The Diagnostic Value of Gastrin-17 Detection in Atrophic Gastritis: A Meta-Analysis

Medicine (Baltimore). 2016 May;95(18):e3599. doi: 10.1097/MD.0000000000003599.

Abstract

A meta-analysis was performed to assess the diagnostic value of gastrin-17 (G-17) for the early detection of chronic atrophic gastritis (CAG).An extensive literature search was performed, with the aim of selecting publications that reported the accuracy of G-17 in predicting CAG, in the following databases: PubMed, Science Direct, Web of Science, Chinese Biological Medicine, Chinese National Knowledge Infrastructure, Wanfang, and VIP. To assess the diagnostic value of G-17, the following statistics were estimated and described: sensitivity, specificity, diagnostic odds ratios (DOR), summary receiver operating characteristic curves, area under the curve (AUC), and 95% confidence intervals (CIs).Thirteen studies that met the inclusion criteria were included in this meta-analysis, comprising 894 patients and 1950 controls. The pooled sensitivity and specificity of these studies were 0.48 (95% CI: 0.45-0.51) and 0.79 (95% CI: 0.77-0.81), respectively. The DOR was 5.93 (95% CI: 2.93-11.99), and the AUC was 0.82.G-17 may have potential diagnostic value because it has good specificity and a moderate DOR and AUC for CAG. However, more studies are needed to improve the sensitivity of this diagnostic tool in the future.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Area Under Curve
  • Biomarkers / blood
  • Gastrins / blood*
  • Gastritis, Atrophic / blood*
  • Gastritis, Atrophic / diagnosis*
  • Humans
  • ROC Curve

Substances

  • Biomarkers
  • Gastrins
  • gastrin 17