Evidence map›Paper›PMID 34768503›Full record

ArticleJournal of clinical medicine2021

Improved Non-Invasive Diagnosis of Bladder Cancer with an Electronic Nose: A Large Pilot Study.

PierFrancesco Bassi, Luca Di Gianfrancesco, Luigi Salmaso, Mauro Ragonese, Giuseppe Palermo, Emilio Sacco, Rosa Arboretti Giancristofaro, Riccardo Ceccato, Marco Racioppi

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Advances in Management of Bladder Cancer.Journal of clinical medicine · 2021
    Article
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.

PierFrancesco BassiDepartment of Urology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS di Roma, Università Cattolica del Sacro Cuore di Roma, Largo Agostino Gemelli, 8, 00168 Rome, Italy.
Luca Di GianfrancescoDepartment of Urology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS di Roma, Università Cattolica del Sacro Cuore di Roma, Largo Agostino Gemelli, 8, 00168 Rome, Italy.ORCID 0000-0002-0564-7415
Luigi SalmasoDepartment of Management and Engineering, Università di Padova, 35122 Padova, Italy.
Mauro RagoneseDepartment of Urology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS di Roma, Università Cattolica del Sacro Cuore di Roma, Largo Agostino Gemelli, 8, 00168 Rome, Italy.
Giuseppe PalermoDepartment of Urology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS di Roma, Università Cattolica del Sacro Cuore di Roma, Largo Agostino Gemelli, 8, 00168 Rome, Italy.
Emilio SaccoDepartment of Urology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS di Roma, Università Cattolica del Sacro Cuore di Roma, Largo Agostino Gemelli, 8, 00168 Rome, Italy.
Rosa Arboretti GiancristofaroDepartment of Management and Engineering, Università di Padova, 35122 Padova, Italy.
Riccardo CeccatoDepartment of Management and Engineering, Università di Padova, 35122 Padova, Italy.ORCID 0000-0002-8629-8439
Marco RacioppiDepartment of Urology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS di Roma, Università Cattolica del Sacro Cuore di Roma, Largo Agostino Gemelli, 8, 00168 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBladder cancer (BCa) emits specific volatile organic compounds (VOCs) in the urine headspace that can be detected by an electronic nose. The diagnostic performance of an electronic nose in detecting BCa was investigated in a pilot study.

methodsA prospective, single-center, controlled, non-randomized, phase 2 study was carried out on 198 consecutive subjects (102 with proven BCa, 96 controls). Urine samples were evaluated with an electronic nose provided with 32 volatile gas analyzer sensors. The tests were repeated at least two times per sample. Accuracy, sensitivity, specificity, and variability were evaluated using mainly the non-parametric combination method, permutation tests, and discriminant analysis classification.

resultsStatistically significant differences between BCa patients and controls were reported by 28 (87.5%) of the 32 sensors. The overall discriminatory power, sensitivity, and specificity were 78.8%, 74.1%, and 76%, respectively; 13/96 (13.5%) controls and 29/102 (28.4%) BCa patients were misclassified as false positive and false negative, respectively. Where the most efficient sensors were selected, the sensitivity and specificity increased up to 91.1% (72.5-100) and 89.1% (81-95.8), respectively. None of the tumor characteristics represented independent predictors of device responsiveness.

conclusionsThe electronic nose might represent a potentially reliable, quick, accurate, and cost-effective tool for non-invasive BCa diagnosis.

Indexed as

bladder cancerelectronic nosenon-invasive diagnosisvolatile organic compounds

Identifiers

PMID34768503
PMCPMC8584426

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.