Evidence map›Paper›PMID 32167614›Full record

SynthesisJournal of clinical laboratory analysis2020

Clinical role of combining alpha-fetoprotein and lens culinaris agglutinin-reactive fraction of alpha-fetoprotein for hepatocellular carcinoma: Evidence from literature and an original study.

Siyuan Chen, Junhong Li, Xiaodan Tan, Qi Xu, Yuncong Mo, Hongyan Qin, Lili Zhou, Lingxiu Ma, Zhixiao Wei

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of clinical laboratory analysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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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

9 authors at 1 institution in 1 country.

Siyuan ChenDepartment of Nuclear Medicine, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Junhong LiDepartment of Nuclear Medicine, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Xiaodan TanDepartment of Nuclear Medicine, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Qi XuDepartment of Nuclear Medicine, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Yuncong MoDepartment of Nuclear Medicine, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Hongyan QinDepartment of Nuclear Medicine, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Lili ZhouDepartment of Nuclear Medicine, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Lingxiu MaDepartment of Nuclear Medicine, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Zhixiao WeiDepartment of Nuclear Medicine, First Affiliated Hospital of Guangxi Medical University, Nanning, China.ORCID https://orcid.org/0000-0003-3466-2902
Guangxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the clinical diagnostic efficacy of the combination of alpha-fetoprotein (AFP) and lens culinaris agglutinin-reactive fraction of AFP/total AFP (AFP-L3%) for detecting hepatocellular carcinoma (HCC).

methodsA comprehensive and systemic literature search was executed in Web of Science, PubMed, and the Cochrane Library websites. Then, the related articles were reviewed and the quality of included studies was evaluated with the QUADAS tool. Further, serum samples were collected from 49 HCC patients, 52 cirrhosis patients, 47 hepatitis patients, and 48 healthy controls and these samples were tested for AFP and AFP-L3% levels.

resultsA total of 16 eligible articles were included in our meta-analysis. The overall sensitivity (SEN) of AFP + AFP-L3% was higher than that of AFP or AFP-L3 alone; the overall specificity (SPE) of AFP + AFP-L3% was lower than that of AFP or AFP-L3 alone. In the original study, the related statistics were, respectively, SEN = 0.592 and SPE = 0.918 for AFP; SEN = 0.367 and SPE = 1.000 for AFP-L3%; and SEN = 0.592 and SPE = 0.918 for the combination.

conclusionThe results of meta-analysis indicate there is a beneficial effect of using the unity of AFP and AFP-L3% for HCC diagnosing. However, in the original study, just for the results of sensitivity and specificity, there is no significant difference between AFP alone and AFP + AFP-L3%.

Indexed as

alpha-FetoproteinsBiomarkers, TumorCarcinoma, HepatocellularCase-Control StudiesHepatitisHumansLiver CirrhosisLiver NeoplasmsLuminescent MeasurementsPlant LectinsSensitivity and SpecificityAFP protein, humanalpha-FetoproteinsBiomarkers, Tumorlentil lectinPlant LectinsAFP-L3alpha-fetoproteindiagnostic valuehepatocellular carcinomameta-analysis

Identifiers

PMID32167614
PMCPMC7370718
OpenAlexW3011646690

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.