Evidence map›Paper›PMID 37239079›Full record

ReviewBiomedicines2023

The Utility of Faecal Calprotectin, Lactoferrin and Other Faecal Biomarkers in Discriminating Endoscopic Activity in Crohn's Disease: A Systematic Review and Meta-Analysis.

Anuj Bohra, Ghada Mohamed, Abhinav Vasudevan, Diana Lewis, Daniel R Van Langenberg, Jonathan P Segal

Abstract readReview
In one paragraph

Review in Biomedicines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 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

6 authors.

Anuj BohraDepartment of Gastroenterology, Eastern Health, Box Hill, Melbourne, VIC 3128, Australia.ORCID 0000-0003-2913-8225
Ghada MohamedDepartment of Gastroenterology, Duke University Health System, Durham, NC 27710, USA.ORCID 0000-0003-0953-7958
Abhinav VasudevanDepartment of Gastroenterology, Eastern Health, Box Hill, Melbourne, VIC 3128, Australia.ORCID 0000-0001-5026-9014
Diana LewisDepartment of Gastroenterology, Northern Health, Epping, Melbourne, VIC 3076, Australia.
Daniel R Van LangenbergDepartment of Gastroenterology, Eastern Health, Box Hill, Melbourne, VIC 3128, Australia.
Jonathan P SegalDepartment of Gastroenterology, Royal Melbourne Hospital, Parkville, Melbourne, VIC 3050, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCurrently, faecal calprotectin (FC) is the predominate faecal biomarker utilised in clinical practice to monitor Crohn's disease (CD) activity. However, there are several potential faecal biomarkers described in the literature. We performed a meta-analysis to determine the accuracy of faecal biomarkers in discriminating endoscopic activity and mucosal healing in CD.

methodsWe searched the medical literature using MEDLINE, EMBASE, and PubMed from 1978 to 8 August 2022. Descriptive statistics, including sensitivity, specificity of the primary studies, their positive and negative likelihood ratios, and their diagnostic odds ratio (DOR), were calculated. The methodological quality of the included studies was evaluated using the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS) criteria.

resultsThe search found 2382 studies, of which 33 were included for analysis after screening. FC was found to have a pooled sensitivity and specificity, DOR, and negative predictive value (NPV) in discriminating active endoscopic disease (versus inactive) of 81%, 74%, 13.93, and 0.27, respectively. Faecal lactoferrin (FL) had a pooled sensitivity and specificity, DOR, and NPV in discriminating active endoscopic disease of 75%, 80%, 13.41, and 0.34, respectively. FC demonstrated a pooled sensitivity and specificity, DOR, and NPV of 88%, 72%, 18.17, and 0.19 in predicting mucosal healing.

conclusionFC remains an accurate faecal biomarker. Further evaluation of the utility of novel faecal biomarkers is needed.

Indexed as

accuracybiomarkersCrohns’ Diseaseendoscopy

Identifiers

PMID37239079
PMCPMC10216423

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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.