Evidence map›Paper›PMID 31027285›Full record

ArticleCancers2019

Chromogranin A in the Laboratory Diagnosis of Pheochromocytoma and Paraganglioma.

Radovan Bílek, Petr Vlček, Libor Šafařík, David Michalský, Květoslav Novák, Jaroslava Dušková, Eliška Václavíková, Jiří Widimský, Tomáš Zelinka

Open access · goldAbstract 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 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
6.2field-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.

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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Quantitative [EJNMMI reports · 2025
    Article
  4. [European journal of nuclear medicine and molecular imaging · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Chromogranin A: An Endocrine Factor of Pregnancy.International journal of molecular sciences · 2023
    Review
  13. Pheochromocytoma: a changing perspective and current concepts.Therapeutic advances in endocrinology and metabolism · 2023
    Review
  14. Review
  15. Article
  16. Precision Medicine in Phaeochromocytoma and Paraganglioma.Journal of personalized medicine · 2021
    Review
  17. Review
  18. Article
  19. Secondary hypertension: An update on the diagnosis and localisation of a pheochromocytoma or paraganglioma.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021
    Article
  20. Review
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 at 2 institutions in 1 country.

Radovan BílekInstitute of Endocrinology, Národní 8, 116 94 Prague, Czech Republic. rbilek@endo.cz.ORCID 0000-0001-5275-9965
Petr VlčekDepartment of Nuclear Medicine and Endocrinology, Motol Teaching Hospital and Second Faculty of Medicine, Charles University, V Úvalu 84, 15006 Prague 5, Czech Republic. petr.vlcek@fnmotol.cz.
Libor ŠafaříkUrology Clinic, V Pražské bráně 74, 26601 Beroun, Czech Republic. lsafarik@centrum.cz.
David Michalský1st Department of Surgery-Department of Abdominal, Thoracic Surgery and Traumatology, First Faculty of Medicine, Charles University and General University Hospital, U Nemocnice 2, 12808 Prague 2, Czech Republic. david.michalsky@lf1.cuni.cz.
Květoslav NovákDepartment of Urology, First Faculty of Medicine, Charles University and General University Hospital, Ke Karlovu 4, 12808 Prague 2, Czech Republic. kvetoslav.novak@vfn.cz.
Jaroslava DuškováInstitute of Pathology, First Faculty of Medicine, Charles University in Prague and General University Hospital, Studničkova 2, 12800 Prague 2, Czech Republic. jaroslava.duskova@lf1.cuni.cz.ORCID 0000-0001-7373-808X
Eliška VáclavíkováInstitute of Endocrinology, Národní 8, 116 94 Prague, Czech Republic. evaclavikova@endo.cz.
Jiří WidimskýCenter for Hypertension, 3rd Medical Department-Department of Endocrinology and Metabolism, First Faculty of Medicine, Charles University and General University Hospital, U Nemocnice 1, 12808 Prague 2, Czech Republic. jwidi@lf1.cuni.cz.
Tomáš ZelinkaCenter for Hypertension, 3rd Medical Department-Department of Endocrinology and Metabolism, First Faculty of Medicine, Charles University and General University Hospital, U Nemocnice 1, 12808 Prague 2, Czech Republic. Tomas.Zelinka@lf1.cuni.cz.ORCID 0000-0003-3395-8373
Charles University · CZInstitute of Endocrinology · CZ

Funding

This research was funded by grants IGA MZ CR NT/12336-4, MH CZ - DRO (Institute of Endocrinology - EÚ, 00023761); MZ CR 16-30345 and PROGRES Q28/LF1 (research program of Charles University). IGA MZ CR NT/12336-4, MH CZ - DRO (Institute of Endocrinology - EÚ, 00023761); MZ CR 16-30345 and PROGRES Q28/LF1 (research program of Charles University).
6 · The paper itself

Abstract

This work discusses the clinical performance of chromogranin A (CGA), a commonly measured marker in neuroendocrine neoplasms, for the diagnosis of pheochromocytoma/paraganglioma (PPGL). Plasma CGA (cut-off value 150 µg/L) was determined by an immunoradiometric assay. Free metanephrine (cut-off value 100 ng/L) and normetanephrine (cut-off value 170 ng/L) were determined by radioimmunoassay. Blood samples were collected from PPGL patients preoperatively, one week, six months, one year and two years after adrenal gland surgery. The control patients not diagnosed with PPGL suffered from adrenal problems or from MEN2 and thyroid carcinoma. The clinical sensitivity in the PPGL group of patients (n = 71) based on CGA is 90% and is below the clinical sensitivity determined by metanephrines (97%). The clinical specificity based on all plasma CGA values after surgery (n = 98) is 99% and is the same for metanephrines assays. The clinical specificity of CGA in the control group (n = 85) was 92% or 99% using metanephrines tests. We can conclude that plasma CGA can serve as an appropriate complement to metanephrines assays in laboratory diagnosis of PPGL patients. CGA is elevated in PPGLs, as well as in other neuroendocrine or non-neuroendocrine neoplasia and under clinical conditions increasing adrenergic activity.

Indexed as

chromogranin Ametanephrinesparagangliomapheochromocytoma

Identifiers

PMID31027285
PMCPMC6521298
OpenAlexW2941494537

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.