Evidence map›Paper›PMID 36899960›Full record

ArticleDiagnostics (Basel, Switzerland)2023

Diagnostic Performance of Extrahepatic Protein Induced by Vitamin K Absence in the Hepatocellular Carcinoma: A Systematic Review and Meta-Analysis.

Mirela Georgiana Perne, Adela-Viviana Sitar-Tăut, Teodora Gabriela Alexescu, Lorena Ciumărnean, Mircea-Vasile Milaciu, Sorina-Cezara Coste, Calin-Vasile Vlad, Angela Cozma, Dan-Andrei Sitar-Tăut, Olga Hilda Orăşan and 1 more

Full text read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

11 authors.

Mirela Georgiana Perne4th Medical Clinic, Internal Medicine Department, Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy Victor Babes Street, 400347 Cluj-Napoca, Romania.ORCID 0000-0002-8327-2444
Adela-Viviana Sitar-Tăut4th Medical Clinic, Internal Medicine Department, Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy Victor Babes Street, 400347 Cluj-Napoca, Romania.ORCID 0000-0001-8590-4583
Teodora Gabriela Alexescu4th Medical Clinic, Internal Medicine Department, Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy Victor Babes Street, 400347 Cluj-Napoca, Romania.ORCID 0000-0003-2756-5784
Lorena Ciumărnean4th Medical Clinic, Internal Medicine Department, Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy Victor Babes Street, 400347 Cluj-Napoca, Romania.
Mircea-Vasile Milaciu4th Medical Clinic, Internal Medicine Department, Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy Victor Babes Street, 400347 Cluj-Napoca, Romania.ORCID 0000-0002-5087-9282
Sorina-Cezara Coste4th Medical Clinic, Internal Medicine Department, Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy Victor Babes Street, 400347 Cluj-Napoca, Romania.
Calin-Vasile Vlad4th Medical Clinic, Internal Medicine Department, Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy Victor Babes Street, 400347 Cluj-Napoca, Romania.
Angela Cozma4th Medical Clinic, Internal Medicine Department, Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy Victor Babes Street, 400347 Cluj-Napoca, Romania.
Dan-Andrei Sitar-TăutDepartment of Business Information Systems, Faculty of Economics and Business Administration, Babeş-Bolyai University, 58-60 Theodor Mihaly Street, 400591 Cluj-Napoca, Romania.ORCID 0000-0001-5360-3874
Olga Hilda Orăşan4th Medical Clinic, Internal Medicine Department, Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy Victor Babes Street, 400347 Cluj-Napoca, Romania.
Alexandra CrăciunDiscipline of Medical Biochemistry, 3rd Department-Molecular Sciences, Faculty of Medicine, "Iuliu Haţieganu" University of Medicine and Pharmacy, Victor Babes Street, 400347 Cluj-Napoca, Romania.ORCID 0000-0003-3703-1874

Funding

internal grant from the Iuliu Hatieganu University - PCD 2462/1/17 ianuarie 2020 internal grant from the Iuliu Hatieganu University - PCD 2462/1/17 ianuarie 2020 grant director Dr Perne Mirela Georgiana.
6 · The paper itself

Abstract

BACKGROUND AND

objectivesthe early diagnosis of hepatocellular carcinoma (HCC) benefits from the use of alpha-fetoprotein (AFP) together with imaging diagnosis using abdominal ultrasonography, CT, and MRI, leading to improved early detection of HCC. A lot of progress has been made in the field, but some cases are missed or late diagnosed in advanced stages of the disease. Therefore, new tools (serum markers, imagistic technics) are continually being reconsidered. Serum alpha-fetoprotein (AFP), protein induced by vitamin K absence or antagonist II (PIVKA II) diagnostic accuracy for HCC (global and early disease) has been investigated (in a separate or cumulative way). The purpose of the present study was to determine the performance of PIVKA II compared to AFP. MATERIALS AND

methodssystematic research was conducted in PubMed, Web of Science, Embase, Medline and the Cochrane Central Register of Controlled Trials, taking into consideration articles published between 2018 and 2022.

resultsa total number of 37 studies (5037 patients with HCC vs. 8199 patients-control group) have been included in the meta-analysis. PIVKA II presented a better diagnostic accuracy in HCC diagnostic vs. alpha-fetoprotein (global PIVKA II AUROC 0.851 vs. AFP AUROC 0.808, respectively, 0.790 vs. 0.740 in early HCC cases). The conclusion from a clinical point of view, concomitant use of PIVKA II and AFP can bring useful information, added to that brought by ultrasound examination.

Indexed as

alpha-fetoproteindiagnosishepatocellular carcinomaPIVKA II

Identifiers

PMID36899960
PMCPMC10001363

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read1
measurements read19
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.