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Diagnostic accuracy of tumor necrosis factor-alpha assay for tuberculous pleurisy: A PRISMA-compliant meta-analysis.

Abstract The diagnosis of tuberculous pleurisy is difficult and traditional methods are not always helpful. Many studies have focused on the tumor necrosis factor-alpha (TNF-α) assay in pleural effusion for the diagnosis of tuberculous pleurisy, but the results remain controversial. This meta-analysis was conducted to determine the overall diagnostic accuracy of TNF-α.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 27902616
OWN - NLM
STAT- MEDLINE
DA  - 20161130
DCOM- 20170215
LR  - 20170224
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 95
IP  - 48
DP  - 2016 Nov
TI  - Diagnostic accuracy of tumor necrosis factor-alpha assay for tuberculous
      pleurisy: A PRISMA-compliant meta-analysis.
PG  - e5510
AB  - BACKGROUND: The diagnosis of tuberculous pleurisy is difficult and traditional
      methods are not always helpful. Many studies have focused on the tumor necrosis
      factor-alpha (TNF-alpha) assay in pleural effusion for the diagnosis of
      tuberculous pleurisy, but the results remain controversial. This meta-analysis
      was conducted to determine the overall diagnostic accuracy of TNF-alpha. METHODS:
      Relevant studies were searched from PubMed, Embase, Web of Science, Chinese
      National Knowledge Infrastructure (CNKI), Wangfang, and Weipu. We pooled the
      published results and computed the accuracy measures, including sensitivity,
      specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR),
      and diagnostic odds ratio (DOR). Receiver operating characteristic curves (SROC) 
      and the area under the curve (AUC) were used to summarize the overall test
      performance. RESULTS: Twelve studies with 1022 patients met the inclusion
      criteria. The pooled sensitivity and specificity were 0.85 (95%CI, 0.81-0.89) and
      0.80 (95% CI, 0.77-0.83) respectively. The area under the SROC curve was 0.89.
      CONCLUSIONS: The results of meta-analysis suggested that the TNF-alpha assay
      plays a vital role in the diagnosis of tuberculous pleurisy, whereas other test
      results or clinical findings should be interpreted together with the TNF-alpha
      assay to improve the overall diagnostic accuracy.
FAU - Li, Min
AU  - Li M
AD  - aDepartment of Respiratory Medicine bDepartment of Pharmacy, First Affiliated
      Hospital of Kunming Medical University, Kunming cThe Postgraduate School of
      Kunming Medical University, Kunming, Yunnan, China.
FAU - Luo, Zhuang
AU  - Luo Z
FAU - Zhu, Wenye
AU  - Zhu W
FAU - Khan, Rana Sami Ullah
AU  - Khan RS
FAU - Saeed, Ummair
AU  - Saeed U
FAU - Shi, Shaoqing
AU  - Shi S
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Biomarkers)
RN  - 0 (Tumor Necrosis Factor-alpha)
SB  - AIM
SB  - IM
MH  - Biomarkers/*analysis
MH  - Humans
MH  - Tuberculosis, Pleural/*diagnosis
MH  - Tumor Necrosis Factor-alpha/*analysis
PMC - PMC5134804
COI - The authors have no conflicts of interest to disclose.
EDAT- 2016/12/03 06:00
MHDA- 2017/02/16 06:00
CRDT- 2016/12/01 06:00
AID - 10.1097/MD.0000000000005510 [doi]
AID - 00005792-201611290-00035 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2016 Nov;95(48):e5510.