■本研究旨在评估Mac-2结合蛋白糖基化异构体(M2BPGi)在预测肝纤维化阶段中的准确性。
■直到2023年10月10日发布的文章在PubMed中进行了搜索,Embase,WebofScience,和Cochrane图书馆数据库。汇集灵敏度,特异性,诊断优势比(DOR),摘要接受者-操作者曲线(SROC),采用Spearman秩相关系数检验M2BPGi预测肝纤维化分期的准确性。为每个估计值提供95%置信区间(CI)。
■这项荟萃分析包括24项研究,包括3839例肝纤维化患者,其中409人进入阶段4或以上。汇集的敏感性,特异性,M2BPGi预测肝纤维化≥F3的ROC下面积(AUC)为0.74(95%CI[0.65-0.82]),0.84(95%CI[0.76-0.89]),和14.99(95%CI[9.28-24.21]),分别。汇集的敏感性,特异性,≥F4的AUC为0.80(95%CI[0.70-0.88]),0.80(95%CI[0.73-0.86]),和16.43(95%CI[0.84-0.90]),分别。
■在不同的样本分区中,M2BPGi对肝纤维化分期≥4具有最佳诊断性能。此外,对于纤维化≥F3和≥F4,1-2的临界值比0-1或2-3的临界值更准确.
■CRD42023483260。
UNASSIGNED: This study aimed to assess the accuracy of Mac-2 binding protein
glycosylation isomer (M2BPGi) in predicting the stage of liver fibrosis.
UNASSIGNED: Articles published until October 10, 2023, were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases. Pooled sensitivity, specificity, diagnostic odds ratio (DOR), summary receiver-operator curves (SROC), and Spearman\'s rank correlation coefficient were used to examine the accuracy of M2BPGi in predicting the stage of liver fibrosis. A 95% confidence interval (CI) was provided for each estimate.
UNASSIGNED: Twenty-four studies were included in this meta-analysis, including 3,839 patients with liver fibrosis, 409 of whom progressed to stage 4 or above. The pooled sensitivity, specificity, and area under the ROC (AUC) for M2BPGi predicting liver fibrosis ≥F3 were 0.74 (95% CI [0.65-0.82]), 0.84 (95% CI [0.76-0.89]), and 14.99 (95% CI [9.28-24.21]), respectively. The pooled sensitivity, specificity, and AUC for ≥F4 were 0.80 (95% CI [0.70-0.88]), 0.80 (95% CI [0.73-0.86]), and 16.43 (95% CI [0.84-0.90]), respectively.
UNASSIGNED: Among different sample partitions, M2BPGi has the best diagnostic performance for liver fibrosis stage ≥4. Furthermore, the cutoff of 1-2 is more accurate than that of 0-1 or 2-3 for fibrosis ≥ F3 and ≥ F4.
UNASSIGNED: CRD42023483260.