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2017 ; 8
(14
): 22944-22953
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Diagnostic value of FIB-4 for liver fibrosis in patients with hepatitis B: a
meta-analysis of diagnostic test
#MMPMID28060754
Yin Z
; Zou J
; Li Q
; Chen L
Oncotarget
2017[Apr]; 8
(14
): 22944-22953
PMID28060754
show ga
This study is aimed at evaluating the diagnostic value of FIB-4 for liver
fibrosis in patients with hepatitis B through a meta-analysis of diagnostic test.
We conducted a comprehensive search in the Pubmed, Embase, Web of Science, and
Chinese National Knowledge Infrastructure before October 31, 2016. Stata 14.0
software was used for calculation and statistical analyses. We used the
sensitivity, specificity, positive and negative likelihood ratio (PLR, NLR),
diagnostic odds ratio (DOR) and 95% confidence intervals (CIs) to evaluate the
diagnostic value of FIB-4 for liver fibrosis in patients with hepatitis B.
Twenty-six studies were included in the final analyses, with a total of 8274
individuals. The pooled parameters are calculated from all studies: sensitivity
of 0.69 (95%CI:0.63-0.75), specificity of 0.81 (95%CI: 0.73-0.87), PLR of 3.63
(95%CI:2.66-4.94), NLR of 0.38 (95%CI:0.32-0.44), DOR of 9.57 (95%CI:
6.67-13.74), and area under the curve (AUC) of 0.80 (95%CI: 0.76-0.83). We also
conducted subgroup based on the range of cut-off values. Results from subgroup
analysis showed that cut-off was the source of heterogeneity in the present
study. The sensitivity and specificity of cut-off>2 were 0.69 and 0.95 with the
AUC of 0.90 (95%CI: 0.87-0.92). The overall diagnostic value of FIB-4 is not very
high for liver fibrosis in patients with hepatitis B. However, the diagnostic
value is affected by the cut-off value. FIB-4 has relatively high diagnostic
value for detecting liver fibrosis in patients with hepatitis B when the
diagnostic threshold value is more than 2.0.