Evidence map›Paper›PMID 34712484›Full record

ArticleMolecular and clinical oncology2021

Real-world outcome of universal screening for Lynch syndrome in Japanese patients with colorectal cancer highlights the importance of targeting patients with young-onset disease.

Atsushi Yamada, Yui Matsuoka, Sachiko Minamiguchi, Yoshihiro Yamamoto, Tomohiro Kondo, Tomohiko Sunami, Takahiro Horimatsu, Kenji Kawada, Hiroshi Seno, Masako Torishima and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Molecular and clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Article
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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

15 authors at 4 institutions in 1 country.

Atsushi YamadaDepartment of Clinical Oncology, Kyoto University Hospital, Kyoto City, Kyoto 606-8507, Japan.
Yui MatsuokaDepartment of Diagnostic Pathology, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto 606-8507, Japan.
Sachiko MinamiguchiDepartment of Diagnostic Pathology, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto 606-8507, Japan.
Yoshihiro YamamotoDepartment of Clinical Oncology, Kyoto University Hospital, Kyoto City, Kyoto 606-8507, Japan.
Tomohiro KondoDepartment of Clinical Oncology, Kyoto University Hospital, Kyoto City, Kyoto 606-8507, Japan.
Tomohiko SunamiDepartment of Clinical Oncology, Kyoto University Hospital, Kyoto City, Kyoto 606-8507, Japan.
Takahiro HorimatsuDepartment of Clinical Oncology, Kyoto University Hospital, Kyoto City, Kyoto 606-8507, Japan.
Kenji KawadaDepartment of Surgery, Kyoto University Hospital, Kyoto City, Kyoto 606-8507, Japan.
Hiroshi SenoDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto 606-8507, Japan.
Masako TorishimaClinical Genetics Unit, Kyoto University Hospital, Kyoto City, Kyoto 606-8507, Japan.
Hiromi MurakamiClinical Genetics Unit, Kyoto University Hospital, Kyoto City, Kyoto 606-8507, Japan.
Takahiro YamadaClinical Genetics Unit, Kyoto University Hospital, Kyoto City, Kyoto 606-8507, Japan.
Shinji KosugiClinical Genetics Unit, Kyoto University Hospital, Kyoto City, Kyoto 606-8507, Japan.
Kokichi SuganoOncogene Research Unit and Cancer Prevention Unit, Tochigi Cancer Center Research Institute, Utsunomiya, Tochigi 320-0834, Japan.
Manabu MutoDepartment of Clinical Oncology, Kyoto University Hospital, Kyoto City, Kyoto 606-8507, Japan.
Kyoto University Hospital · JPKyoto City Hospital · JPKyoto University · JPTochigi Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the recommendations of the latest guidelines, the practical efficacy of universal screening for identifying Lynch syndrome (LS) among patients with colorectal cancer (CRC) may be limited in the real world due to infrequent referrals and the difficulties of genetic testing. Thus, the present study aimed to retrospectively analyze the results of universal screening of patients with CRC at a referral hospital in Japan. Immunohistochemistry was performed for mismatch repair proteins [including DNA mismatch repair protein MSH6 (MSH6), mismatch repair endonuclease PMS2 (PMS2), DNA mismatch repair protein Msh2 (MSH2) and DNA mismatch repair protein Mlh1 (MLH1)] and BRAF V600E mutation. Tumors that showed the following were considered to indicate LS and patients with such tumors were designated as genetic testing candidates (GTCs): i) Loss of MSH6/MSH2; ii) loss of MSH6 alone; iii) loss of PMS2 alone; and iv) loss of PMS2/MLH1 with negative BRAF V600E.

Indexed as

colorectal cancerLynch syndromereal-worlduniversal screeningyoung-onset

Identifiers

PMID34712484
PMCPMC8548998
OpenAlexW3203090514

What OpenQuestion holds

Textmetadata
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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.