Immunodiagnostic efficacy of detection of Schistosoma japonicum ...

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Immunodiagnostic efficacy of detection of Schistosoma japonicum human infections in China: a meta analysis. Wei Wang1,2*, Youzi Li1,2, Hongjun Li1,2, ...
Asian Pacific Journal of Tropical Medicine (2012)15-23

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Immunodiagnostic efficacy of detection of Schistosoma japonicum human infections in China: a meta analysis Wei Wang 1,2*, Youzi Li 1,2, Hongjun Li 1,2, Yuntian Xing 1,2, Guoli Qu 1,2, Jianrong Dai 1,2, Yousheng Liang 1,2* Jiangsu Institute of Parasitic Diseases, 117 Yangxiang, Meiyuan, Wuxi 214064, Jiangsu Province, People’s Republic of China Key Laboratory on Technology for Parasitic Disease Prevention and Control, Ministry of Health, 117 Yangxiang, Meiyuan, Wuxi 214064, Jiangsu Province, People’s Republic of China

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ARTICLE INFO

ABSTRACT

Article history: Received 14 November 2011 Received in revised form 15 December 2011 Accepted 5 January 2012 Available online 20 January 2012

Objective: To assess the diagnostic efficacy of the currently most widely used indirect hemagglutination assay (IHA) and enzyme-linked immunosorbent assay (ELISA) for detection of Schistosoma japonicum human infections. Methods: A comprehensive search was undertaken from China National Knowledge Infrastructure, Wanfang Database, VIP Database, PubMed, Cochrane Library, Science Citation Index Expanded, Proquest, and the inclusion and exclusion criteria were strictly settled. The funnel plot was used to assess the publication bias, Cochran’s Q test was employed to measure the homogeneity between studies, a summary receiver operating characteristic (SROC) curve was used to compare the diagnostic accuracy between the IHA and ELISA qualitatively by means of the Weighted Least Square method, the Ordinary Least Square method and the Robust regression method, and the diagnostic odds ratio (DOR) was drawn to compare the accuracy quantitatively. Results: Out of 785 publications, 19 papers were eventually selected for analysis. Literature quality assessment indicated that minor publication bias existed in studies pertaining IHA test, but no bias was found in literatures regarding ELISA test. The heterogeneity test showed a heterogeneity between studies was present (氈2=466.07 and 34.67, both P values