos KontovounisiosDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, London, UK.
Chelsea and Westminster Hospital · GBRoyal Marsden Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this systematic review was to compare the diagnostic ability of blood markers for colorectal cancer (CRC). A systematic review of the literature for diagnostic blood markers for primary human colorectal cancer over the last 5 years was performed. The primary outcome was to assess the diagnostic ability of these markers in diagnosing colorectal cancer. The secondary outcome was to see whether the marker was compared to other markers. The tertiary outcome was to assess diagnostic ability in early versus late CRC, including stage IV disease. We identified 51 studies (29 prospective, 14 retrospective, and 8 meta-analyses). The markers were divided in broadly four groups: nucleic acids (RNA/DNA/messenger RNA/microRNAs), cytokines, antibodies, and proteins. The most promising circulating markers identified among the nucleid acids were NEAT_v2 non-coding RNA, SDC2 methylated DNA, and SEPT9 methylated DNA. The most promising cytokine to detect CRC was interleukin 8, and the most promising circulating proteins were CA11-19 glycoprotein and DC-SIGN/DC-SIGNR. Sensitivities of these markers for detecting primary colorectal carcinoma ranged from 70 to 98% and specificities from 84 to 98.7%. The best studied blood marker was SEPT9 methylated DNA, which showed great variability with sensitivities ranging from 48.2 to 95.6% and specificities from 80 to 98.9%, making its clinical applicability challenging. If combined with fecal immunochemical test (FIT), the sensitivity improved from 78 to 94% in detecting CRC. Methylated SEPT9, methylated SDC2, and -SIGN/DC-SIGNR protein had better sensitivity and specificity than CEA or CA 19-9. With the exception of SEPT9 which is currently being implemented as a screening test for CRC all other markers lacked reproducibility and standardization and were studied in relatively small population samples.

Indexed as

AdultBiomarkers, TumorColorectal NeoplasmsDNA MethylationEarly Detection of CancerFemaleHumansMaleMeta-Analysis as TopicMiddle AgedNeoplasm StagingProspective StudiesReproducibility of ResultsRetrospective StudiesRNA, Long NoncodingSensitivity and SpecificityBiomarkers, TumorMALAT1 long non-coding RNA, humanRNA, Long NoncodingSDC2 protein, humanSEPTIN9 protein, humanSeptinsSyndecan-2BiomarkersBowel cancerDiagnosisReviewSerumTissue

Identifiers

PMID30022330
PMCPMC6097737
OpenAlexW2884571462

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.