Evidence map›Paper›PMID 40646343›Full record

ArticleSurgical endoscopy2025

Pragmatic approach to implementation of universal MSI testing for new cases of colorectal cancer.

Vitaliy Y Poylin, Austin Budlong, Natasha Poylin, Mohammad Abbass

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Vitaliy Y PoylinDivision of Gastrointestinal Surgery, Northwestern Medicine, Northwestern University Feinberg School of Medicine, 676 N. St. Clair St., Suite 650, Chicago, IL, 60611, USA. vitaliy.poylin2@nm.org.ORCID http://orcid.org/0000-0002-5814-3915
Austin BudlongNorwest Equity Partners, 250 Nicollet Mall Suite 950, Minneapolis, MN, 55401, USA.
Natasha PoylinMartha Van Rensselaer Hall, Cornell University, Ithaca, NY, 14853, USA.
Mohammad AbbassMemorial Sloan Kettering, New York, NY, 10065, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMicrosatellite instability testing is used in cases of colorectal cancer to help identify individuals with Lynch syndrome. There is clinical, but not financial case for this testing. Net Present Value (NPV) is a financial tool designed to calculate whenever investment in the new project is financially sound. We hypothesize that investment into uniform testing on all new colorectal cancers will generate profit over time.

methodsFinancial model was created based on number of patients seen and tested at tertiary medical center.

resultsUniform testing will cost $209 per patients (four test at $52.25 per test) and $5,000 is expected to be spent on pathology technician time. In that cohort, 8 out of 200 patients (equal number of males and females) is expected to be identified as having Lynch syndrome. Based on current charges, 5-year NPV is positive at $110,000 and 10-year NPV is positive at $199.663.

conclusionsInitial investment into MSI testing on all new cases of colorectal cancer results positive NPV and can help make a case for uniform testing to the hospital.

Indexed as

Colorectal NeoplasmsColorectal Neoplasms, Hereditary NonpolyposisGenetic TestingMicrosatellite InstabilityFemaleHumansMaleModels, EconomicColon cancerGeneticsMSI teting

Identifiers

What OpenQuestion holds

Textmetadata
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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.