Evidence map›Paper›PMID 36230872›Full record

ArticleCancers2022

A Multi-Centre Study to Risk Stratify Colorectal Polyp Surveillance Patients Utilising Volatile Organic Compounds and Faecal Immunochemical Test.

Subashini Chandrapalan, Farah Khasawneh, Baljit Singh, Stephen Lewis, James Turvill, Krishna Persaud, Ramesh P Arasaradnam

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 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
0.8field-weighted citation impact, top 25% 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

7 authors at 6 institutions in 1 country.

Subashini ChandrapalanUniversity Hospital of Coventry and Warwickshire, Coventry CV2 2DX, UK.ORCID 0000-0002-1582-3224
Farah KhasawnehUniversity Hospital of Leicester, Leicester LE3 9QP, UK.
Baljit SinghUniversity Hospital of Leicester, Leicester LE3 9QP, UK.
Stephen LewisUniversity Hospital of Plymouth, Plymouth PL4 8AA, UK.
James TurvillYork and Scarborough Teaching Hospitals, York YO31 8HE, UK.
Krishna PersaudDepartment of Chemical Engineering and Analytical Science, University of Manchester, Manchester M13 9PL, UK.
Ramesh P ArasaradnamUniversity Hospital of Coventry and Warwickshire, Coventry CV2 2DX, UK.ORCID 0000-0002-2231-3062
Leicester General Hospital · GBScarborough General Hospital · GBUniversity Hospital Coventry · GBUniversity of Leicester · GBUniversity of Manchester · GBUniversity of Plymouth · GB

Funding

Bowel Research UK N/A
6 · The paper itself

Abstract

(1) Background: The service capacity for colonoscopy remains constrained, and while efforts are being made to recover elective services, polyp surveillance remains a challenge. (2) Methods: This is a multi-centre study recruiting patients already on polyp surveillance. Stool and urine samples were collected for the faecal immunochemical test (FIT) and volatile organic compounds (VOC) analysis, and all participants then underwent surveillance colonoscopy. (3) Results: The sensitivity and specificity of VOC for the detection of a high-risk finding ((≥2 premalignant polyps including ≥1 advanced polyp or ≥5 premalignant polyps) were 0.94 (95% CI, 0.88 to 0.98) and 0.69 (95% CI, 0.64 to 0.75) respectively. For FIT, the sensitivity was (≥10 µg of haemoglobin (Hb) / g faeces) 0.54 (95% CI, 0.43 to 0.65) and the specificity was 0.79 (95% CI, 0.73 to 0.84). The probability reduction for having a high-risk finding following both negative VOC and FIT will be 24% if both tests are applied sequentially. (4) Conclusion: The diagnostic performance of VOC is superior to FIT for the detection of a high-risk finding. The performance further improves when VOC is applied together with FIT sequentially (VOC first and then FIT). VOC alone or the combination of VOC and FIT can be used as a triage tool for patients awaiting colonoscopy within a polyp surveillance population, especially in resource-constrained healthcare systems.

Indexed as

faecal immunochemical testhigh-risk findingnon-invasive testspolyp surveillanceurinary volatile compounds

Identifiers

PMID36230872
PMCPMC9562257
OpenAlexW4303946643

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.