Evidence map›Paper›PMID 40295643›Full record

ArticleScientific reports2025

Development and validation of a logistic regression model for the diagnosis of colorectal cancer.

Cong Li, Weili Zhang, Qichen Chen, Fei Xiao, Xia Yang, Binyi Xiao, Yanshuang Cheng, Jiayi Qin, Xueying Li, Desen Wan and 3 more

Abstract readValidation Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
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

13 authors.

Cong Li *Department of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China.
Weili Zhang *Department of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China.
Qichen Chen *Department of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China.
Fei Xiao *Department of Clinical Laboratory, People's Hospital of Maoming, Maoming, China.
Xia YangDepartment of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China.
Binyi XiaoDepartment of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China.
Yanshuang ChengDepartment of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China.
Jiayi QinDepartment of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China.
Xueying LiDepartment of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China.
Desen WanDepartment of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China.
Zhizhong PanDepartment of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China.
Jianhong PengDepartment of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China. pengjh@sysucc.org.cn.
Xiaojun WuDepartment of Colorectal Surgery, Sun Yat-Sen University Cancer Center, 651 East Dongfeng Road, Yuexiu District, Guangzhou, 510060, China. wuxj@sysucc.org.cn.

Funding

Abbott Diagnostics ADD-China-2018-GZGuangdong Provincial Medical Science and Technology Research Fund A2019242
6 · The paper itself

Abstract

Colorectal cancer (CRC) diagnosis is challenging due to generalized symptoms. Various biomarker models exist, but their clinical application is limited by low sensitivity and heterogeneous cutoff values. This study aimed to develop and validate a diagnostic model for CRC. Data from 489 patients-337 with CRC and 152 with benign disease-were included. Patients were randomly assigned to training (n = 342) and validation (n = 147) cohorts. Logistic regression identified age (OR 1.06), CA153 (OR 0.26), CEA (OR 4.49), CYFRA 21-1 (OR 5.88), ferritin (OR 0.15), and hs-CRP (OR 0.05) as independent risk factors. Sensitivity and specificity were 88.61% and 82.86% in the training cohort and 90.00% and 76.60% in the validation cohort. Cutoff values for the biomarkers were: CA199, 9.809 U/mL; CA125, 7.743 U/mL; CA153, 6.295 U/mL; CEA, 3.982 ng/mL; CYFRA 21-1, 1.769 ng/mL; ferritin, 163.361 mg/L; hs-CRP, 0.196 mg/L; and serum albumin, 55.966 g/L. The model showed higher sensitivity for early-stage CRC (95.45%, 95% CI 87.2-98.6%) than late-stage CRC (87.27%, 95% CI 76.4-93.5%; P = 0.08). AUCs were 0.907 (training) and 0.872 (validation). The model demonstrated higher sensitivity for early-stage CRC (95.45%) than late-stage CRC (87.27%), underscoring its utility in early detection.

Indexed as

Biomarkers, TumorColorectal NeoplasmsAdultAgedAged, 80 and overAntigens, NeoplasmCarcinoembryonic AntigenC-Reactive ProteinFemaleFerritinsHumansLogistic ModelsMaleMiddle AgedRisk FactorsROC CurveAntigens, NeoplasmBiomarkers, TumorCarcinoembryonic AntigenC-Reactive ProteinFerritinsAUCColorectal cancerEarly diagnosisLogistic regressionSerum biomarkers

Identifiers

PMID40295643
PMCPMC12037792

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 Socratic graph.