Evidence map›Paper›PMID 30934598›Full record

ArticleCancers2019

A Simple and Highly Specific MassARRAY-Based Stool DNA Assay to Prioritize Follow-up Decisions in Fecal Immunochemical Test-Positive Individuals.

Pi-Yueh Chang, Chia-Chun Chen, Jy-Ming Chiang, Shih-Cheng Chang, Mei-Chia Wang, Jinn-Shiun Chen, Wen-Sy Tsai, Jeng Fu You, Jang-Jih Lu

Abstract read
In one paragraph

Article in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

9 authors.

Pi-Yueh ChangDepartment of Laboratory Medicine, Chang Gung Memorial Hospital at LinKou Taoyuan 33305, Taiwan. changpy@adm.cgmh.org.tw.
Chia-Chun ChenMolecular Medicine Research Center, Chang Gung University, Taoyuan 33305, Taiwan. chenchiachun@gap.cgu.edu.tw.
Jy-Ming ChiangDepartment of Colorectal Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan 33305, Taiwan. jmjiang@cgmh.org.tw.
Shih-Cheng ChangDepartment of Laboratory Medicine, Chang Gung Memorial Hospital at LinKou Taoyuan 33305, Taiwan. changsc137@cgmh.org.tw.
Mei-Chia WangDepartment of Laboratory Medicine, Chang Gung Memorial Hospital at LinKou Taoyuan 33305, Taiwan. ottermika@cgmh.org.tw.
Jinn-Shiun ChenDepartment of Colorectal Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan 33305, Taiwan. chenjs@cgmh.org.tw.
Wen-Sy TsaiDepartment of Colorectal Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan 33305, Taiwan. wensyt@gmail.com.ORCID 0000-0001-6873-2863
Jeng Fu YouDepartment of Colorectal Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan 33305, Taiwan. you3368@cgmh.org.tw.
Jang-Jih LuDepartment of Laboratory Medicine, Chang Gung Memorial Hospital at LinKou Taoyuan 33305, Taiwan. jjlpcp@cgmh.org.tw.

Funding

Chang Gung Memorial Hospital, Linkou CMRPG3C1371-3, PMRPG3D0031-4, CMRPG3F0481
6 · The paper itself

Abstract

backgroundSeventy-five percent of fecal immunochemical test (FIT)-positive individuals are false positives and undergo unnecessary colonoscopies. Here, we established a stool DNA (sDNA) test that uses the Single Allele Base Extension Reaction (SABER) MassARRAY platform to improve the accuracy of FIT-based CRC detection.

methodsTwenty-one variants in five CRC-associated genes were selected for the sDNA panel. Cell line DNA and matched mutation-confirmed tissue and stool samples from 34 patients were used for accuracy assessment (cohort 1). The clinical performance of the sDNA assay was further evaluated in 101 independent FIT-positive stool samples (cohort 2).

resultsIn cohort 1, we obtained a 62% mutation concordance rate in paired tissue and stool samples of the CRC group, regardless of the FIT status. In cohort 2, 100% specificity in normal controls with positive FIT results was observed. By weighting the FIT value and the presence of a given variant type in stool and then summing the two scores, we found that a one-increment increase in the score was associated with a 4.538-fold risk (95% CI = 2.121⁻9.309) for malignancy in the FIT-positive setting.

conclusionsOur highly specific sDNA assay can help prioritize the most at-risk FIT-positive persons to receive prompt colonoscopic confirmation of CRC.

Indexed as

colorectal cancerMassARRAYrisk-stratifying algorithmstool DNA

Identifiers

PMID30934598
PMCPMC6468462

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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.