Zheng Q, Jiang Z, Zhao YN. Diagnostic value of telomerase activity in peripheral blood in hepatocellular carcinoma: A Meta-analysis.
Shijie Huaren Xiaohua Zazhi 2014;
22:125-132. [DOI:
10.11569/wcjd.v22.i1.125]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To explore the diagnostic value of telomerase activity in peripheral blood in hepatocellular carcinoma (HCC).
METHODS: We searched the literature for studies on the relationship between the detection of telomerase activity in peripheral blood and HCC published in recent ten years. Meta-Disc1.4 statistical software was applied to perform comprehensive quantitative analysis. We discussed the overall diagnostic features of this assay by plotting the summary ROC curve (SROC) and calculating the area under the curve (AUC).
RESULTS: According to selection and exclusion criteria, 12 independent studies were finally selected in this meta-analysis. The random effects model was used for the meta-analysis, which showed that the comprehensive sensitivity was 0.85 (95%CI: 0.82-0.87), specificity was 0.84 (95%CI: 0.81-0.86), comprehensive diagnostic odds ratio was 28.25 (95%CI: 17.90-44.56), average value of the maximum intersection point of the sensitivity and the specificity was 0.8419, AUC was 0.9098, combined positive likelihood ratio was 5.17 (95%CI: 3.96-6.74), and negative likelihood ratio was 0.20 (95%CI: 0.14-0.28).
CONCLUSION: Telomerase activity in peripheral blood can be used as an important index to help diagnose HCC, but more high-quality, large-sized, multi-center studies are still required to evaluate its clinical value.
Collapse