Evidence map›Paper›PMID 35312731›Full record

ArticlePloS one2022

Detection of lymph node metastasis in non-small cell lung cancer using the new system of one-step nucleic acid amplification assay.

Naoko Ose, Yukiyasu Takeuchi, Yasushi Sakamaki, Yoshihisa Kadota, Koji Urasaki, Hiromi Tsuji, Kunimitsu Kawahara, Mayuko Noguchi, Yasushi Shintani

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.6field-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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 4 institutions in 1 country.

Naoko OseDepartment of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID 0000-0002-3509-9536
Yukiyasu TakeuchiDepartment of General Thoracic Surgery, Osaka Toneyama Medical Center, Osaka, Japan.
Yasushi SakamakiDepartment of Chest Surgery, Osaka Police Hospital, Osaka, Japan.
Yoshihisa KadotaDepartment of General Thoracic Surgery, Osaka Habikino Medical Center, Osaka, Japan.
Koji UrasakiDepartment of Laboratory Medicine and Pathology, Osaka Toneyama Medical Center, Osaka, Japan.
Hiromi TsujiDepartment of Pathology, Osaka Police Hospital, Osaka, Japan.
Kunimitsu KawaharaDepartment of Pathology, Osaka Habikino Medical Center, Osaka, Japan.
Mayuko NoguchiGene Testing Business, Sysmex Corporation, Hyogo, Japan.
Yasushi ShintaniDepartment of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Osaka Police Hospital · JPThe University of Osaka · JPToneyama National Hospital · JPSysmex (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe prognosis of non-small cell lung cancer greatly depends on the presence of lymph node metastasis, which limits the need for surgery and adjuvant therapy for advanced cancer. One-step nucleic acid amplification of cytokeratin19 (CK19) mRNA was used to detect lymph node metastasis. Automated Gene Amplification Detector RD-200 and the LYNOAMP CK19 gene amplification reagent as components of the new one-step nucleic acid amplification system, which has increased gene amplification efficiency by improving the reagent composition, have shorter preprocessing and measurement times than conventional systems. We aimed to compare the clinical performance of the new system with that of histopathology and the conventional system. MATERIALS AND

methods199 lymph nodes from 58 non-small cell lung cancer patients who underwent lymph node dissection were examined intraoperatively using the new system, conventional system, and histopathology.

resultsLymph node metastasis was diagnosed in 32, 42, and 44 patients using histopathological analysis, the new system, and the conventional system, respectively. Compared with histopathological analysis, the concordance rate, sensitivity, specificity, positive predictive value, and negative predictive value of the new system were 92.0%, 90.6%, 92.2%, 69.0%, and 98.1%, respectively, and compared with the conventional system, the values were 95.0%, 86.4%, 97.4%, 90.5%, and 96.2%, respectively.

conclusionThe clinical performance of the new one-step nucleic acid amplification system in detecting lymph node metastasis of lung cancer is comparable to that of histopathology and the conventional system; its performance was sufficient for determining the appropriate clinical treatment. The new rapid system can be effectively utilized during lung cancer treatment intraoperatively and postoperatively.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsLymphatic MetastasisNucleic Acid Amplification TechniquesHumansKeratin-19Lymph NodesPredictive Value of TestsRNA, MessengerSensitivity and SpecificitySentinel Lymph Node BiopsyKeratin-19RNA, Messenger

Identifiers

PMID35312731
PMCPMC8936453
OpenAlexW4220854166

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LicenceCC BY
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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.