4.4 Article

Diagnostic accuracy of the UBC® Rapid Test for bladder cancer: A meta-analysis

Journal

ONCOLOGY LETTERS
Volume 16, Issue 3, Pages 3770-3778

Publisher

SPANDIDOS PUBL LTD
DOI: 10.3892/ol.2018.9089

Keywords

bladder cancer; YBC (R) rapid test; diagnostic; meta-analysis

Categories

Funding

  1. National Natural Science Foundation of China [81570676]
  2. Science and Education Health Project of Jiangsu Province for Important Talent [RC2011055]
  3. '333 High Level Talents Project' in Jiangsu Province, China [BRA2015469, BRA2016514]
  4. Standardized Diagnosis and Treatment Research Program of Key Diseases in Jiangsu Province, China [BE2016791]
  5. Open Project Program of Health Department of Jiangsu Province, China [JSY-2-2016-099]
  6. Social Security Office of Jiangsu Province, China [2010WSN-56]
  7. General Program of Health Department of Jiangsu Province, China [H2009907]
  8. Priority Academic Program Development of Jiangsu Higher Education Institutions [JX10231801]
  9. Jiangsu Province Six Talents Peak from Department of Human Resources

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Bladder cancer is one of the most common cancer types globally. The UBC (R) Rapid Test is a potential novel diagnostic method for bladder cancer, but studies into its accuracy have produced inconsistent results. Thus, the present meta-analysis was conducted in order to determine the overall accuracy of the UBC (R) Rapid Test in detecting bladder cancer. A comprehensive literature search was conducted using MEDLINE, Embase, Cochrane Library, Web of Science, Chinese WanFang and the China National Knowledge Infrastructure databases for relevant studies. Quality assessment of diagnostic accuracy studies 2 was used to assess the quality of each included study. The diagnostic accuracy of the UBC (R) Rapid Test was evaluated by pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR) and the area under the curve (AUC). In addition, Deeks' funnel plot was used to evaluate potential publication bias. Eight studies were included in the quantitative meta-analysis. The results were as follows: Sensitivity 0.59 [95% confidence interval (CI), 0.55-0.62], specificity 0.76 (95% CI, 0.72-0.80), PLR 2.55 (95% CI, 1.75-3.70), NLR 0.56 (95% CI, 0.46-0.67), DOR 4.88 (95% CI, 2.82-8.45) and AUC 0.70 (95% CI, 0.67-0.74). According to the present results, the UBC (R) rapid test is highly accurate in the diagnosis of bladder cancer, however, further studies with better-designed and larger samples are required in order to support the results of the present study.

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