Evidence map›Paper›PMID 38517462›Full record

ReviewCA: a cancer journal for clinicians

Cancer screening with multicancer detection tests: A translational science review.

Wendy S Rubinstein, Christos Patriotis, Anthony Dickherber, Paul K J Han, Hormuzd A Katki, Elyse LeeVan, Paul F Pinsky, Philip C Prorok, Amanda L Skarlupka, Sarah M Temkin and 2 more

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in CA: a cancer journal for clinicians. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06931561 (Occupational Cancer Screening in Firefighters), which is not on this map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
18.5field-weighted citation impact, top 1% 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.

NCT06931561 narecruitingnot on this map

Occupational Cancer Screening in Firefighters: A Pilot Study Within the Inova Health System

TypeinterventionalSponsorInova Health Care ServicesRan2025 to 2028Enrolled800ConditionsCancerArmsWhole Body MRI, Whole Body Ultrasound, MCD Assay, Occupational Exposure Questionnaire
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Diagnostic Risk Prediction Models for Upper Gastrointestinal Cancers: A Systematic Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Pooled it
  2. Pooled it
  3. Dietary and Urinary Iodine in Relation to Thyroid Cancer Risk: A Meta-Analysis.Cancer control : journal of the Moffitt Cancer Center
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Wendy S RubinsteinDivision of Cancer Prevention, US National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0002-8790-9959
Christos PatriotisDivision of Cancer Prevention, US National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0001-6441-776X
Anthony DickherberCenter for Strategic Scientific Initiatives, US National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0001-7265-8053
Paul K J HanDivision of Cancer Control and Population Sciences, US National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0003-0165-1940
Hormuzd A KatkiDivision of Cancer Epidemiology and Genetics, US National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0003-2002-0095
Elyse LeeVanDivision of Cancer Prevention, US National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0002-2581-9747
Paul F PinskyDivision of Cancer Prevention, US National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0002-0350-3282
Philip C ProrokDivision of Cancer Prevention, US National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0002-2126-5847
Amanda L SkarlupkaDivision of Cancer Prevention, US National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0002-3654-9076
Sarah M TemkinNational Institutes of Health Office of Research on Women's Health, Bethesda, Maryland, USA.ORCID 0000-0002-6472-2745
Philip E CastleDivision of Cancer Prevention, US National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0002-6408-5985
Lori M MinasianDivision of Cancer Prevention, US National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0002-0472-4079
National Cancer Institute · USNational Institutes of Health · US

Funding

Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

Multicancer detection (MCD) tests use a single, easily obtainable biospecimen, such as blood, to screen for more than one cancer concurrently. MCD tests can potentially be used to improve early cancer detection, including cancers that currently lack effective screening methods. However, these tests have unknown and unquantified benefits and harms. MCD tests differ from conventional cancer screening tests in that the organ responsible for a positive test is unknown, and a broad diagnostic workup may be necessary to confirm the location and type of underlying cancer. Among two prospective studies involving greater than 16,000 individuals, MCD tests identified those who had some cancers without currently recommended screening tests, including pancreas, ovary, liver, uterus, small intestine, oropharyngeal, bone, thyroid, and hematologic malignancies, at early stages. Reported MCD test sensitivities range from 27% to 95% but differ by organ and are lower for early stage cancers, for which treatment toxicity would be lowest and the potential for cure might be highest. False reassurance from a negative MCD result may reduce screening adherence, risking a loss in proven public health benefits from standard-of-care screening. Prospective clinical trials are needed to address uncertainties about MCD accuracy to detect different cancers in asymptomatic individuals, whether these tests can detect cancer sufficiently early for effective treatment and mortality reduction, the degree to which these tests may contribute to cancer overdiagnosis and overtreatment, whether MCD tests work equally well across all populations, and the appropriate diagnostic evaluation and follow-up for patients with a positive test.

Indexed as

Early Detection of CancerNeoplasmsHumansMass ScreeningSensitivity and SpecificityTranslational Research, Biomedicalclinical trialshealth disparitieshematology/medical oncologypathology and laboratory medicinescreening and early detection

Identifiers

PMID38517462
PMCPMC11226362
OpenAlexW4393094442

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.