Academic Journal

Diagnostic Value of Endoscopic Ultrasound after Neoadjuvant Chemotherapy for Gastric Cancer Restaging: A Meta-Analysis of Diagnostic Test

التفاصيل البيبلوغرافية
العنوان: Diagnostic Value of Endoscopic Ultrasound after Neoadjuvant Chemotherapy for Gastric Cancer Restaging: A Meta-Analysis of Diagnostic Test
المؤلفون: Sacerdotianu V. M., Ungureanu B. S., Iordache S., Turcu-Stiolica A., Facciorusso A., Crino S. F., Saftoiu A.
المساهمون: Sacerdotianu, V. M., Ungureanu, B. S., Iordache, S., Turcu-Stiolica, A., Facciorusso, A., Crino, S. F., Saftoiu, A.
سنة النشر: 2022
المجموعة: Università degli Studi di Foggia: CINECA IRIS Institutional Research Information System
مصطلحات موضوعية: endoscopic ultrasound, Gastric cancer, Restaging
الوصف: This study aimed to evaluate the diagnostic value of endoscopic ultrasound (EUS) after neoadjuvant therapy (NT) for gastric cancer restaging by meta-analysis. We conducted a systematic search of studies published on PubMed and Web of Science up to 30th August 2021. Assessing the risk of bias in the included studies was done with the QUADAS-2 tool. We used R and Review Manager 5.4.1 for calculations and statistical analysis. To evaluate the diagnostic value of EUS after NT for gastric cancer restaging, we performed a meta-analysis on six studies, with a total of 283 patients, including true-positive, true-negative, false-positive, and false-negative results for T1-T4, N0. EUS as a diagnostic test for GC patients after chemotherapy has a relatively low DOR for the T2 (3.96) and T4 stages (4.79) and a relatively high partial AUC for the T2 (0.85) and T4 (0.71) stages. Our results reveal that the pooled sensitivity for T stages after chemotherapy is rather low (29–56%), except for the T3 stage (71%). A potential limitation of our study was the small number of included studies, but no significant heterogeneity was found between them. Our meta-analysis concludes that EUS is not recommended or is still under debate for GC restaging after NT.
نوع الوثيقة: article in journal/newspaper
اللغة: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/35054266; volume:12; issue:1; firstpage:100; journal:DIAGNOSTICS; http://hdl.handle.net/11369/411943; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85122684696
DOI: 10.3390/diagnostics12010100
الاتاحة: http://hdl.handle.net/11369/411943
https://doi.org/10.3390/diagnostics12010100
رقم الانضمام: edsbas.210F9A3
قاعدة البيانات: BASE
الوصف
DOI:10.3390/diagnostics12010100