Evidence map›Paper›PMID 27991579›Full record

SynthesisScientific reports2016

Serum soluble urokinase-type plasminogen activator receptor as a biological marker of bacterial infection in adults: a systematic review and meta-analysis.

Wentao Ni, Yuliang Han, Jin Zhao, Junchang Cui, Kai Wang, Rui Wang, Youning Liu

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04652167 (What is the Diagnostic and Prognostic Accuracy of C-reactive Protein, Serum Procalcitonin and Soluble Urokinase Plasminogen Activator Receptor in the Initial Investigation of Patients With Suspected Community-acquired Pneumonia), which is not on this map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% 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.

NCT04652167 completednot on this mapstarted 2021, after this paper: background citation

What is the Diagnostic and Prognostic Accuracy of C-reactive Protein, Serum Procalcitonin and Soluble Urokinase Plasminogen Activator Receptor in the Initial Investigation of Patients With Suspected Community-acquired Pneumonia

TypeobservationalSponsorUniversity of Southern DenmarkRan2021 to 2022Enrolled411ConditionsPneumonia, BacterialArmsPCT, suPAR, Standard care
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Non-Infectious Causes for Elevated Procalcitonin.Medicina (Kaunas, Lithuania) · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Observational
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Biomarkers in sepsis-looking for the Holy Grail or chasing a mirage!World journal of critical care medicine · 2023
    Review
  15. Review
  16. Article
  17. The Perspective of Vitamin D on suPAR-Related AKI in COVID-19.International journal of molecular sciences · 2022
    Review
  18. Review
  19. Review
  20. 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

7 authors at 2 institutions in 1 country.

Wentao NiDepartment of Respiratory Diseases, Chinese PLA General Hospital, Beijing 100853, China.
Yuliang HanDepartment of Neurology, Chinese PLA 305 Hospital, Beijing 100017, China.
Jin ZhaoDepartment of Respiratory Diseases, Chinese PLA General Hospital, Beijing 100853, China.
Junchang CuiDepartment of Respiratory Diseases, Chinese PLA General Hospital, Beijing 100853, China.
Kai WangDepartment of Neurology, Chinese PLA 305 Hospital, Beijing 100017, China.
Rui WangDepartment of Clinical Pharmacology, Chinese PLA General Hospital, Beijing, 100853, China.
Youning LiuDepartment of Respiratory Diseases, Chinese PLA General Hospital, Beijing 100853, China.
Chinese PLA General Hospital · CNPLA 306 Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The serum concentration of soluble urokinase-type plasminogen activator receptor (suPAR) reflects immune activation. We performed a meta-analysis to evaluate the usefulness of suPAR for the diagnosis and prognosis of bacterial infections. PubMed, Embase and Cochrane Library databases were searched for studies reporting the detection of suPAR in adult patients with bacterial infections. Seventeen studies were selected from 671 studies. The pooled sensitivity and specificity of suPAR for diagnosing infection were 0.73 and 0.79, respectively, and the area under the summary receiver operating characteristic curve (AUC) was 0.82. Subgroup analyses revealed suPAR showed similar AUC values for diagnosing sepsis and bacteremia, but the AUC for differentiating sepsis from systemic inflammatory response syndrome (SIRS) was only 0.68. Elevated suPAR levels were significantly associated with a high risk of death, with a pooled risk ratio of 3.37 (95% confidence interval, 2.60-4.38). The pooled sensitivity and specificity for predicting mortality were 0.70 and 0.72, respectivfely, with an AUC of 0.77. Serum suPAR could be a biomarker for the diagnosis and prognosis of bacterial infection, but it is relatively ineffective for differentiating sepsis from SIRS. Further investigation is required to evaluate whether using of suPAR in combination with other biomarkers can improve diagnostic efficacy.

Indexed as

AdultAgedArea Under CurveBacterial InfectionsBiomarkersFemaleHumansInflammationMaleMiddle AgedPrognosisReceptors, Urokinase Plasminogen ActivatorReproducibility of ResultsSensitivity and SpecificitySepsisSystemic Inflammatory Response SyndromeBiomarkersReceptors, Urokinase Plasminogen Activator

Identifiers

PMID27991579
PMCPMC5172370
OpenAlexW2561317006

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.