Evidence map›Paper›PMID 31099505›Full record

SynthesisAnnals of global health2019

Diagnostic Accuracy of FOBT and Colorectal Cancer Genetic Testing: A Systematic Review & Meta-Analysis.

Abdul Rahman Ramdzan, Muhammad Aklil Abd Rahim, Aznida Mohamad Zaki, Zuraidah Zaidun, Azmawati Mohammed Nawi

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Annals of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

21 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
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  8. Review
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  10. Review
  11. Review
  12. The stoolTranslational cancer research · 2023
    Article
  13. Article
  14. Article
  15. Observational
  16. Genetic Testing for Cancer Risk: Is the Community Willing to Pay for It?International journal of environmental research and public health · 2021
    Article
  17. Cost-Effectiveness of Colorectal Cancer Genetic Testing.International journal of environmental research and public health · 2021
    Article
  18. Article
  19. Article
  20. Article
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 2 institutions in 1 country.

Abdul Rahman RamdzanDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MY.
Muhammad Aklil Abd RahimDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MY.
Aznida Mohamad ZakiDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MY.
Zuraidah ZaidunDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MY.
Azmawati Mohammed NawiDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MY.
University Kebangsaan Malaysia Medical Centre · MYUniversiti of Malaysia Sabah · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionColorectal cancer (CRC) is the second leading cause of cancer related death in the world after lung cancer. Early detection of CRC leads to improvement in cancer survival rate. In recent years, efforts have been made to discover a non-invasive screening marker of higher sensitivity and specificity. Fecal occult blood testing (FOBT) and genetic testing become alternative modalities to screen CRC in the population other than colonoscopy. The aim of this systematic review and meta-analysis is to determine the diagnostic accuracy, sensitivity and specificity of FOBT and genetic testing as screening tools in colorectal cancer.

methodsA literature search of PubMed, ScienceDirect, and Scopus was carried out. The search strategy was restricted to human subjects and studies are published in English. Data on sensitivity and specificity were extracted and pooled. Heterogeneity was assumed at significance level of p < 0.10 and was tested by chi squared. Degree of heterogeneity was quantified using the I2 statistic, and values of less than 25% is considered as homogenous. All analyses were performed using the software Meta-Disc.

resultsA total of eleven studies were suitable for data synthesis and analysis. Five studies were analyzed for the accuracy of genetic testing, the pooled estimate for sensitivity and specificity were 71% (95% CI: 66, 75%) and 95% (95% CI: 93, 97%) respectively. Another group of studies which had been evaluated for the accuracy of FOBT, the pooled sensitivity was 31% (95% CI: 25, 38%) while the pooled specificity was 87% (95% CI: 86, 89%).

conclusionsFOBTs is recommended to use as population-based screening tools for colorectal cancer while genetic testing should be focusing on patients with moderate and high risk individuals.

Indexed as

Genetic TestingOccult BloodColorectal NeoplasmsEarly Detection of CancerHumansMass ScreeningSensitivity and Specificity

Identifiers

PMID31099505
PMCPMC6634323
OpenAlexW2944953328

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.