Role of fecal calprotectin in the diagnosis of neonatal necrotizing enterocolitis: a Meta analysis.
- Author:
Yan-Qiu XIE
1
;
Chang-Jun REN
1
;
Xiong WANG
;
Shu-Wen XIANG
1
;
Xiao-Xing WANG
1
;
Ling HAO
1
Author Information
1. Department of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050030, China.
- Publication Type:Meta-Analysis
- MeSH:
China;
Enterocolitis, Necrotizing/diagnosis*;
Feces;
Humans;
Infant, Newborn;
Leukocyte L1 Antigen Complex;
ROC Curve;
Sensitivity and Specificity
- From:
Chinese Journal of Contemporary Pediatrics
2021;23(4):381-389
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study the value of fecal calprotectin (FC) in the diagnosis of neonatal necrotizing enterocolitis (NEC) through a Meta analysis.
METHODS:Web of Science, Cochrane Library, PubMed, Embase, China National Knowledge Infrastructure, Weipu Periodical Database, Wanfang Data, Chinese Biomedical Literature Database were searched for related studies published up to May 2020, with manual search as supplementation. The QUADAS criteria were used to evaluate the quality of the articles included. Meta-DiSc 1.4 and Stata 15.0 software were used to perform the Meta analysis, including the evaluation of specificity, sensitivity, likelihood ratio, and diagnostic odds ratio. The sensitivity analysis and heterogeneity testing were performed, and the summary receiver operating characteristic (SROC) curve and Fagan diagram were plotted.
RESULTS:A total of 15 articles were enrolled, involving 1 719 neonates. Among these articles, 4 had low quality, 2 had high quality, and the rest had medium quality. There was high heterogeneity between studies, and there was no threshold effect or publication bias. The random effects model analysis showed that FC had a pooled specificity of 0.80 (95%
CONCLUSIONS:FC has high potential and efficiency in the early diagnosis of NEC. FC measurement can be used for the diagnosis of NEC, but it should be combined with clinical manifestations and other related laboratory examinations.
