Evidence map›Paper›PMID 34086841›Full record

ArticleAmerican journal of clinical pathology2021

Keratin 17 Is a Novel Cytologic Biomarker for Urothelial Carcinoma Diagnosis.

Sruthi Babu, Nam W Kim, Maoxin Wu, Ina Chan, Luisa F Escobar-Hoyos, Kenneth R Shroyer

Open access · greenAbstract read
In one paragraph

Article in American journal of clinical pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Clinical Experience with URO17Journal of clinical medicine · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Scoring Systems for Immunohistochemistry in Urothelial Carcinoma.Methods in molecular biology (Clifton, N.J.) · 2023
    Article
  9. Article
  10. Review
  11. Review
  12. Biomarkers in Bladder Cancer Surveillance.Frontiers in surgery · 2021
    Review
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

6 authors at 1 institution in 2 countries.

Sruthi BabuDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.
Nam W KimKDx Diagnostics, Campbell, CA, USA.
Maoxin WuDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.
Ina ChanDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.
Luisa F Escobar-HoyosDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.
Kenneth R ShroyerDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.
Stony Brook University · US

Funding

Altered mRNA splicing dependent on mutant p53 identifies novel therapeutic vulnerability in pancreatic cancerR00CA226342 · NCI · YALE UNIVERSITY · PI ESCOBAR HOYOS, LUISA · 2020 to 2022
$741k
Damon Runyon-Rachleff Innovation AwardKDx DiagnosticsNCI NIH HHS R00 CA226342Renaissance School of Medicine
6 · The paper itself

Abstract

objectivesThe microscopic features of urine cytology specimens are subjective and may not reliably distinguish between benign urothelial cells and low-grade urothelial carcinoma (UC). Prior studies demonstrated that keratin 17 (K17) detection in biopsies is highly sensitive for UC. The current study aimed to define K17 diagnostic test performance for initial screening and detect recurrent UC in urine specimens.

methodsK17 was detected by immunocytochemistry (ICC) in consecutively collected urine specimens (2018-2019). A qualitative score for the K17 test was determined in 81 samples (discovery cohort) and validated in 98 samples (validation cohort). K17 sensitivity and specificity were analyzed in both cohorts across all grades of UC.

resultsBased on the discovery cohort, the presence of 5 or more K17 immunoreactive urothelial cells (area under the curve = 0.90; P < .001) was the optimal threshold to define a K17-positive test. The sensitivity of the K17 ICC test for biopsy-confirmed UC was 35 of 36 (97%) and 18 of 21 (86%) in the discovery and validation cohorts, respectively. K17 was positive in 16 of 19 (84%) specimens with biopsy-confirmed low-grade UC and in 34 of 34 (100%) of specimens with high-grade UC.

conclusionsK17 ICC is a highly sensitive diagnostic test for initial screening and detection of recurrence across all grades of UC.

Indexed as

AdultAgedBiomarkers, TumorCarcinoma, Transitional CellCytodiagnosisFemaleHumansKeratin-17MaleMiddle AgedSensitivity and SpecificityUrinary Bladder NeoplasmsBiomarkers, TumorKeratin-17KRT17 protein, humanDiagnostic biomarkerKeratin 17Urine cytologyUrothelial carcinoma

Identifiers

PMID34086841
PMCPMC8512275
OpenAlexW3164242532

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.