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下一代测序技术用于快速诊断结核性胸膜炎的准确性:系统评价与Meta分析方案

Accuracy of next-generation sequencing for rapid diagnosis of tuberculous pleurisy: A protocol of systematic review and meta-analysis.

作者信息

Ling Yuyang, Shen Yanqin, Xu Xudong, Yu Guocan

机构信息

The Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.

Department of Nursing, Hangzhou Red Cross Hospital, Hangzhou, Zhejiang, China.

出版信息

PLoS One. 2025 Feb 25;20(2):e0319175. doi: 10.1371/journal.pone.0319175. eCollection 2025.

DOI:10.1371/journal.pone.0319175
PMID:39999064
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11856282/
Abstract

BACKGROUND

Early, rapid and precise diagnosis of tuberculous pleurisy is difficult. Next-generation sequencing (NGS) has been used for the diagnosis of TB in some high-income countries. We completed the protocol of the study in order to better guide the systematic review and meta-analysis for evaluating the role of NGS in the diagnosis of tuberculous pleurisy, which was the purpose of the current study.

METHODS

We designed and drafted this protocol as per the Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines. Three English databases (Cochrane Library, Embase and Medline via PubMed) and two Chinese databases (China National Knowledge Infrastructure and Wanfang Database) will be used to search for relevant studies. We followed the PICT principles to develop the eligibility criteria. Once the final compliant literature is identified, we will extract the valid information from the literature for statistical analysis. We will assess the quality of the included studies using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool. When there are more than 4 eligible studies, we will use Stata (version 15.0; Stata Corp., College Station, TX, the USA) with midas module to conduct the relevant meta-analysis and plot the relevant forest plots and curves. When there are less than 4 eligible studies, we will use Meta-DiSc (version 1.4) to perform the associated meta-analysis and plot the associated forest plots and curves. We will use the I2 statistic to assess heterogeneity between included studies. We will conduct meta-regression analysis, subgroup analysis and sensitivity analysis to explore possible sources of heterogeneity when significant heterogeneity exists.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO Registration number: CRD42024568791.

摘要

背景

结核性胸膜炎的早期、快速及准确诊断存在困难。在一些高收入国家,下一代测序(NGS)已用于结核病的诊断。我们完成了本研究方案,以便更好地指导系统评价和荟萃分析,以评估NGS在结核性胸膜炎诊断中的作用,这是本研究的目的。

方法

我们根据系统评价与荟萃分析方案报告规范(PRISMA-P)指南设计并起草了本方案。将使用三个英文数据库(Cochrane图书馆、Embase和通过PubMed的Medline)和两个中文数据库(中国知网和万方数据库)检索相关研究。我们遵循PICT原则制定纳入标准。一旦确定最终符合要求的文献,我们将从文献中提取有效信息进行统计分析。我们将使用诊断准确性研究质量评估(QUADAS-2)工具评估纳入研究的质量。当有4项以上符合条件的研究时,我们将使用带有midas模块的Stata(版本15.0;美国德克萨斯州大学站市Stata公司)进行相关的荟萃分析,并绘制相关的森林图和曲线。当符合条件的研究少于4项时,我们将使用Meta-DiSc(版本1.4)进行相关的荟萃分析,并绘制相关的森林图和曲线。我们将使用I²统计量评估纳入研究之间的异质性。当存在显著异质性时,我们将进行meta回归分析、亚组分析和敏感性分析,以探索可能的异质性来源。

系统评价注册

PROSPERO注册号:CRD42024568791。

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本文引用的文献

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An overview of next generation sequencing strategies and genomics tools used for tuberculosis research.下一代测序策略和基因组学工具在结核病研究中的应用概述。
J Appl Microbiol. 2024 Jul 2;135(7). doi: 10.1093/jambio/lxae174.
2
Diagnostic accuracy of nanopore sequencing for the rapid diagnosis of pulmonary tuberculosis: A protocol for a systematic review and meta-analysis.基于纳米孔测序的快速诊断肺结核的诊断准确性:系统评价和荟萃分析方案。
PLoS One. 2024 Jun 6;19(6):e0304162. doi: 10.1371/journal.pone.0304162. eCollection 2024.
3
Validity of Pleuroscopy in Evaluating Pleural Effusions of Uncertain Etiology at the Cardiothoracic Unit of Minia University Hospital, Egypt.埃及米尼亚大学医院心胸科胸腔镜检查在评估病因不明的胸腔积液中的有效性
Cureus. 2024 Apr 29;16(4):e59300. doi: 10.7759/cureus.59300. eCollection 2024 Apr.
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Evaluation of droplet digital polymerase chain reaction by detecting cell-free deoxyribonucleic acid in pleural effusion for the diagnosis of tuberculous pleurisy: a multicentre cohort study.评价通过检测胸腔积液中游离脱氧核糖核酸进行液滴数字聚合酶链反应对结核性胸膜炎的诊断价值:一项多中心队列研究。
Clin Microbiol Infect. 2024 Sep;30(9):1164-1169. doi: 10.1016/j.cmi.2024.05.012. Epub 2024 May 27.
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Tuberculous pleuritis: clinical presentations and diagnostic challenges.结核性胸膜炎:临床表现与诊断难点。
Curr Opin Pulm Med. 2024 May 1;30(3):210-216. doi: 10.1097/MCP.0000000000001052. Epub 2024 Feb 6.
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The tuberculous pleural effusion.结核性胸腔积液
Breathe (Sheff). 2023 Dec;19(4):230143. doi: 10.1183/20734735.0143-2023. Epub 2023 Dec 19.
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Meta-analysis of diagnostic accuracy of nucleic acid amplification tests for abdominal tuberculosis.核酸扩增检测技术诊断腹部结核的准确性的 Meta 分析。
PLoS One. 2023 Nov 27;18(11):e0289336. doi: 10.1371/journal.pone.0289336. eCollection 2023.
8
Simultaneous diagnosis of tuberculous pleurisy and malignant pleural effusion using metagenomic next-generation sequencing (mNGS).采用宏基因组下一代测序(mNGS)同时诊断结核性胸膜炎和恶性胸腔积液。
J Transl Med. 2023 Sep 30;21(1):680. doi: 10.1186/s12967-023-04492-x.
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Metagenomic next-generation sequencing for complex detection: a meta-analysis.基于宏基因组下一代测序的复杂检测:一项荟萃分析。
Front Public Health. 2023 Aug 11;11:1224993. doi: 10.3389/fpubh.2023.1224993. eCollection 2023.
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Diagnostic accuracy of clinical diagnostic scoring systems for childhood tuberculosis: a systematic review and meta-analysis protocol.临床诊断评分系统对儿童结核病的诊断准确性:系统评价和荟萃分析方案。
BMJ Open. 2023 Apr 21;13(4):e069448. doi: 10.1136/bmjopen-2022-069448.