Systematic Review with Meta-Analysis: Fecal Calprotectin as a Surrogate Marker for Predicting Relapse in Adults with Ulcerative Colitis
Joint Authors
Li, Jiajia
Zhao, Xiaojing
Li, Xueting
Lu, Meijiao
Zhang, Hongjie
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-28
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
The clinical course of ulcerative colitis (UC) is featured by remission and relapse, which remains unpredictable.
Recent studies revealed that fecal calprotectin (FC) could predict clinical relapse for UC patients in remission, which has not yet been well accepted.
To detect the predictive value of FC for clinical relapse in adult UC patients based on updated literature, we carried out a comprehensive electronic search of PubMed, Web of Science, Embase, and the Cochrane Library to identify all eligible studies.
Diagnostic accuracy including pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and pooled area under the receiver operating characteristic (AUROC) was calculated using a random effects model.
Heterogeneity across studies was assessed by the I2 metric.
Sources of heterogeneity were detected using subgroup analysis.
Metaregression was used to test potential factors correlated to DOR.
Publication bias was assessed using Deek’s funnel plots.
In our study, 14 articles enrolling a total of 1110 participants were finally included, and all articles underwent a quality assessment.
Pooled sensitivity, specificity, PLR, and NLR with 95% confidence intervals (CIs) were 0.75 (95% CI: 0.70–0.79), 0.77 (95% CI: 0.74–0.80), 3.45 (95% CI: 2.31–5.14), and 0.37 (95% CI: 0.28–0.49) respectively.
The area under the summary receiver operating characteristic (sROC) curve was 0.82, and the diagnostic odds ratio was 10.54 (95% CI: 6.16–18.02).
Our study suggested that FC is useful in predicting clinical relapse for adult UC patients in remission as a simple and noninvasive marker.
American Psychological Association (APA)
Li, Jiajia& Zhao, Xiaojing& Li, Xueting& Lu, Meijiao& Zhang, Hongjie. 2019. Systematic Review with Meta-Analysis: Fecal Calprotectin as a Surrogate Marker for Predicting Relapse in Adults with Ulcerative Colitis. Mediators of Inflammation،Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1192681
Modern Language Association (MLA)
Li, Jiajia…[et al.]. Systematic Review with Meta-Analysis: Fecal Calprotectin as a Surrogate Marker for Predicting Relapse in Adults with Ulcerative Colitis. Mediators of Inflammation No. 2019 (2019), pp.1-10.
https://search.emarefa.net/detail/BIM-1192681
American Medical Association (AMA)
Li, Jiajia& Zhao, Xiaojing& Li, Xueting& Lu, Meijiao& Zhang, Hongjie. Systematic Review with Meta-Analysis: Fecal Calprotectin as a Surrogate Marker for Predicting Relapse in Adults with Ulcerative Colitis. Mediators of Inflammation. 2019. Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1192681
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1192681