Evidence map›Paper›PMID 32227396›Full record

ArticleJournal of clinical laboratory analysis2020

Diagnostic performance of Mac-2 binding protein glycosylation isomer (M2BPGi) in screening liver fibrosis in health checkups.

Eun-Hee Nah, Seon Cho, Suyoung Kim, Hye-Sun Kim, Han-Ik Cho

Open access · goldAbstract read
In one paragraph

Article 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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. 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

5 authors at 1 institution in 1 country.

Eun-Hee NahDepartment of Laboratory Medicine, Health Promotion Research Institute, Korea Association of Health Promotion, Seoul, Korea.ORCID https://orcid.org/0000-0003-0637-4364
Seon ChoDepartment of Laboratory Medicine, Health Promotion Research Institute, Korea Association of Health Promotion, Seoul, Korea.ORCID https://orcid.org/0000-0002-6432-5897
Suyoung KimDepartment of Laboratory Medicine, Health Promotion Research Institute, Korea Association of Health Promotion, Seoul, Korea.ORCID https://orcid.org/0000-0003-0512-1189
Hye-Sun KimMEDIcheck LAB, Korea Association of Health Promotion, Cheongju, Korea.ORCID https://orcid.org/0000-0003-3567-7129
Han-Ik ChoMEDIcheck LAB, Korea Association of Health Promotion, Cheongju, Korea.ORCID https://orcid.org/0000-0001-6075-7636
Korea Association of Health Promotion · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMild-to-moderate fibrosis is rarely diagnosed because the disease is asymptomatic in the early stage. The serum level of Mac-2 binding protein glycosylation isomer (M2BPGi) has been found to increase with the severity of liver fibrosis. The aim of this study was to determine the diagnostic performance of M2BPGi in screening liver fibrosis using magnetic resonance elastography (MRE) as a reference standard and to compare it with using the aspartate aminotransferase-to-platelet ratio (APRI) and the Fibrosis-4 index (FIB-4) in health checkups.

methodsThis cross-sectional study consecutively selected subjects at health examinations who underwent MRE and M2BPGi testing at eight health promotion centers in Korea between January and September 2019. The serum M2BPGi level was measured using the chemiluminescence enzyme immunoassay method. The measured levels were indexed using the cutoff index (COI). COI values of M2BPGi were compared with the MRE results.

resultsThe median (interquartile) values of COI for fibrosis stages F0 (normal liver stiffness), F1 (mild fibrosis), F2 (significant fibrosis), and ≥F3 (advanced fibrosis) were 0.49 (0.34-0.61), 0.48 (0.38-0.68), 0.64 (0.43-1.03), and 1.01 (0.75-1.77), respectively (P < .0001). The AUCs of the COI for the screening of fibrosis stage ≥F1, ≥F2, and ≥F3 were 0.591, 0.698, and 0.853, respectively. Using a threshold of 0.75 for COI to exclude advanced fibrosis had a sensitivity, specificity, and negative predictive value of 80.0%, 77.9%, and 98.9%, respectively. The AUC for excluding advanced fibrosis was better for M2BPGi than for FIB-4 and APRI.

conclusionSerum M2BPGi was useful for screening significant and advanced fibrosis in health checkups.

Indexed as

AdultAgedAged, 80 and overAntigens, NeoplasmAspartate AminotransferasesCross-Sectional StudiesDiagnostic Tests, RoutineElasticity Imaging TechniquesFemaleGlycosylationHumansIsomerismLiverLiver CirrhosisMaleMembrane GlycoproteinsAntigens, NeoplasmAspartate AminotransferasesMembrane GlycoproteinsTAA90K protein, humanaspartate aminotransferase-to-platelet ratiofibrosis-4 indexliver fibrosisM2BPGiMac-2 binding protein glycosylation isomermagnetic resonance elastography

Identifiers

PMID32227396
PMCPMC7439422
OpenAlexW3013995089

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.