血清高尔基体蛋白73对乙型肝炎病毒相关性肝癌诊断价值的Meta分析
作者:
通讯作者:
作者单位:

作者简介:

陈能志, Email: CNZ01@126.com

基金项目:

湖南省常德市科技局技术研究与开发资金资助项目(2016KZ01)。


Diagnostic value of serum Golgi protein 73 for HBV-related hepatocellular carcinoma: a Meta-analysis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 音频文件
  • |
  • 视频文件
    摘要:

    目的:探讨血清高尔基体蛋白73(GP73)对乙型肝炎病毒(HBV)相关性肝癌的诊断价值。 方法:计算机系统性检索国内外公开发表的相关文献。采用Meta-Disc1.4软件汇总诊断准确性指标,计算综合受试者工作特征曲线(SROC)、曲线下面积(AUC)和Q*指数。采用Stata 14.0软件计算验后概率,并绘制Fagan图来评估GP73的临床应用价值。 结果:最终纳入14篇文献,总样本量为3 953例。血清GP73诊断HBV相关性肝癌的总敏感度为 0.70(95% CI=0.68~0.73),总特异度为0.75(95% CI=0.73~0.77),总阳性似然比为3.37(95% CI= 2.75~4.13),总阴性似然比为0.36(95% CI=0.29~0.45),诊断比值比(DOR)为9.67(95% CI= 6.72~13.91),AUC和Q*指数分别为0.826和0.759。当设定验前概率为50%时,阳性、阴性GP73的验后概率分别为78%和26%。 结论:血清GP73对HBV相关性肝癌有一定的诊断意义,但其单独应用于确诊或排除该病的价值有限,尚需结合其他检查。

    Abstract:

    Objective: To evaluate the diagnostic value of serum Golgi protein 73 (GP73) in hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC). Methods: A computer-based systematic search of publically published literature of relevant studies in China and abroad was performed. The indexes for diagnostic accuracy were pooled, and the area under carve (AUC) of the summary receiver operating characteristic carve (SROC) and Q* index were calculated by using Meta-Disc1.4 software. The post-test probability was calculated, and Fagan’s nomograms were drawn to assess the application value of GP73 by using Stata 14.0 software. Results: A total of 14 studies were finally included, with a total sample size of 3 953 subjects. The pooled sensitivity and specificity of GP73 in diagnosis of HBV-related HCC were 0.70 (95% CI=0.68 0.73) and 0.75 (95% CI=0.73–0.77) respectively, and the pooled positive likelihood ratio and negative likelihood ratio were 3.37 (95% CI=2.75–4.13) and 0.36 (95% CI=0.29 0.45), respectively. The summary diagnostic odds ratio (DOR) was 9.67 (95% CI=6.72–13.91), and the AUC and Q* index were 0.826 and 0.759, respectively. For a pre-test probability of 50%, the post-test probabilities for positive and negative test of GP73 were 78% and 26%, respectively. Conclusion: GP73 has certain value in diagnosis of HBV-related HCC, but the value of its lone use for confirmation or exclusion of this disease is limited and other combined examinations are required.

    参考文献
    相似文献
    引证文献
引用本文

肖扬|陈能志.血清高尔基体蛋白73对乙型肝炎病毒相关性肝癌诊断价值的Meta分析[J].中国普通外科杂志,2018,27(7):847-858.
DOI:10.3978/j. issn.1005-6947.2018.07.008

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2018-03-01
  • 最后修改日期:2018-06-17
  • 录用日期:
  • 在线发布日期: 2018-07-15