Evidence map›Paper›PMID 37719969›Full record

ArticleJournal of clinical and translational hepatology2023

Performance of Hepatitis Delta Virus (HDV) RNA Testing for the Diagnosis of Active HDV Infection: Systematic Review and Meta-analysis.

Sisi Chen, Xiangying Zhang, Ling Xu, Yuan Tian, Zihao Fan, Yaling Cao, Zhenzhen Pan, Yao Gao, Sujun Zheng, Zhongping Duan and 2 more

Abstract read
In one paragraph

Article in Journal of clinical and translational hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. 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

12 authors.

Sisi ChenBeijing Institute of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0003-0163-194X
Xiangying ZhangBeijing Institute of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-9536-9481
Ling XuBeijing Institute of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-8446-4045
Yuan TianBeijing Institute of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-7391-5955
Zihao FanBeijing Institute of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0003-0011-8394
Yaling CaoBeijing Institute of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-4952-0643
Zhenzhen PanBeijing Institute of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-9405-623X
Yao GaoBeijing Institute of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-8217-8544
Sujun ZhengThe First Department of Liver Disease Center, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-6367-5764
Zhongping DuanFourth Department of Hepatology Center, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0003-0034-8413
Mei LiuDepartment of Oncology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0003-0851-3858
Feng RenBeijing Institute of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-7622-6274

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Hepatitis delta virus (HDV) is a defective virus and causes severe liver disease. Several HDV RNA assays have been developed, however the diagnostic efficacy remains unclear.This systematic review and meta-analysis aims to evaluate the diagnostic accuracy of HDV RNA assays to aid in the diagnosis of active hepatitis D. Methods: The PubMed, Embase, and Cochrane Library databases were systematically searched from the beginning to June 31, 2022. Information on the characteristics of the literature and data on sensitivity, specificity, and area under curve (AUC) of the receiver operating characteristic (ROC) were extracted. Stata 14.0 was used for meta-analysis of the combined sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio. Results: A total of 10 studies were included in the meta-analysis. The summary sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio of HDV RNA assays for HDV diagnosis were 0.92 (95% CI: 0.87-0.95), 0.90 (95% CI: 0.86-0.93), 7.74 (95% CI: 5.31-11.29), 0.10 (95% CI: 0.06-0.18) and 99.90 (95% CI: 47.08-211.99), respectively. The AUC of the pooled ROC curve was 0.95 (95% CI: 0.92-0.96). Conclusions: The results show that HDV RNA assays had high diagnostic performance. However, that is limited by the number and quality of studies. Standard protocols for the development of assays by manufacturers and larger studies on the use of the assays are needed.

Indexed as

DiagnosisHepatitis delta virusHepatitis virusesSensitivitySpecificity

Identifiers

PMID37719969
PMCPMC10500291

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Registered trials

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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.