Diagnostic value of soluble mesothelin-related peptides for malignant mesothelioma: A meta-analysis

作者: Ling Luo , Huan-Zhong Shi , Qiu-Li Liang , Jing Jiang , Shou-Ming Qin

DOI: 10.1016/J.RMED.2009.05.017

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摘要: Summary Background Serum concentrations of soluble mesothelin-related peptides (SMRP) have been reported to be higher in patients with malignant mesothelioma than healthy subjects and non-malignant diseases. The aim the present meta-analysis was establish overall diagnostic accuracy measurement SMRPs for diagnosing mesothelioma. Methods After a systematic review English language studies, sensitivity, specificity, other measures serum diagnosis were pooled using random-effects models. receiver operating characteristic curves used summarize test performance. Results Eleven publications from 12 studies met our inclusion criteria. summary estimates included sensitivity 0.64 (95% confidence interval 0.61–0.68), specificity 0.89 (0.88–0.90), positive likelihood ratio 7.10 (4.44–11.35), negative 0.39 (0.31–0.48), odds 19.35 (10.95–34.17). Conclusions SMRP determination plays role results assays should interpreted parallel clinical findings conventional tests.

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