Evidence map›Paper›PMID 34958131›Full record

SynthesisNeuropathology and applied neurobiology2022

Diagnostic accuracy of 1p/19q codeletion tests in oligodendroglioma: A comprehensive meta-analysis based on a Cochrane systematic review.

Sebastian Brandner, Alexandra McAleenan, Hayley E Jones, Ashleigh Kernohan, Tomos Robinson, Lena Schmidt, Sarah Dawson, Claire Kelly, Emmelyn Spencer Leal, Claire L Faulkner and 6 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neuropathology and applied neurobiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Precision Medicine in Cytopathology.Surgical pathology clinics · 2024
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Neurooncology: 2022 update.Free neuropathology · 2022
    Article
  18. 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

16 authors at 6 institutions in 1 country.

Sebastian BrandnerDivision of Neuropathology, The National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0002-9821-0342
Alexandra McAleenanPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Hayley E JonesPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Ashleigh KernohanPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Tomos RobinsonPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Lena SchmidtPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Sarah DawsonPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Claire KellyPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Emmelyn Spencer LealBristol Genetics Laboratory, Pathology Sciences, Southmead Hospital, Bristol, UK.
Claire L FaulknerBristol Genetics Laboratory, Pathology Sciences, Southmead Hospital, Bristol, UK.
Abigail PalmerBristol Genetics Laboratory, Pathology Sciences, Southmead Hospital, Bristol, UK.
Christopher WraggBristol Genetics Laboratory, Pathology Sciences, Southmead Hospital, Bristol, UK.
Sarah JefferiesDepartment of Oncology, Addenbrooke's Hospital, Cambridge, UK.
Luke ValePopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Julian P T HigginsPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Kathreena M KurianPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
University of Bristol · GBSouthmead Hospital · GBNewcastle University · GBAddenbrooke's Hospital · GBAt Bristol · GBUniversity College London Hospitals NHS Foundation Trust · GB

Funding

Cancer Research UK 29019Cancer Research UK C18281/A19169Cancer Research UK C18281/A29019Department of HealthMedical Research Council MR/T044594/1
6 · The paper itself

Abstract

Codeletion of chromosomal arms 1p and 19q, in conjunction with a mutation in the isocitrate dehydrogenase 1 or 2 gene, is the molecular diagnostic criterion for oligodendroglioma, IDH mutant and 1p/19q codeleted. 1p/19q codeletion is a diagnostic marker and allows prognostication and prediction of the best drug response within IDH-mutant tumours. We performed a Cochrane review and simple economic analysis to establish the most sensitive, specific and cost-effective techniques for determining 1p/19q codeletion status. Fluorescent in situ hybridisation (FISH) and polymerase chain reaction (PCR)-based loss of heterozygosity (LOH) test methods were considered as reference standard. Most techniques (FISH, chromogenic in situ hybridisation [CISH], PCR, real-time PCR, multiplex ligation-dependent probe amplification [MLPA], single nucleotide polymorphism [SNP] array, comparative genomic hybridisation [CGH], array CGH, next-generation sequencing [NGS], mass spectrometry and NanoString) showed good sensitivity (few false negatives) for detection of 1p/19q codeletions in glioma, irrespective of whether FISH or PCR-based LOH was used as the reference standard. Both NGS and SNP array had a high specificity (fewer false positives) for 1p/19q codeletion when considered against FISH as the reference standard. Our findings suggest that G banding is not a suitable test for 1p/19q analysis. Within these limits, considering cost per diagnosis and using FISH as a reference, MLPA was marginally more cost-effective than other tests, although these economic analyses were limited by the range of available parameters, time horizon and data from multiple healthcare organisations.

Indexed as

Brain NeoplasmsGliomaOligodendrogliomaChromosome AberrationsChromosomes, Human, Pair 1Chromosomes, Human, Pair 19HumansIsocitrate DehydrogenaseMutationIsocitrate Dehydrogenase1p/19q codeletionfalse negativefalse positivefluorescent in situ hybridisationoligodendrogliomaPCR

Identifiers

PMID34958131
PMCPMC9208578
OpenAlexW4200182341

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.