Detection of bladder cancer by narrow band imaging cystoscopy: a meta-analysis / 中华外科杂志
Chinese Journal of Surgery
;
(12): 289-293, 2014.
Article
Dans Chinois
| WPRIM
| ID: wpr-314708
ABSTRACT
<p><b>OBJECTIVES</b>To evaluate the value of narrow band imaging (NBI) cystoscopy in detection of bladder cancer.</p><p><b>METHODS</b>Literatures on narrow-band imaging cystoscopy in diagnosis of bladder cancer, controlled clinical research was searched in PubMed, Cochrane Library,EMbase, and the Chinese Biomedical Literature Database. The literatures were selected according to the inclusion and exclusion criteria. The Meta-DiSc 1.4 software was used to review management and analysis.</p><p><b>RESULTS</b>The 8 studies met the inclusion criteria. On a per-people analysis, the pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, diagnostic odds ratio (DOR) of NBI cystoscopy and white light imaging (WLI) cystoscopy were respectively 0.943 (95%CI 0.914-0.964) and 0.848 (95%CI 0.803- 0.885), 0.847 (95%CI 0.812-0.878) and 0.870 (95%CI 0.831-0.903), 7.038 (95%CI 3.357-14.754) and 6.938 (95%CI 2.052-23.465), 0.054 (95%CI 0.012-0.237) and 0.181 (95%CI 0.091-0.361), 185.32 (95%CI 45.714-751.260) and 42.931 (95%CI 8.088-227.880). The areas under the curve (AUC) and Q* of NBI cystoscopy and WLI cystoscopy were 0.978 and 0.894, 0.934 and 0.825 respectively.</p><p><b>CONCLUSION</b>NBI cystoscopy is accurate with high diagnostic precision for diagnosis of bladder cancer. NBI cystoscopy is prior to WLI cystoscopy, but it needs more clinical evidence for further affirmance.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Tumeurs de la vessie urinaire
/
Sensibilité et spécificité
/
Cystoscopie
/
Diagnostic
/
Imagerie à bande étroite
/
Méthodes
Type d'étude:
Etude diagnostique
/
Revues systématiques évaluées
Limites du sujet:
Humains
langue:
Chinois
Texte intégral:
Chinese Journal of Surgery
Année:
2014
Type:
Article
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