Evidence map›Paper›PMID 25789331›Full record

SynthesisJournal of immunology research2015

Meta-analysis: diagnostic accuracy of anti-cyclic citrullinated peptide antibody for juvenile idiopathic arthritis.

Yan Wang, Fengyan Pei, Xingjuan Wang, Zhiyu Sun, Chengjin Hu, Hengli Dou

Open access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of immunology research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
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

6 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Investigations of cellular immunity in juvenile idiopathic arthritis.Central-European journal of immunology · 2019
    Review
  6. 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

6 authors at 3 institutions in 1 country.

Yan WangDepartment of Laboratory Medicine, General Hospital of Jinan Military Area, Jinan, Shandong 250031, China.
Fengyan PeiDepartment of Laboratory Medicine, Jinan Central Hospital, Jinan, Shandong 250013, China.
Xingjuan WangDepartment of Laboratory Medicine, General Hospital of Jinan Military Area, Jinan, Shandong 250031, China.
Zhiyu SunDepartment of Laboratory Medicine, General Hospital of Jinan Military Area, Jinan, Shandong 250031, China.
Chengjin HuDepartment of Laboratory Medicine, General Hospital of Jinan Military Area, Jinan, Shandong 250031, China.
Hengli DouDivision of Chest Disease, The Fourth Hospital of Jinan, Jinan, Shandong 250031, China.
Jinan Military General Hospital · CNFourth People’s Hospital of Jinan · CNJinan Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the diagnostic accuracy of the anti-CCP test in JIA and to evaluate factors associated with higher accuracy.

methodsTwo investigators performed an extensive search of the literature published between January 2000 and January 2014. The included articles were assessed by the Quality Assessment of Diagnostic Accuracy Studies tool. The meta-analysis was performed using a summary ROC (SROC) curve and a bivariate random-effect model to estimate sensitivity and specificity across studies.

resultsThe bivariate meta-analysis yielded a pooled sensitivity and specificity of 10% (95% confidence interval (CI): 6.0%-15.0%) and 99.0% (95% CI: 98.0%-100.0%). The area under the SROC curve was 0.96. Sensitivity estimates were highly heterogeneous, which was partially explained by the higher sensitivity in the rheumatoid factor-positive polyarthritis (RF+ PA) subtype (48.0%; 95% CI: 31.0%-65.0%) than in the other subtypes (17.0%; 95% CI: 14.0%-20.0%) and the higher sensitivity of the Inova assay (17.0%; 95% CI: 14.0%-20.%%) than the other assays (0.05%; 95% CI: 2.0%-11.0%).

conclusionsAnti-CCP antibody test has a high specificity for the diagnosis of JIA. The sensitivity of this test is low and varies across populations but is higher in RF+ PA than in other JIA subtypes.

Indexed as

Arthritis, JuvenileAutoantibodiesHumansPeptides, CyclicReproducibility of ResultsROC CurveSensitivity and SpecificityAutoantibodiescyclic citrullinated peptidePeptides, Cyclic

Identifiers

PMID25789331
PMCPMC4350619
OpenAlexW2081496209

What OpenQuestion holds

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Registered trials

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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.