Accuracy of early detection of colorectal tumours by stool methylation markers:A meta-analysis
AIM:To evaluate the accuracy of methylation of genes in stool samples for diagnosing colorectal tumours.METHODS:Electronic databases including PubMed,Web of Science,Chinese Journals Full-Text Database and Wanfang Journals Full-Text Database were searched to find relevant original articles about meth...
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Published in | World journal of gastroenterology : WJG Vol. 20; no. 38; pp. 14040 - 14050 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Baishideng Publishing Group Inc
14.10.2014
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Subjects | |
Online Access | Get full text |
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Summary: | AIM:To evaluate the accuracy of methylation of genes in stool samples for diagnosing colorectal tumours.METHODS:Electronic databases including PubMed,Web of Science,Chinese Journals Full-Text Database and Wanfang Journals Full-Text Database were searched to find relevant original articles about methylated genes to be used in diagnosing colorectal tumours. A quality assessment of diagnostic accuracy studies tool(QADAS) was used to evaluate the quality of the included articles,and the Meta-disc 1.4 and SPSS 13.0 software programs were used for data analysis.RESULTS:Thirty-seven articles met the inclusion criteria,and 4484 patients were included. The sensitivity and specificity for the detection of colorectal cancer(CRC) were 73%(95%CI:71%-75%) and 92%(95%CI:90%-93%),respectively. For adenoma,the sensitivity and specificity were 51%(95%CI:47%-54%) and 92%(95%CI:90%-93%),respectively. Pooled diagnostic performance of SFRP2 methylation for CRC provided the following results:the sensitivity was 79%(95%CI:75%-82%),the specificity was 93%(95%CI:90%-96%),the diagnostic OR was 47.57(95%CI:20.08-112.72),the area under the curve was 0.9565. Additionally,the results of accuracy of SFRP2 methylation for detecting colorectal adenomas were as follows:sensitivity was 43%(95%CI:38%-49%),specificity was 94%(95%CI:91%-97%),the diagnostic OR was 11.06(95%CI:5.77-21.18),and the area under the curve was 0.9563.CONCLUSION:Stool-based DNA testing may be useful for noninvasively diagnosing colorectal tumours and SFRP2 methylation is a promising marker that has great potential in early CRC diagnosis. |
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Bibliography: | Hu Zhang;Jian Qi;Ya-Qiong Wu;Ping Zhang;Jun Jiang;Qi-Xian Wang;You-Qing Zhu;Department of Gastroenterology and Clinical Centre of Intestinal and Colorectal Diseases of Hubei Province,Zhongnan Hospital of Wuhan University;Department of Gastroenterology,Hubei Provincial Corps Hospital,Chinese People’s Armed Police Force;Department of Dermatology,Yijishan Hospital of Wannan Medical College ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-Review-3 content type line 23 Correspondence to: Jian Qi, PhD, Department of Gastroenterology and Clinical Centre of Intestinal and Colorectal Diseases of Hubei Province, Zhongnan Hospital of Wuhan University, No. 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei Province, China. qiqidelizi@aliyun.com Telephone: +86-27-87336141 Fax: +86-27-87336141 Author contributions: Zhu YQ and Qi J designed this study and critically revised the article; Zhang H and Qi J were responsible for data acquisition and extracting the data; Zhang H drafted the manuscript, analysed the data and interpreted the results; Wu YQ, Zhang P, Jiang J and Wang QX were involved in editing the manuscript; all authors read and approved the final manuscript to be published. |
ISSN: | 1007-9327 2219-2840 |
DOI: | 10.3748/wjg.v20.i38.14040 |