Evidence map›Paper›PMID 36077877›Full record

ArticleCancers2022

Endometrial Cancer Detection Using a Cervical DNA Methylation Assay (MPap) in Women with Abnormal Uterine Bleeding: A Multicenter Hospital-Based Validation Study.

Kuo-Chang Wen, Rui-Lan Huang, Lin-Yu Chen, Tzu-I Wu, Chien-Hsing Lu, Tang-Yuan Chu, Yu-Che Ou, Chen-Hsuan Wu, Shih-Tien Hsu, Dah-Ching Ding and 9 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. A DNA methylation assay (MPap) using self-collected tampon versus cytology collection swab for endometrial cancer detection.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  14. Flavone-based dual PARP-Tubulin inhibitor manifesting efficacy against endometrial cancer.Journal of enzyme inhibition and medicinal chemistry · 2023
    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

19 authors at 6 institutions in 1 country.

Kuo-Chang WenDepartment of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan.ORCID 0000-0001-6967-8037
Rui-Lan HuangDepartment of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan.
Lin-Yu ChenDepartment of Obstetrics and Gynecology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235, Taiwan.ORCID 0000-0003-4870-3664
Tzu-I WuDepartment of Obstetrics and Gynecology, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan.
Chien-Hsing LuDepartment of Obstetrics, Gynecology, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
Tang-Yuan ChuDepartment of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien 970, Taiwan.
Yu-Che OuDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.
Chen-Hsuan WuDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.
Shih-Tien HsuDepartment of Obstetrics, Gynecology, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
Dah-Ching DingDepartment of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien 970, Taiwan.ORCID 0000-0001-5105-068X
Ling-Hui ChuTranslational Epigenetics Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235, Taiwan.
Chien-Wen ChenTranslational Epigenetics Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235, Taiwan.
Heng-Cheng ChangGuzip Biomarkers Corporation, Hsinchu County 302041, Taiwan.
Yu-Shu LiuGuzip Biomarkers Corporation, Hsinchu County 302041, Taiwan.
Hui-Chen WangDepartment of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan.
Yu-Chun WengTranslational Epigenetics Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235, Taiwan.
Po-Hsuan SuTranslational Epigenetics Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235, Taiwan.ORCID 0000-0003-1114-6382
Hao LinDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.ORCID 0000-0003-0828-6763
Hung-Cheng LaiDepartment of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan.
Taipei Medical University-Shuang Ho Hospital · TWChang Gung University · TWTaichung Veterans General Hospital · TWTzu Chi University · TWTaipei Medical University · TWWan Fang Hospital · TW

Funding

Ministry of Health and Welfare MOHW105-TDU-PB-212-000007Ministry of Science and Technology of Taiwan MOST106-3114-B-038-003, MOST107-2321-B-038-003, MOST107-2321-B-038-006, MOST110-2314-B-038-059-, and MOST111-2314-B-038-110-MY2Shuang Ho Hospital-Taipei Medical University 106TMU-SHH-14, TMU108-AE1-B54
6 · The paper itself

Abstract

backgroundWe describe a DNA methylation assay, named MPap test, using cervical scraping as an alternative technique for endometrial cancer detection.

methodsA multicenter hospital-based, two-stage validation study was conducted to validate the cancer detection performance of the MPap test. The MPap value was determined from the DNA methylation status of two genes (

resultsIn stage 1, the sensitivity, specificity, and positive and negative predictive values of the MPap test for detecting endometrial cancer were 92.9%, 71.5%, 39.8%, and 98.0%, respectively. These values were validated in stage 2, being 92.5%, 73.8%, 40.2%, and 98.1%. Moreover, MPap outperformed transvaginal ultrasound in sensitivity and negative predictive values for detecting endometrial cancer. When we applied the algorithm for triage of endometrial cancer detection by MPap in the Taiwan National Health Insurance dataset, we found that it may reduce invasive procedures by 69~73%.

conclusionsMPap may provide a feasible alternative for endometrial cancer detection and can be considered as a triage test to reduce unnecessary invasive procedures.

Indexed as

abnormal uterine bleedingDNA methylation biomarkerearly detection of endometrial cancerMPaptriage tool

Identifiers

PMID36077877
PMCPMC9454900
OpenAlexW4295084525

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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.