Evidence map›Paper›PMID 32923360›Full record

ArticleJournal of oral biology and craniofacial research

Validity of Toluidine Blue test as a diagnostic tool for high risk oral potentially malignant disorders- a multicentre study in Sri Lanka.

R D Jayasinghe, P V K S Hettiarachchi, Dilrukshi Amugoda, Menaka Kumaraarachchi, R L P R Liyanage, B S M S Siriwardena, Ranjith Gunasena, A H T S Karunatilake, H K Amarasinghe

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In one paragraph

Article in Journal of oral biology and craniofacial research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  4. Review
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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 at 4 institutions in 1 country.

R D JayasingheDepartment of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka.
P V K S HettiarachchiDepartment of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka.
Dilrukshi AmugodaInstitute of Oral Health, Maharagama, Sri Lanka.
Menaka KumaraarachchiInstitute of Oral Health, Maharagama, Sri Lanka.
R L P R LiyanageNational Dental Hospital, Colombo, Sri Lanka.
B S M S SiriwardenaCentre for Research in Oral cancer, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka.
Ranjith GunasenaInstitute of Oral Health, Maharagama, Sri Lanka.
A H T S KarunatilakeColombo South Teaching Hospital, Kalubowila, Sri Lanka.
H K AmarasingheCentre for Research in Oral cancer, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka.
National Cancer Institute of Sri Lanka · LKUniversity of Peradeniya · LKColombo North Teaching Hospital · LKNational Hospital of Sri Lanka · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction- Early detection plays a major role to reduce the mortality of oral squamous cell carcinoma (OSCC). Many adjunctive techniques have emerged with claims of differentiating high risk oral potentially malignant disorders (OPMDs) from benign lesions. Toluidine blue (TB) test has been established as a diagnostic adjunct in detecting high risk OPMDs and early asymptomatic OSCCs. As majority of OSCC are preceded by OPMDs, recognition of them at an early stage is important in the management of this devastating disease.

methods-This study was conducted as a multi-center study prospectively for a period of 2 years. Sixty five patients presented with OPMDs were selected and TB test was performed followed by a biopsy for histopathological confirmation. Criterion validity was assessed with histological diagnosis of the incisional biopsy of the OPMD as a gold standard test verses TB test results.

resultsThe sensitivity of the TB test was 68.3% and the specificity 63.1% with a false positive rate of 36.8% and false negative rate of 31.7%. However, the predictive value of the positive test was 80%.

conclusion- TB testing might be a potential adjunct diagnostic aid in identifying high risk OPMDs. Further studies with extensive sample size and different demographics are needed to validate our findings.

Indexed as

Diagnostic aidOPMDOSCCProspectiveToluidine blueToolValidation

Identifiers

PMID32923360
PMCPMC7475265
OpenAlexW3077989284

What OpenQuestion holds

Textmetadata
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.