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学科主题临床医学
Accuracy of hematuria for predicting non-diabetic renal disease in patients with diabetes and kidney disease: A systematic review and meta-analysis
Jiang, Shimin1,2; Wang, Yining3; Zhang, Zheng1,2; Dai, Peilin3; Yang, Yue4; Li, Wenge1,2,4
通讯作者Yang, Yue(4) ; Li, Wenge(1,2,4)
关键词Hematuria Non-diabetic renal disease Diabetic nephropathy Renal biopsy Meta-analysis Dysmorphic erythrocytes
刊名DIABETES RESEARCH AND CLINICAL PRACTICE
2018-09-01
DOI10.1016/j.diabres.2018.07.027
143页:288-300
收录类别SCI
文章类型Review
WOS标题词Science & Technology
类目[WOS]Endocrinology & Metabolism
研究领域[WOS]Endocrinology & Metabolism
关键词[WOS]DIFFERENTIAL DIAGNOSTIC MODEL ; CLINICAL PREDICTORS ; MICROSCOPIC HEMATURIA ; MELLITUS ; NEPHROPATHY ; BIOPSY ; PREVALENCE ; PROTEINURIA ; PERFORMANCE ; FEATURES
英文摘要

Aims: To clarify the predictive value of hematuria in patients with diabetes and nondiabetic renal disease (NDRD).

Methods: The databases of Medline, Embase and the Cochrane Library were searched up to November 22, 2017. The pooled sensitivity, specificity, positive and negative likelihood ratio (PLR, NLR), diagnostic odds ratio (DOR), and area under the summary receiver operating characteristic (SROC) curve (AUC) were calculated using a bivariate mixed-effects regression model.

Results: Thirty-eight articles were eligible, of which 35 articles with 4005 patients investigated hematuria. The pooled sensitivity and specificity of hematuria to predict NDRD were 0.42 (95% CI 0.35-0.49) and 0.72 (95% CI 0.64-0.79), respectively. The pooled PLR and NLR were 1.49 (95% CI 1.28-1.75) and 0.81 (95% CI 0.75-0.87), respectively. The DOR was 1.85 (95% CI 1.49-2.30). The pooled AUC was 0.59 (95% CI 0.54-0.63). For dysmorphic erythrocytes, the pooled sensitivity was 0.27 (95% CI 0.23-0.32), while the specificity was 0.94 (95% CI 0.91-0.97). There was heterogeneity among studies (p < 0.001), and no publication bias was identified.

Conclusions: Type 2 diabetes patients presenting with hematuria are slightly more likely to develop NDRD. Dysmorphic erythrocytes may be more useful than microhematuria in diagnosing for NDRD in type 2 diabetes with proteinuria. (C) 2018 Elsevier B. V. All rights reserved.

语种英语
WOS记录号WOS:000445129900036
通讯作者邮箱yangyue_nk@126.com ; wenge_lee2002@126.com
第一作者单位Peking Union Med Coll, Grad Sch, China Japan Friendship Inst Clin Med, Beijing 100730, Peoples R China ; Chinese Acad Med Sci, Beijing 100730, Peoples R China
通讯作者单位Peking Union Med Coll, Grad Sch, China Japan Friendship Inst Clin Med, Beijing 100730, Peoples R China ; Chinese Acad Med Sci, Beijing 100730, Peoples R China ; China Japan Friendship Hosp, Dept Nephrol, 2 East Yinghuayuan St, Beijing 100029, Peoples R China
ISSN0168-8227
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/145558
专题北京大学临床研究所
北京大学第三临床医学院_感染疾病科
作者单位1.Peking Union Med Coll, Grad Sch, China Japan Friendship Inst Clin Med, Beijing 100730, Peoples R China;
2.Chinese Acad Med Sci, Beijing 100730, Peoples R China;
3.Peking Univ, Hlth Sci Ctr, Dept Clin Med, Beijing 100191, Peoples R China;
4.China Japan Friendship Hosp, Dept Nephrol, 2 East Yinghuayuan St, Beijing 100029, Peoples R China
推荐引用方式
GB/T 7714
Jiang, Shimin,Wang, Yining,Zhang, Zheng,et al. Accuracy of hematuria for predicting non-diabetic renal disease in patients with diabetes and kidney disease: A systematic review and meta-analysis[J]. DIABETES RESEARCH AND CLINICAL PRACTICE,2018,143:288-300.
APA Jiang, Shimin,Wang, Yining,Zhang, Zheng,Dai, Peilin,Yang, Yue,&Li, Wenge.(2018).Accuracy of hematuria for predicting non-diabetic renal disease in patients with diabetes and kidney disease: A systematic review and meta-analysis.DIABETES RESEARCH AND CLINICAL PRACTICE,143,288-300.
MLA Jiang, Shimin,et al."Accuracy of hematuria for predicting non-diabetic renal disease in patients with diabetes and kidney disease: A systematic review and meta-analysis".DIABETES RESEARCH AND CLINICAL PRACTICE 143(2018):288-300.
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