共 46 条
Optimal Range of Fecal Calprotectin for Predicting Mucosal Healing in Patients with Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis
被引:16
作者:

Xiang, Bing-Jie
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China Med Univ, Affiliated Hosp 1, Dept Gastroenterol, 92 Beier Rd, Shenyang 110001, Peoples R China China Med Univ, Affiliated Hosp 1, Dept Gastroenterol, 92 Beier Rd, Shenyang 110001, Peoples R China

Jiang, Min
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h-index: 0
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China Med Univ, Affiliated Hosp 1, Dept Gastroenterol, 92 Beier Rd, Shenyang 110001, Peoples R China China Med Univ, Affiliated Hosp 1, Dept Gastroenterol, 92 Beier Rd, Shenyang 110001, Peoples R China

Sun, Ming-Jun
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China Med Univ, Affiliated Hosp 1, Dept Gastroenterol, 92 Beier Rd, Shenyang 110001, Peoples R China China Med Univ, Affiliated Hosp 1, Dept Gastroenterol, 92 Beier Rd, Shenyang 110001, Peoples R China

Dai, Cong
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China Med Univ, Affiliated Hosp 1, Dept Gastroenterol, 92 Beier Rd, Shenyang 110001, Peoples R China China Med Univ, Affiliated Hosp 1, Dept Gastroenterol, 92 Beier Rd, Shenyang 110001, Peoples R China
机构:
[1] China Med Univ, Affiliated Hosp 1, Dept Gastroenterol, 92 Beier Rd, Shenyang 110001, Peoples R China
关键词:
Diagnostic accuracy;
Meta-analysis;
Fecal immunochemical test;
Inflammatory bowel disease;
Ulcerative colitis;
Fecal calprotectin;
ULCERATIVE-COLITIS;
IMMUNOCHEMICAL TEST;
CROHNS-DISEASE;
RAPID TEST;
MARKERS;
LACTOFERRIN;
BIOMARKER;
CHILDREN;
LEVEL;
TOOL;
D O I:
10.1159/000514196
中图分类号:
R57 [消化系及腹部疾病];
学科分类号:
摘要:
Objective: Fecal calprotectin (FC) is a promising marker for assessment of inflammatory bowel disease (IBD) activity. However, the utility of FC for predicting mucosal healing (MH) of IBD patients has yet to be clearly demonstrated. The objective of our study was to perform a meta-analysis evaluating the diagnostic accuracy of FC in predicting MH of IBD patients. Methods: We systematically searched the databases for studies from inception to April 2020 that evaluated MH in IBD. The methodological quality of each study was assessed according to the Quality Assessment of Diagnostic Accuracy Studies checklist. The extracted data were pooled using a summary receiver operating characteristic curve model. Random-effects model was used to summarize the diagnostic odds ratio, sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio. Results: Sixteen studies comprising 1,682 ulcerative colitis (UC) patients and 4 studies comprising 221 Crohn's disease (CD) patients were included. The best performance of FC for predicting MH in UC was at cut-off range of 60-75 mu g/g with area under the curve (AUC) of 0.88 and pooled sensitivity and specificity of 0.87 and 0.79, respectively. The pooled sensitivity and specificity values of cutoff range 180-250 mu g/g for predicting MH in CD were 0.67 and 0.76, respectively. The AUC of 0.79 also revealed improved discrimination for identifying MH in CD with FC concentration. Conclusion: Our meta-analysis has found that FC is a simple, reliable noninvasive marker for predicting MH in IBD patients. FC cutoff range 60-75 mu g/g appears to have the best overall accuracy in UC patients.
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页码:338 / 348
页数:11
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[J].
Goll, Rasmus
;
Heitmann, Richard
;
Moe, Oystein Kittel
;
Carlsen, Katrine
;
Florholmen, Jon
.
PLOS ONE,
2019, 14 (12)

论文数: 引用数:
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Heitmann, Richard
论文数: 0 引用数: 0
h-index: 0
机构:
Telemark Hosp, Dept Gastroenterol, Skien, Norway UiT Arctic Univ Norway, Inst Clin Med, Tromso, Norway

Moe, Oystein Kittel
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Univ Hosp North Norway, Div Internal Med, Med Gastroenterol, Tromso, Norway UiT Arctic Univ Norway, Inst Clin Med, Tromso, Norway

Carlsen, Katrine
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机构:
Hvidovre Univ Hosp, Dept Pediat, Copenhagen, Denmark UiT Arctic Univ Norway, Inst Clin Med, Tromso, Norway

Florholmen, Jon
论文数: 0 引用数: 0
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机构:
UiT Arctic Univ Norway, Inst Clin Med, Tromso, Norway
Univ Hosp North Norway, Div Internal Med, Med Gastroenterol, Tromso, Norway UiT Arctic Univ Norway, Inst Clin Med, Tromso, Norway