Evidence map›Paper›PMID 32846849›Full record

SynthesisMedicine2020

Value of anti-p53 antibody as a biomarker for hepatocellular carcinoma: Evidence from a meta-analysis.

Yue Chang, Baiqing Liu, Haiyan Niu, Zhenguo Wang, Shihai Xia, Hai Li

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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  7. Current Options and Future Directions for NAFLD and NASH Treatment.International journal of molecular sciences · 2021
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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

6 authors at 2 institutions in 3 countries.

Yue ChangDepartment of Hepatopancreatobiliary and Splenic Medicine, Characteristic Medical Center of People's Armed Police Force.ORCID 0000-0002-1048-477
Baiqing LiuDepartment of Hepatopancreatobiliary and Splenic Medicine, Characteristic Medical Center of People's Armed Police Force.
Haiyan NiuDepartment of Hepatopancreatobiliary and Splenic Medicine, Characteristic Medical Center of People's Armed Police Force.
Zhenguo WangTianjin Key Laboratory of Hepatopancreatic Fibrosis and Molecular Diagnosis and Treatment.
Shihai XiaDepartment of Hepatopancreatobiliary and Splenic Medicine, Characteristic Medical Center of People's Armed Police Force.
Hai LiTianjin Key Laboratory of Hepatopancreatic Fibrosis and Molecular Diagnosis and Treatment.ORCID 0000-0001-9563-6842
Apple (Israel) · ILTianjin Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe incidence of hepatocellular carcinoma (HCC) ranks sixth in the world, but its mortality is the third highest due to the lack of early diagnostic markers. Nowadays, the increase of autoantibody levels has been found in many cancers, and many studies have begun to pay attention to the detection of anti-p53 antibodies in HCC. The purpose of this study is to quantitatively and comprehensively analyze the potential diagnostic value of anti-p53 autoantibodies in HCC

methods: English articles up to November 2019 were collected. The overall sensitivity and specificity were calculated. Besides, the positive likelihood ratio, negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and summary receiver operating characteristic curves of the overall diagnostic accuracy of anti-p53 antibody were calculated by STATA software. Finally, according to the heterogeneity of the results, the subgroup analysis, and the publication bias were performed.

resultsA total of 16 eligible studies were incorporated into this meta-analysis, including 1323 patients with HCC and 1896 control. The pooled sensitivity was 0.28(0.17-0.41) and specificity was 0.98 (0.95-0.99). The pooled DOR was 10.44 (6.31-17.29) and the pooled NLR was 0.74 (0.63-0.86). The area under ROC curve of symmetrical ROC was 0.840.

conclusionsThe anti-p53 antibody has a high specificity for HCC, but the low sensitivity is not perfect and would limit the clinical application. The anti-p53 antibody would help rule out HCC but not help rule in HCC for early diagnosis. Whether combined as a diagnostic panel with other biomarkers or laboratory tests may prove useful requires further study.

Indexed as

AgedAged, 80 and overAntibodiesBiomarkers, TumorCarcinoma, HepatocellularCase-Control StudiesEvaluation Studies as TopicFemaleHumansIncidenceLiver NeoplasmsMaleMiddle AgedSensitivity and SpecificityTumor Suppressor Protein p53AntibodiesBiomarkers, TumorTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID32846849
PMCPMC7447394
OpenAlexW3066989632

What OpenQuestion holds

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LicenceCC BY
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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.