Evidence map›Paper›PMID 41863663›Full record

ArticleDiscover oncology2026

Novel biomarkers for lung cancer diagnosis in chronic obstructive pulmonary disease: a systematic review and metanalysis.

José Manuel Díaz López, José Manuel Guerrero Jiménez, Antonio Jesús Láinez Ramos-Bossini, Marta García Cerezo, Francisco Gabriel Ortega Sánchez, Bernardino Alcázar Navarrete

Abstract read
In one paragraph

Article in Discover oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

José Manuel Díaz LópezRespiratory Department, Hospital Universitario Torrecárdenas, Almería, Spain.
José Manuel Guerrero JiménezInstituto de Investigación Biosanitaria de Granada Ibs.GRANADA, Avda. Fuerzas Armadas, Sn, 18012, Granada, Spain.ORCID http://orcid.org/0009-0003-4863-458X
Antonio Jesús Láinez Ramos-BossiniInstituto de Investigación Biosanitaria de Granada Ibs.GRANADA, Avda. Fuerzas Armadas, Sn, 18012, Granada, Spain. ajbossini@ugr.es.ORCID http://orcid.org/0000-0002-0663-2856
Marta García CerezoInstituto de Investigación Biosanitaria de Granada Ibs.GRANADA, Avda. Fuerzas Armadas, Sn, 18012, Granada, Spain. marta.gcerezo@genyo.es.ORCID http://orcid.org/0009-0009-0889-2035
Francisco Gabriel Ortega SánchezInstituto de Investigación Biosanitaria de Granada Ibs.GRANADA, Avda. Fuerzas Armadas, Sn, 18012, Granada, Spain.ORCID http://orcid.org/0000-0003-0563-2237
Bernardino Alcázar NavarreteInstituto de Investigación Biosanitaria de Granada Ibs.GRANADA, Avda. Fuerzas Armadas, Sn, 18012, Granada, Spain.ORCID http://orcid.org/0000-0003-2356-9366

Funding

Instituto de Salud Carlos III PI22/01275
6 · The paper itself

Abstract

introductionChronic Obstructive Pulmonary Disease (COPD) significantly increases the risk of developing lung cancer, yet early detection remains challenging due to overlapping clinical features. Identifying reliable, non-invasive biomarkers for lung cancer diagnosis in this high-risk population could enhance screening strategies and outcomes. MATERIAL AND

methodsWe conducted a systematic review and meta-analysis of studies evaluating the diagnostic accuracy of biomarkers for lung cancer in patients with COPD. Following PRISMA guidelines, we searched PubMed, Scopus, and Web of Science for relevant studies up to April 2025. Data were synthesized using random-effects models to estimate pooled area under the curve (AUC) and diagnostic odds ratio (DOR). Subgroup analyses were conducted according to biomarker class. Risk of bias was assessed with the QUADAS-2 tool, and publication bias was evaluated via funnel plots and Egger's test.

resultsSeventeen studies were included, encompassing diverse biomarker categories: proteomics, volatile organic compounds (VOCs), telomere length, oxidative stress, genomics, inflammatory markers, and clinical models. The pooled AUC was 0.82 and the pooled logDOR was 2.76, indicating good overall diagnostic performance. VOCs and telomere length showed the highest pooled accuracy. Despite substantial heterogeneity, sensitivity analyses confirmed the robustness of the findings. Publication bias was present for AUC estimates but not for DOR.

conclusionsThis review highlights promising biomarker classes, particularly VOCs, telomere length, and clinical models, for the early detection of lung cancer in COPD patients. Further multicentre, prospective studies with standardized methodologies are needed to validate these biomarkers and support their integration into clinical practice.

trial registrationPROSPERO IDENTIFIER CRD420251066505.

Indexed as

BiomarkersCOPDDiagnosisLung cancerMeta-analysisProteomicsSystematic reviewTelomere lengthVolatile organic compounds

Identifiers

PMID41863663
PMCPMC13481974

What OpenQuestion holds

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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.