[PMID]: | 28682920 |
[Au] Autor: | Liu C; Lu X; Mao Z; Kang H; Liu H; Pan L; Hu J; Wang L; Zhou F |
[Ad] Endereço: | aDepartment of Critical Care Medicine, Chinese People's Liberation Army General Hospital bDepartment of Cardiology, Division of Southbuilding, Chinese People's Liberation Army General Hospital, Beijing, China. |
[Ti] Título: | The diagnostic accuracy of urinary [TIMP-2]·[IGFBP7] for acute kidney injury in adults: A PRISMA-compliant meta-analysis. |
[So] Source: | Medicine (Baltimore);96(27):e7484, 2017 Jul. |
[Is] ISSN: | 1536-5964 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | INTRODUCTION: Early diagnosis of acute kidney injury (AKI) remains a challenge. Recently, [TIMP-2]·[IGFBP7], which is a combination of urine tissue inhibitor of metalloproteinase 2 (TIMP-2) and insulin-like growth factor (IGF) binding protein 7 (IGFBP7), has been identified as a potential biomarker of AKI. We performed this meta-analysis to assess the diagnostic accuracy of urinary [TIMP-2]·[IGFBP7] for AKI in adult patients. METHODS: We searched the PubMed, Embase, and Cochrane Library databases from database inception to March 2017. Two authors independently screened articles based on inclusion and exclusion criteria and assessed the methodological quality of each included study using the Quality Assessment of Diagnostic Accuracy Studies 2 criteria. Review Manager and STATA were used for all statistical analyses. RESULTS: Nine studies (n = 1886) satisfied the inclusion criteria. Pooled analyses demonstrated that urinary [TIMP-2]·[IGFBP7] exhibited fair diagnostic accuracy for AKI (sensitivity [SEN] 0.83 [95% CI 0.75-0.89], specificity [SPE] 0.72 [95% CI 0.56-0.84], and area under the summary receiver operating characteristic [SROC] curve 0.86 [95% CI 0.82-0.88]) and AKI stage ≥ 2 (according to the 2012 Kidney Disease: Improving Global Outcomes [KDIGO] 2012 classification system; SEN 0.92 [95% CI 0.81-0.96], SPE 0.63 [95% CI 0.49-0.74], and area under the SROC curve 0.88 [95% CI 0.85-0.91]) in adult patients. CONCLUSION: Our findings indicate that urinary [TIMP-2]·[IGFBP7] may be a reliable biomarker for the early detection of AKI. However, given the significant heterogeneity among the included studies, clinicians should be aware of the utility and limitations of this biomarker in clinical practice. Additional high-quality studies examining a larger sample of patients are required. |
[Mh] Termos MeSH primário: |
Lesão Renal Aguda/urina Proteínas de Ligação a Fator de Crescimento Semelhante a Insulina/urina Inibidor Tecidual de Metaloproteinase-2/urina
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[Mh] Termos MeSH secundário: |
Biomarcadores/urina Diagnóstico Precoce Seres Humanos
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[Pt] Tipo de publicação: | JOURNAL ARTICLE; META-ANALYSIS; REVIEW |
[Nm] Nome de substância:
| 0 (Biomarkers); 0 (Insulin-Like Growth Factor Binding Proteins); 0 (TIMP2 protein, human); 0 (insulin-like growth factor binding protein-related protein 1); 127497-59-0 (Tissue Inhibitor of Metalloproteinase-2) |
[Em] Mês de entrada: | 1707 |
[Cu] Atualização por classe: | 170724 |
[Lr] Data última revisão:
| 170724 |
[Sb] Subgrupo de revista: | AIM; IM |
[Da] Data de entrada para processamento: | 170707 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1097/MD.0000000000007484 |
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