Evidence map›Paper›PMID 33452216›Full record

ArticleJournal of medical genetics2022

Advances in genetic technologies result in improved diagnosis of mismatch repair deficiency in colorectal and endometrial cancers.

D Gareth Evans, Fiona Lalloo, Neil Aj Ryan, Naomi Bowers, Kate Green, Emma R Woodward, Tara Clancy, James Bolton, Rhona J McVey, Andrew J Wallace and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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  4. Development and evaluation of INTFrontiers in oncology · 2023
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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

14 authors at 2 institutions in 2 countries.

D Gareth EvansDivision of Evolution and Genomic Medicine, The University of Manchester, Manchester, UK.ORCID 0000-0002-8482-5784
Fiona LallooClinical Genetics Service, Manchester Centre for Genomic Medicine, North-West Genomics Laboratory Hub, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
Neil Aj RyanDivision of Cancer Sciences, The University of Manchester, Manchester, UK.
Naomi BowersClinical Genetics Service, Manchester Centre for Genomic Medicine, North-West Genomics Laboratory Hub, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
Kate GreenClinical Genetics Service, Manchester Centre for Genomic Medicine, North-West Genomics Laboratory Hub, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
Emma R WoodwardDivision of Evolution and Genomic Medicine, The University of Manchester, Manchester, UK.ORCID 0000-0002-6297-2855
Tara ClancyClinical Genetics Service, Manchester Centre for Genomic Medicine, North-West Genomics Laboratory Hub, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
James BoltonDepartment of Pathology, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
Rhona J McVeyDepartment of Pathology, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
Andrew J WallaceClinical Genetics Service, Manchester Centre for Genomic Medicine, North-West Genomics Laboratory Hub, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
Katy NewtonDepartment of Surgery, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
James HillDepartment of Surgery, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
Raymond McMahonDepartment of Pathology, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
Emma J CrosbieDivision of Cancer Sciences, The University of Manchester, Manchester, UK emma.crosbie@manchester.ac.uk.ORCID 0000-0003-0284-8630
Manchester University NHS Foundation Trust · GBUniversity of Manchester · GB

Funding

Department of Health NIHR-CS-012-009Medical Research Council MR/M018431/1
6 · The paper itself

Abstract

backgroundTesting cancers for mismatch repair deficiency (dMMR) by immunohistochemistry (IHC) is a quick and inexpensive means of triaging individuals for germline Lynch syndrome testing. The aim of this study was to evaluate tumour dMMR and the prevalence of Lynch syndrome in patients referred to the Manchester Centre for Genomic Medicine, which serves a population of 5.6 million.

methodsTumour testing used IHC for MMR proteins with targeted

resultsIn total, 3694 index tumours were tested by IHC (2204 colorectal cancers (CRCs), 739 endometrial cancers (ECs) and 761 other), of which 672/3694 (18.2%) had protein loss, including 348 (9.4%) with MLH1 loss. MLH1 loss was significantly higher for 739 ECs (15%) vs 2204 CRCs (10%) (p=0.0003) and was explained entirely by higher rates of somatic

conclusionsReflex testing of EC/CRC leads to uncertain diagnoses in many individuals with dMMR following IHC but without germline pathogenic variants or

Indexed as

Colorectal NeoplasmsColorectal Neoplasms, Hereditary NonpolyposisEndometrial NeoplasmsBrain NeoplasmsDNA MethylationDNA Mismatch RepairFemaleGerm-Line MutationHumansMismatch Repair Endonuclease PMS2MutL Protein Homolog 1MutS Homolog 2 ProteinNeoplastic Syndromes, HereditaryProto-Oncogene Proteins B-rafMismatch Repair Endonuclease PMS2MutL Protein Homolog 1MutS Homolog 2 ProteinProto-Oncogene Proteins B-rafgenetic predisposition to diseasegenetic testingsurgical oncology

Identifiers

PMID33452216
PMCPMC8961751
OpenAlexW3120378613

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.