Evidence map›Paper›PMID 36211645›Full record

SynthesisFrontiers in public health2022

Diagnostic performance of adenosine deaminase for abdominal tuberculosis: A systematic review and meta-analysis.

Ruixi Zhou, Xia Qiu, Junjie Ying, Yan Yue, Tiechao Ruan, Luting Yu, Qian Liu, Xuemei Sun, Shaopu Wang, Yi Qu and 2 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Association of Serum ADA Levels in Pulmonary Tuberculosis: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. ISCCM Position Statement on the Approach to and Management of Critically Ill Patients with Tuberculosis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Evidence-based approach to diagnosis and management of abdominal tuberculosis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    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

12 authors at 2 institutions in 1 country.

Ruixi ZhouDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Xia QiuDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Junjie YingDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Yan YueDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Tiechao RuanDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Luting YuDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Qian LiuDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Xuemei SunDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Shaopu WangDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Yi QuDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Xihong LiDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Dezhi MuDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Sichuan University · CNWest China Second University Hospital of Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aim: Abdominal tuberculosis (TB) is a common type of extrapulmonary TB with an insidious onset and non-specific symptoms. Adenosine deaminase (ADA) levels increase rapidly in the early stages of abdominal TB. However, it remains unclear whether ADA serves as a diagnostic marker for abdominal TB. Methods: We performed a systematic literature search for relevant articles published in PubMed, Web of Science, Cochrane Library, and Embase up to April 2022. First, we used the Quality Assessment of Diagnostic Accuracy Studies tool-2 (QUADAS-2), to evaluate the quality of the included articles. Bivariate and hierarchical summary receiver operating characteristic (HSROC) models were then utilized to analyze pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR) and area under the receiver operating characteristic curve (AUROC). In addition, we explored a subgroup analysis for potential heterogeneity and publication bias among the included literature. Results: Twenty-four articles (3,044 participants, 3,044 samples) which met the eligibility criteria were included in this study. The pooled sensitivity and specificity of ADA for abdominal TB detection were 93% [95% confidence interval (CI): 0.89-0.95] and 95% (95% CI: 0.93-0.96), respectively. PLR and NLR were 18.6 (95% CI: 14.0-24.6) and 0.08 (95% CI: 0.05-0.12), respectively. DOR and AUROC were 236 (95% CI: 134-415) and 0.98 (95% CI: 0.96-0.99), respectively. Furthermore, no heterogeneity or publication bias was found. Conclusions: Our meta-analysis found ADA to be of excellent diagnostic value for abdominal TB and could be used as an auxiliary diagnostic tool. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier: CRD42022297931.

Indexed as

Adenosine DeaminaseTuberculosisHumansROC CurveSensitivity and SpecificityAdenosine Deaminaseabdominal tuberculosisadenosine deaminaseascitesdiagnostic valuemeta-analysis

Identifiers

PMID36211645
PMCPMC9533650
OpenAlexW4296738783

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.