Evidence map›Paper›PMID 39129029›Full record

ArticleJournal of cancer research and clinical oncology2024

The HUNT lung-SNP model: genetic variants plus clinical variables improve lung cancer risk assessment over clinical models.

Olav Toai Duc Nguyen, Ioannis Fotopoulos, Therese Haugdahl Nøst, Maria Markaki, Vincenzo Lagani, Ioannis Tsamardinos, Oluf Dimitri Røe

Abstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Risk prediction for lung cancer screening: a systematic review and meta-regression.European respiratory review : an official journal of the European Respiratory Society · 2026
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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.

Olav Toai Duc NguyenDepartment of Clinical Research and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Prinsesse Kristinas gate. 1, Trondheim, NO, 7030, Norway.
Ioannis FotopoulosDepartment of Computer Science, University of Crete, Voutes Campus, Heraklion, GR, 70013, Greece.
Therese Haugdahl NøstDepartment of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, P.O. Box 6050, Langnes, Tromsø, NO-9037, Norway.
Maria MarkakiInstitute of Applied and Computational Mathematics, FORTH, Heraklion, Crete, GR-700 13, Greece.
Vincenzo LaganiBiological and Environmental Sciences and Engineering Division (BESE), King Abdullah University of Science and Technology (KAUST), Thuwal, 23952, Saudi Arabia.
Ioannis TsamardinosDepartment of Computer Science, University of Crete, Voutes Campus, Heraklion, GR, 70013, Greece.
Oluf Dimitri RøeDepartment of Clinical Research and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Prinsesse Kristinas gate. 1, Trondheim, NO, 7030, Norway. oluf.roe@ntnu.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe HUNT Lung Cancer Model (HUNT LCM) predicts individualized 6-year lung cancer (LC) risk among individuals who ever smoked cigarettes with high precision based on eight clinical variables. Can the performance be improved by adding genetic information?

methodsA polygenic model was developed in the prospective Norwegian HUNT2 study with clinical and genotype data of individuals who ever smoked cigarettes (n = 30749, median follow up 15.26 years) where 160 LC were diagnosed within six years. It included the variables of the original HUNT LCM plus 22 single nucleotide polymorphisms (SNPs) highly associated with LC. External validation was performed in the prospective Norwegian Tromsø Study (n = 2663).

resultsThe novel HUNT Lung-SNP model significantly improved risk ranking of individuals over the HUNT LCM in both HUNT2 (p < 0.001) and Tromsø (p < 0.05) cohorts. Furthermore, detection rate (number of participants selected to detect one LC case) was significantly better for the HUNT Lung-SNP vs. HUNT LCM in both cohorts (42 vs. 48, p = 0.003 and 11 vs. 14, p = 0.025, respectively) as well as versus the NLST, NELSON and 2021 USPSTF criteria. The area under the receiver operating characteristic curve (AUC) was higher for the HUNT Lung-SNP in both cohorts, but significant only in HUNT2 (AUC 0.875 vs. 0.844, p < 0.001). However, the integrated discrimination improvement index (IDI) indicates a significant improvement of LC risk stratification by the HUNT Lung-SNP in both cohorts (IDI 0.019, p < 0.001 (HUNT2) and 0.013, p < 0.001 (Tromsø)).

conclusionThe HUNT Lung-SNP model could have a clinical impact on LC screening and has the potential to replace the HUNT LCM as well as the NLST, NELSON and 2021 USPSTF criteria in a screening setting. However, the model should be further validated in other populations and evaluated in a prospective trial setting.

Indexed as

Lung NeoplasmsPolymorphism, Single NucleotideAdultAgedFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedNorwayProspective StudiesRisk AssessmentHUNT Lung Cancer ModelLung cancer risk modelLung cancer screeningNELSONNLSTPolygenic risk scoreSingle nucleotide polymorphismUSPSTF

Identifiers

PMID39129029
PMCPMC11317451

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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.