Evidence map›Paper›PMID 32702897›Full record

ArticleMedicine2020

Combining the tumor abnormal protein test with tests for carcinoembryonic antigens, cancer antigen 15-3, and/or cancer antigen 125 significantly increased their diagnostic sensitivity for breast cancer.

Rui Chen, Chaojun Jiang, Qiannan Zhu, Sainan You, Yan Li, Shuo Li, Lei Ding, Haojie Meng, Yuxin Yang, Xiaoming Zha and 1 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 29% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Rui ChenDepartment of Breast Disease, The First Affiliated Hospital of Nanjing Medical University.
Chaojun JiangDepartment of Breast Disease, The First Affiliated Hospital of Nanjing Medical University.
Qiannan ZhuDepartment of Breast Disease, The First Affiliated Hospital of Nanjing Medical University.
Sainan YouDepartment of Breast Disease, The First Affiliated Hospital of Nanjing Medical University.
Yan LiDepartment of Breast Disease, The First Affiliated Hospital of Nanjing Medical University.
Shuo LiDepartment of Breast Disease, The First Affiliated Hospital of Nanjing Medical University.
Lei DingNanjing Medical University, Nanjing, China.
Haojie MengNanjing Medical University, Nanjing, China.
Yuxin YangNanjing Medical University, Nanjing, China.
Xiaoming ZhaDepartment of Breast Disease, The First Affiliated Hospital of Nanjing Medical University.
Jue WangDepartment of Breast Disease, The First Affiliated Hospital of Nanjing Medical University.
Nanjing Medical University · CNJiangsu Province Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe tumor abnormal protein (TAP) test is used to screen for many cancers, but its use for breast cancer has not been studied.

methodsTests for carcinoembryonic antigen (CEA), cancer antigen 125 (CA125), cancer antigen 15-3 (CA15-3), and TAP were administered to 261 women with operable benign breast disease and 348 with breast cancer. The cutoff value used for TAP was the mean + 3 standard deviations for benign breast disease patients (275.64 μm). Sensitivities and specificities of single biomarker tests and combined tests were compared. The combined tests were defined as positive if any single biomarker was positive, and negative otherwise.

resultsThe single biomarker test sensitivities were similar: CEA, 7.18%; CA125, 4.89%; CA15-3, 7.47%; and TAP, 4.89%. For the combinations TAP + CEA + CA125, TAP + CEA + CA15-3, TAP + CA125 + CA15-3, and TAP + CEA + CA125 + CA15-3, the sensitivities were 16.67%, 17.82%, 16.38%, and 21.84%, respectively, and the specificities were 93.49%, 97.70%, 93.87%, and 92.72%.

conclusionsThe 4-test combination showed the highest sensitivity (21.84%) and may be auxiliary used in early screening. TAP + CEA + CA15-3 showed high specificity (97.70%) and so could be used for confirming breast cancer.

Indexed as

AdolescentAdultAgedAged, 80 and overBiomarkers, TumorBreast NeoplasmsCA-125 AntigenCarcinoembryonic AntigenChildFemaleHumansMiddle AgedMucin-1Neoplasm ProteinsPredictive Value of TestsSensitivity and SpecificityBiomarkers, TumorCA-125 AntigenCarcinoembryonic AntigenMUC1 protein, humanMucin-1Neoplasm Proteins

Identifiers

PMID32702897
PMCPMC7373588
OpenAlexW3042920864

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Registered trials

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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.