Meta‐Analysis of the Diagnostic Efficiency of THSD7A‐AB for the Diagnosis of Idiopathic Membranous Nephropathy
Abstract Thrombospondin type I domain‐containing 7A (THSD7A), is a specific autoantigen of adult idiopathic membranous nephropathy (IMN), whose circulating antibody (THSD7A‐AB) represents a promising biomarker for diagnosis of IMN. The objective of this meta‐analysis is to investigate the diagnostic...
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doaj-597f11f9cc044acb9a56adfde1b133fd2021-05-02T20:03:53ZengWileyGlobal Challenges2056-66462020-11-01411n/an/a10.1002/gch2.201900099Meta‐Analysis of the Diagnostic Efficiency of THSD7A‐AB for the Diagnosis of Idiopathic Membranous NephropathyYipeng Liu0Shanshan Zheng1Chaoqun Ma2Ying Lian3Xiaoli Zheng4Peizhong Guan5Baobao Wang6Xiaojie Gong7Feng Gao8Liming Liang9Dongmei Xu10Department of Nephrology The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital Jinan ChinaDepartment of Nephrology The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital Jinan ChinaDepartment of Emergency Shandong Provincial Hospital Affiliated to Shandong First Medical University Jinan ChinaDepartment of Medical Record Management The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital Jinan ChinaDepartment of Emergency Shandong Provincial Hospital Affiliated to Shandong First Medical University Jinan ChinaDepartment of Nephrology YEDA Hospital Yantai ChinaDepartment of Nephrology The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital Jinan ChinaDepartment of Nephrology The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital Jinan ChinaDepartment of Nephrology The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital Jinan ChinaDepartment of Nephrology The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital Jinan ChinaDepartment of Nephrology The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital Jinan ChinaAbstract Thrombospondin type I domain‐containing 7A (THSD7A), is a specific autoantigen of adult idiopathic membranous nephropathy (IMN), whose circulating antibody (THSD7A‐AB) represents a promising biomarker for diagnosis of IMN. The objective of this meta‐analysis is to investigate the diagnostic efficiency of THSD7A‐AB for IMN. After rigorous data extraction, quality assessment, and data analysis, 10 articles (4545 patients) are included. For IMN, the summary sensitivity is 4% (2–7%), and the specificity is 99% (98–100%). The summary positive likelihood ratio (PLR) and negative likelihood ratio (NLR) are 5.40 (2.40–11.90) and 0.97 (0.95–0.99), respectively. The diagnostic odds ratio (DOR) is 6.00 (2.00–12.00). The area under the summary receiver operating characteristic curve (AUC) is 0.78 (0.74–0.81). For M‐type phospholipase A2 receptor (PLA2R)‐negative IMN, the summary sensitivity is 8% (6–10%), specificity is 100% (99–100%). The summary PLR and NLR are 15.80 (5.70–44.00) and 0.93 (0.91–0.95), respectively. The DOR is 17.00 (6.00–48.00). The AUC is 0.99 (0.98–1.00). THSD7A‐AB has higher diagnostic value in PLA2R‐negative patients than in IMN patients. These results suggest that THSD7A‐AB could possibly be applied as an auxiliary non‐invasive diagnostic method for PLA2R‐negative IMN.https://doi.org/10.1002/gch2.201900099diagnostic efficiencyidiopathic membranous nephropathymeta‐analysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yipeng Liu Shanshan Zheng Chaoqun Ma Ying Lian Xiaoli Zheng Peizhong Guan Baobao Wang Xiaojie Gong Feng Gao Liming Liang Dongmei Xu |
spellingShingle |
Yipeng Liu Shanshan Zheng Chaoqun Ma Ying Lian Xiaoli Zheng Peizhong Guan Baobao Wang Xiaojie Gong Feng Gao Liming Liang Dongmei Xu Meta‐Analysis of the Diagnostic Efficiency of THSD7A‐AB for the Diagnosis of Idiopathic Membranous Nephropathy Global Challenges diagnostic efficiency idiopathic membranous nephropathy meta‐analysis |
author_facet |
Yipeng Liu Shanshan Zheng Chaoqun Ma Ying Lian Xiaoli Zheng Peizhong Guan Baobao Wang Xiaojie Gong Feng Gao Liming Liang Dongmei Xu |
author_sort |
Yipeng Liu |
title |
Meta‐Analysis of the Diagnostic Efficiency of THSD7A‐AB for the Diagnosis of Idiopathic Membranous Nephropathy |
title_short |
Meta‐Analysis of the Diagnostic Efficiency of THSD7A‐AB for the Diagnosis of Idiopathic Membranous Nephropathy |
title_full |
Meta‐Analysis of the Diagnostic Efficiency of THSD7A‐AB for the Diagnosis of Idiopathic Membranous Nephropathy |
title_fullStr |
Meta‐Analysis of the Diagnostic Efficiency of THSD7A‐AB for the Diagnosis of Idiopathic Membranous Nephropathy |
title_full_unstemmed |
Meta‐Analysis of the Diagnostic Efficiency of THSD7A‐AB for the Diagnosis of Idiopathic Membranous Nephropathy |
title_sort |
meta‐analysis of the diagnostic efficiency of thsd7a‐ab for the diagnosis of idiopathic membranous nephropathy |
publisher |
Wiley |
series |
Global Challenges |
issn |
2056-6646 |
publishDate |
2020-11-01 |
description |
Abstract Thrombospondin type I domain‐containing 7A (THSD7A), is a specific autoantigen of adult idiopathic membranous nephropathy (IMN), whose circulating antibody (THSD7A‐AB) represents a promising biomarker for diagnosis of IMN. The objective of this meta‐analysis is to investigate the diagnostic efficiency of THSD7A‐AB for IMN. After rigorous data extraction, quality assessment, and data analysis, 10 articles (4545 patients) are included. For IMN, the summary sensitivity is 4% (2–7%), and the specificity is 99% (98–100%). The summary positive likelihood ratio (PLR) and negative likelihood ratio (NLR) are 5.40 (2.40–11.90) and 0.97 (0.95–0.99), respectively. The diagnostic odds ratio (DOR) is 6.00 (2.00–12.00). The area under the summary receiver operating characteristic curve (AUC) is 0.78 (0.74–0.81). For M‐type phospholipase A2 receptor (PLA2R)‐negative IMN, the summary sensitivity is 8% (6–10%), specificity is 100% (99–100%). The summary PLR and NLR are 15.80 (5.70–44.00) and 0.93 (0.91–0.95), respectively. The DOR is 17.00 (6.00–48.00). The AUC is 0.99 (0.98–1.00). THSD7A‐AB has higher diagnostic value in PLA2R‐negative patients than in IMN patients. These results suggest that THSD7A‐AB could possibly be applied as an auxiliary non‐invasive diagnostic method for PLA2R‐negative IMN. |
topic |
diagnostic efficiency idiopathic membranous nephropathy meta‐analysis |
url |
https://doi.org/10.1002/gch2.201900099 |
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