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Table 3 Summary of the diagnostic meta-analysis in the whole population

From: Comparative accuracy of biomarkers for the prediction of hospital-acquired acute kidney injury: a systematic review and meta-analysis

Marker

No. of study

Sensitivity, % (95% CI)

Specificity, % (95% CI)

DOR (95% CI)

Relative sensitivity (95% CI)

Relative specificity (95% CI)

Relative DOR (95% CI)

NGAL

35

76.8 (72.3–80.8)

80.7 (77.1–83.8)

13.8 (10.2–18.8)

Reference

Reference

Reference

IL-18

12

67.6 (60.4–74.0)

80.0 (76.1–83.5)

8.4 (5.7–12.1)

0.88 (0.80–0.96)*

0.99 (0.97–1.02)

0.60 (0.44–0.82)*

IL-18/Cr

3

71.9 (63.3–79.1)

80.6 (75.0–85.3)

10.6 (6.4–17.6)

0.94 (0.84–1.04)

1.00 (0.95–1.05)

0.77 (0.48–1.23)

KIM-1

14

76.3 (70.4–81.4)

79.4 (75.2–83.1)

12.4 (8.5–18.1)

0.99 (0.93–1.06)

0.98 (0.96–1.01)

0.90 (0.65–1.23)

KIM-1/Cr

6

69.9 (60.1–78.1)

83.8 (78.8–87.7)

12.0 (7.0–20.3)

0.91 (0.80–1.03)

1.04 (0.99–1.09)

0.86 (0.52–1.43)

L-FABP

10

69.8 (62.0–76.5)

81.0 (77.0–84.4)

9.8 (6.5–14.8)

0.91 (0.83–0.998)*

1.00 (0.98–1.03)

0.71 (0.50–1.01)

L-FABP/Cr

8

81.8 (74.0–87.7)

69.6 (58.5–78.7)

10.3 (5.4–19.7)

1.07 (0.97–1.17)

0.86 (0.75–0.99)*

0.74 (0.38–1.44)

NGAL/Cr

9

71.6 (63.5–78.5)

86.5 (82.5–89.7)

16.2 (10.1–25.9)

0.93 (0.84–1.03)

1.07 (1.03–1.11)*

1.17 (0.75–1.82)

Serum NGAL

40

76.3 (71.6–80.4)

79.7 (75.9–83.0)

12.6 (9.3–17.3)

0.99 (0.94–1.05)

0.99 (0.96–1.01)

0.91 (0.69–1.21)

TIMP-2 × IGFBP-7: custom

6

86.3 (74.8–93.0)

57.6 (43.1–70.9)

8.5 (3.4–21.4)

1.12 (0.999–1.26)

0.71 (0.56–0.92)*

0.62 (0.23–1.63)

TIMP-2 × IGFBP-7: 0.3

17

68.0 (58.1–76.4)

73.5 (64.1–81.1)

5.9 (3.3–10.4)

0.88 (0.76–1.02)

0.91 (0.80–1.03)

0.42 (0.22–0.81)*

TIMP-2 × IGFBP-7: 2

11

18.5 (12.4–26.8)

97.3 (95.7–98.4)

8.3 (4.3–16.1)

0.24 (0.16–0.36)*

1.21 (1.15–1.26)*

0.60 (0.29–1.24)

  1. CI confidence interval, Cr creatinine, DOR diagnostic odds ratio, IL-18 interleukin-18, KIM-1 kidney injury molecule-1, L-FABP liver-type fatty acid-binding protein, NGAL neutrophil gelatinase-associated lipocalin, TIMP-2 × IGFBP-7 tissue inhibitor of metalloproteinases-2 × insulin-like growth factor-binding protein-7
  2. *Numbers in bold indicate significant difference (P < 0.05) versus the referent category: “NGAL”