Evidence map›Paper›PMID 30158287›Full record

Observational studyThe oncologist2019

Assessment of NETest Clinical Utility in a U.S. Registry-Based Study.

Eric Liu, Scott Paulson, Anthony Gulati, Jon Freudman, William Grosh, Sheldon Kafer, Prasanna C Wickremesinghe, Ronald R Salem, Lisa Bodei

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02270567 (A Registry for Neuroendocrine Tumors), which is not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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.

NCT02270567 enrolling by invitationnot on this map

A Registry for Neuroendocrine Tumors

Typeobservational_patient_registrySponsorWren Laboratories LLCRan2015 to 2030Enrolled400ConditionsNeuroendocrine Tumor, Carcinoid, Neuroendocrine CarcinomaArmsNETest
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. NETest2.0Cancers · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
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  11. Article
  12. Review
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  15. Review
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  17. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 1 country.

Eric LiuRocky Mountain Cancer Center, Denver, Colorado, USA.
Scott PaulsonTexas Oncology - Baylor Charles A Sammons Cancer Center, Dallas, Texas, USA.
Anthony GulatiBennett Cancer Center, Stamford, Connecticut, USA.
Jon FreudmanFreudman Healthcare Consulting, San Rafael, California, USA.
William GroshEmily Couric Cancer Center, University of Virginia, Charlottesville, Virginia, USA.
Sheldon KaferHartford Hospital, Hartford, Connecticut, USA.
Prasanna C WickremesingheRichmond University Medical Center, Staten Island, New York, USA.
Ronald R SalemYale University School of Medicine, Department of Surgery, New Haven, Connecticut, USA.
Lisa BodeiMemorial Sloan Kettering Cancer Center, New York, New York, USA bodeil@mskcc.org.
Hartford Hospital · USMemorial Sloan Kettering Cancer Center · USRichmond University Medical Center · USRocky Mountain Cancer Centers · USStamford Hospital · USTexas Oncology · USUniversity of Virginia · USYale University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundThe clinical relevance of molecular biomarkers in oncology management has been recognized in breast and lung cancers. We evaluated a blood-based multigene assay for management of neuroendocrine tumors (NETs) in a real-world study (U.S. registry NCT02270567). Diagnostic accuracy and relationship to clinical disease status in two cohorts (treated and watch-and-wait) were evaluated. MATERIALS AND

methodsPatients with NETs (

resultsNETest diagnostic accuracy was 96% and concordant (95%) with image-demonstrable disease. Scores were reproducible (97%) and concordant with clinical status (98%). The NETest was the only feature linked to PFS (odds ratio, 6.1;

conclusionBlood NETest is an accurate diagnostic and can be of use in monitoring disease status and facilitating management change in both watch-and-wait and treatment cohorts. IMPLICATIONS FOR PRACTICE: A circulating multigene molecular biomarker to guide neuroendocrine tumor (NET) management has been developed because current biomarkers have limited clinical utility. NETest is diagnostic (96%) and in real time defines the disease status (>95%) as stable or progressive. It is >90% effective in guiding treatment decisions in conjunction with diagnostic imaging. Monitoring was effective in watch-and-wait or treatment groups. Low levels supported no management change and reduced the need for imaging. High levels indicated the need for management intervention. Real-time liquid biopsy assessment of NETs has clinical utility and can contribute additional value to patient management strategies and outcomes.

Indexed as

Reagent Kits, DiagnosticAdultAgedAged, 80 and overBiomarkers, TumorClinical Decision-MakingDisease ProgressionFemaleHumansKaplan-Meier EstimateLiquid BiopsyMaleMiddle AgedNeoplasm StagingNeuroendocrine TumorsPrognosisBiomarkers, TumorReagent Kits, DiagnosticBiomarkerCarcinoidLiquid biopsyNET transcriptsNeuroendocrineRegistry

Identifiers

PMID30158287
PMCPMC6656500
OpenAlexW2888776663

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.