Evidence map›Paper›PMID 33642212›Full record

SynthesisBrazilian journal of otorhinolaryngology

Efficacy of non-invasive diagnostic methods in the diagnosis and screening of oral cancer and precancer.

Do Hyun Kim, Sun Won Kim, Se Hwan Hwang

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Brazilian journal of otorhinolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. 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

3 authors.

Do Hyun KimThe Catholic University of Korea, College of Medicine, Seoul St. Mary's Hospital, Department of Otolaryngology-Head and Neck Surgery, Seoul, Republic of Korea.
Sun Won KimThe Catholic University of Korea, College of Medicine, Seoul St. Mary's Hospital, Department of Otolaryngology-Head and Neck Surgery, Seoul, Republic of Korea.
Se Hwan HwangThe Catholic University of Korea, College of Medicine, Bucheon St. Mary's Hospital, Department of Otolaryngology-Head and Neck Surgery, Seoul, Republic of Korea. Electronic address: yellobird@catholic.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTraditional meta-analyses on the diagnostic accuracy of oral lesions have been conducted, but they were inherently limited to direct pairwise comparisons between a single method and a single alternative, while multiple diagnostic options and the ranking thereof were methodologically not possible.

objectiveTo evaluate the diagnostic values of various methods in patients with oral potential malignant disease by performing a network meta-analysis.

methodsTwo authors independently searched the databases (MEDLINE, SCOPUS, the Cochrane Register of Controlled Trials, and Google scholar) up to June 2020 for studies comparing the diagnostic accuracy of various tools (autofluorescence, chemiluminescence, cytology, narrow band imaging, and toluidine blue) with visual examination or other tools. The outcomes of interest for this analysis were sensitivity, specificity, negative predictive value, positive predictive value and accuracy. Both a standard pairwise meta-analysis and network meta-analysis were conducted.

resultsTreatment networks consisting of six interventions were defined for the network meta-analysis. The results of traditional meta-analysis showed that, among six methods, narrow band imaging showed higher sensitivity, specificity, negative predictive value, positive predictive value, and accuracy compared to visual examination. The results of network meta-analysis showed that autofluorescence, chemiluminescence, and narrow band imaging had higher sensitivity compared with visual examination, and that chemiluminescence and narrow band imaging had higher negative predictive value compared with visual examination. However, autofluorescence and chemiluminescence had lower specificity compared with visual examination. There were no significant differences in positive predictive value and accuracy among the six interventions.

conclusionThis study demonstrated that narrow banding imaging has superiority in terms of sensitivity and negative predictive value compared with the other five tested agents.

Indexed as

Mouth DiseasesMouth NeoplasmsEarly Detection of CancerHumansNarrow Band ImagingSensitivity and SpecificityTolonium ChlorideTolonium ChlorideAutofluorescenceChemiluminescenceMouth neoplasmsNarrow band imagingTolonium chloride

Identifiers

PMID33642212
PMCPMC9615541

What OpenQuestion holds

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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.