Evidence map›Paper›PMID 26722419›Full record

SynthesisInternational journal of clinical and experimental pathology2015

Diagnostic accuracy of fecal lactoferrin for inflammatory bowel disease: a meta-analysis.

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

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of clinical and experimental pathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Fecal Lactoferrin Testing.Gastroenterology & hepatology · 2018
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Update on clinical and research application of fecal biomarkers for gastrointestinal diseases.World journal of gastrointestinal pharmacology and therapeutics · 2017
    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.

Yan WangDepartment of Laboratory Medicine, General Hospital of Ji'nan Military Area Ji'nan 250031, Shandong Province, China.
Fengyan PeiDepartment of Laboratory Medicine, Ji'nan Central Hospital Ji'nan 250013, Shandong Province, China.
Xingjuan WangDepartment of Laboratory Medicine, General Hospital of Ji'nan Military Area Ji'nan 250031, Shandong Province, China.
Zhiyu SunDepartment of Laboratory Medicine, General Hospital of Ji'nan Military Area Ji'nan 250031, Shandong Province, China.
Chengjin HuDepartment of Laboratory Medicine, General Hospital of Ji'nan Military Area Ji'nan 250031, Shandong Province, China.
Hengli DouDivision of Chest Disease, The Fourth Hospital of Ji'nan Ji'nan 250013, Shandong Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo do a systematic review using meta-analysis to assess the diagnostic accuracy of fecal lactoferrin (FL) in patients with inflammatory bowel disease (IBD).

methodsWe performed a literature review and systematically searched the Medline and EMBASE databases for eligible studies. The quality of the included studies was assessed using the QUADAS tool. The sensitivity, specificity, and other diagnostic indexes of FL were pooled using a random-effects model.

resultsSeven studies, involving 1816 patients, met the inclusion criteria. In all studies, the pooled FL sensitivity and pooled specificity were 0.82 (95% confidence interval [CI]: 0.72, 0.89) and 0.95 (95% CI: 0.88, 0.98), respectively. The positive and negative likelihood ratios were 16.63 and 0.18, respectively. The area under the summary receiver-operating characteristic curve (SROC) was 0.95 (95% CI: 0.93, 0.97), and the diagnostic odds ratio was 90.04 (95% CI: 37.01, 219.02). The pooled FL sensitivity and specificity for Crohn's disease (CD) diagnosis (sensitivity =75%, specificity =100%) was not as good as it was for ulcerative colitis (UC) diagnosis (sensitivity =82%, specificity =100%).

conclusionFL, as a noninvasive and screening marker, has a high specificity and a modest specificity during the diagnosis of suspected IBD.

Indexed as

BiomarkersColitis, UlcerativeCrohn DiseaseFecesHumansInflammatory Bowel DiseasesLactoferrinOdds RatioROC CurveSensitivity and SpecificityBiomarkersLactoferrinLTF protein, humanCrohn’s disease meta-analysisFecal lactoferrininflammatory bowel diseaseulcerative colitis

Identifiers

PMID26722419
PMCPMC4680364

What OpenQuestion holds

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Read underepoch 390

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.