Evidence map›Paper›PMID 40232301›Full record

ArticleAnnals of medicine2025

Diagnostic value of CEACAM6 and HE4 in pleural fluid for malignant pleural effusion.

Jie Li, Liyuan Lin, Shengrui Yang, Yuan Mu, Lixia Zhang, Haoyu Ruan, Jian Xu

Abstract read
In one paragraph

Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
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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.

Jie LiDepartment of Laboratory Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0009-0004-4012-6940
Liyuan LinDepartment of Laboratory Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Shengrui YangDepartment of Laboratory Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Yuan MuDepartment of Laboratory Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Lixia ZhangDepartment of Laboratory Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Haoyu RuanDepartment of Laboratory Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jian XuDepartment of Laboratory Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to assess the diagnostic performance of carcinoembryonic antigen-related adhesion molecule 6 (CEACAM6) and human epididymis protein 4 (HE4) in pleural fluid for the detection of malignant pleural effusion (MPE). MATERIALS AND

methodsIn this prospective study, pleural levels of CEACAM6 and HE4 were measured in two independent cohorts. The test cohort included 182 patients with exudative pleural effusions (123 malignant and 59 benign), and the validation cohort comprised 117 patients with exudative pleural effusions (65 malignant and 52 benign). Receiver operating characteristic (ROC) curves were used to assess the diagnostic performance of CEACAM6 and HE4 for MPE.

resultsBoth CEACAM6 and HE4 levels were significantly elevated in MPE compared to benign pleural effusion (BPE) in both cohorts (

conclusionsPleural CEACAM6 and HE4 are promising biomarkers for distinguishing MPE from BPE. Their combination improves diagnostic accuracy, offering a valuable tool for MPE diagnosis, especially in challenging cases with cytology-negative pleural effusion.

Indexed as

Antigens, CDCell Adhesion MoleculesPleural Effusion, MalignantProteinsWAP Four-Disulfide Core Domain Protein 2AdultAgedAged, 80 and overArea Under CurveBiomarkers, TumorFemaleGPI-Linked ProteinsHumansMaleMiddle AgedProspective StudiesAntigens, CDBiomarkers, TumorCEACAM6 protein, humanCell Adhesion MoleculesGPI-Linked ProteinsProteinsWAP Four-Disulfide Core Domain Protein 2WFDC2 protein, humanAUCCEACAM6diagnosisHE4malignant pleural effusionsensitivityspecificity

Identifiers

PMID40232301
PMCPMC12001857

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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.