Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction : systematic literature review and meta-analysis

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Autor principal: Gomes, Ciro Martins
Data de publicació: 2015
Altres autors: Mazin, Suleimy Cristina, Santos, Elisa Raphael dos, Cesetti, Mariana Vicente, Bächtold, Guilherme Albergaria Brízida, Cordeiro, João Henrique de Freitas, Theodoro, Fabrício Claudino Estrela Terra, Damasco, Fabiana dos Santos, Carranza, Sebastián Andrés Vernal, Santos, Adriana de Oliveira, Roselino, Ana Maria, Sampaio, Raimunda Nonata Ribeiro
Format: Article
Idioma: eng
Font: Repositório Institucional da UnB
Download full: http://repositorio.unb.br/handle/10482/29536
http://dx.doi.org/10.1590/0074-02760140280
Sumari: The diagnosis of mucocutaneous leishmaniasis (MCL) is hampered by the absence of a gold standard. An accurate diagnosis is essential because of the high toxicity of the medications for the disease. This study aimed to assess the ability of polymerase chain reaction (PCR) to identify MCL and to compare these results with clinical research recently published by the authors. A systematic literature review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement was performed using comprehensive search criteria and communication with the authors. A meta-analysis considering the estimates of the univariate and bivariate models was performed. Specificity near 100% was common among the papers. The primary reason for accuracy differences was sensitivity. The meta-analysis, which was only possible for PCR samples of lesion fragments, revealed a sensitivity of 71% [95% confidence interval (CI) = 0.59; 0.81] and a specificity of 93% (95% CI = 0.83; 0.98) in the bivariate model. The search for measures that could increase the sensitivity of PCR should be encouraged. The quality of the collected material and the optimisation of the amplification of genetic material should be prioritised.
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author Gomes, Ciro Martins
author2 Mazin, Suleimy Cristina
Santos, Elisa Raphael dos
Cesetti, Mariana Vicente
Bächtold, Guilherme Albergaria Brízida
Cordeiro, João Henrique de Freitas
Theodoro, Fabrício Claudino Estrela Terra
Damasco, Fabiana dos Santos
Carranza, Sebastián Andrés Vernal
Santos, Adriana de Oliveira
Roselino, Ana Maria
Sampaio, Raimunda Nonata Ribeiro
author2_role author
author
author
author
author
author
author
author
author
author
author
author_browse Bächtold, Guilherme Albergaria Brízida
Carranza, Sebastián Andrés Vernal
Cesetti, Mariana Vicente
Cordeiro, João Henrique de Freitas
Damasco, Fabiana dos Santos
Gomes, Ciro Martins
Mazin, Suleimy Cristina
Roselino, Ana Maria
Sampaio, Raimunda Nonata Ribeiro
Santos, Adriana de Oliveira
Santos, Elisa Raphael dos
Theodoro, Fabrício Claudino Estrela Terra
author_facet Gomes, Ciro Martins
Mazin, Suleimy Cristina
Santos, Elisa Raphael dos
Cesetti, Mariana Vicente
Bächtold, Guilherme Albergaria Brízida
Cordeiro, João Henrique de Freitas
Theodoro, Fabrício Claudino Estrela Terra
Damasco, Fabiana dos Santos
Carranza, Sebastián Andrés Vernal
Santos, Adriana de Oliveira
Roselino, Ana Maria
Sampaio, Raimunda Nonata Ribeiro
author_role author
bitstream.checksum.fl_str_mv d3648350db2029cfe739fea2299f84a6
bitstream.checksumAlgorithm.fl_str_mv MD5
bitstream.url.fl_str_mv http://repositorio.unb.br/bitstream/10482/29536/1/ARTIGO_AccuracyMucocutaneousLeishmaniasis.pdf
collection Repositório Institucional da UnB
dc.contributor.author.fl_str_mv Gomes, Ciro Martins
Mazin, Suleimy Cristina
Santos, Elisa Raphael dos
Cesetti, Mariana Vicente
Bächtold, Guilherme Albergaria Brízida
Cordeiro, João Henrique de Freitas
Theodoro, Fabrício Claudino Estrela Terra
Damasco, Fabiana dos Santos
Carranza, Sebastián Andrés Vernal
Santos, Adriana de Oliveira
Roselino, Ana Maria
Sampaio, Raimunda Nonata Ribeiro
dc.date.accessioned.fl_str_mv 2017-12-07T05:11:37Z
dc.date.available.fl_str_mv 2017-12-07T05:11:37Z
dc.date.issued.fl_str_mv 2015-04
dc.identifier.citation.fl_str_mv GOMES, Ciro Martins et al. Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction: systematic literature review and meta-analysis. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v. 110, n. 2, p. 157-165, abr. 2015. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762015000200157&lng=en&nrm=iso>. Acesso em: 9 maio 2018. Epub Mar 31, 2015. doi: http://dx.doi.org/10.1590/0074-02760140280.
dc.identifier.doi.pt_BR.fl_str_mv http://dx.doi.org/10.1590/0074-02760140280
dc.identifier.uri.fl_str_mv http://repositorio.unb.br/handle/10482/29536
dc.language.iso.fl_str_mv eng
dc.publisher.none.fl_str_mv Instituto Oswaldo Cruz, Ministério da Saúde
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da UnB
instname:Universidade de Brasília (UnB)
instacron:UNB
dc.subject.keyword.pt_BR.fl_str_mv Leishmaniose
Diagnóstico
dc.title.pt_BR.fl_str_mv Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction : systematic literature review and meta-analysis
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
description The diagnosis of mucocutaneous leishmaniasis (MCL) is hampered by the absence of a gold standard. An accurate diagnosis is essential because of the high toxicity of the medications for the disease. This study aimed to assess the ability of polymerase chain reaction (PCR) to identify MCL and to compare these results with clinical research recently published by the authors. A systematic literature review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement was performed using comprehensive search criteria and communication with the authors. A meta-analysis considering the estimates of the univariate and bivariate models was performed. Specificity near 100% was common among the papers. The primary reason for accuracy differences was sensitivity. The meta-analysis, which was only possible for PCR samples of lesion fragments, revealed a sensitivity of 71% [95% confidence interval (CI) = 0.59; 0.81] and a specificity of 93% (95% CI = 0.83; 0.98) in the bivariate model. The search for measures that could increase the sensitivity of PCR should be encouraged. The quality of the collected material and the optimisation of the amplification of genetic material should be prioritised.
eu_rights_str_mv openAccess
format article
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identifier_str_mv GOMES, Ciro Martins et al. Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction: systematic literature review and meta-analysis. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v. 110, n. 2, p. 157-165, abr. 2015. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762015000200157&lng=en&nrm=iso>. Acesso em: 9 maio 2018. Epub Mar 31, 2015. doi: http://dx.doi.org/10.1590/0074-02760140280.
instacron_str UNB
institution UNB
instname_str Universidade de Brasília (UnB)
language eng
network_acronym_str UNB
network_name_str Repositório Institucional da UnB
oai_identifier_str oai:repositorio.unb.br:10482/29536
publishDate 2015
publishDateSort 2015
publisher.none.fl_str_mv Instituto Oswaldo Cruz, Ministério da Saúde
reponame_str Repositório Institucional da UnB
repository.mail.fl_str_mv repositorio@unb.br
repository.name.fl_str_mv Repositório Institucional da UnB - Universidade de Brasília (UnB)
repository_id_str
spelling Gomes, Ciro MartinsMazin, Suleimy CristinaSantos, Elisa Raphael dosCesetti, Mariana VicenteBächtold, Guilherme Albergaria BrízidaCordeiro, João Henrique de FreitasTheodoro, Fabrício Claudino Estrela TerraDamasco, Fabiana dos SantosCarranza, Sebastián Andrés VernalSantos, Adriana de OliveiraRoselino, Ana MariaSampaio, Raimunda Nonata Ribeiro2017-12-07T05:11:37Z2017-12-07T05:11:37Z2015-04GOMES, Ciro Martins et al. Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction: systematic literature review and meta-analysis. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v. 110, n. 2, p. 157-165, abr. 2015. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762015000200157&lng=en&nrm=iso>. Acesso em: 9 maio 2018. Epub Mar 31, 2015. doi: http://dx.doi.org/10.1590/0074-02760140280.http://repositorio.unb.br/handle/10482/29536http://dx.doi.org/10.1590/0074-02760140280Instituto Oswaldo Cruz, Ministério da SaúdeMemórias do Instituto Oswaldo Cruz - All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License (CC BY NC 4.0). Fonte: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762015000200157&lng=en&nrm=iso. Acesso em: 9 maio 2018.info:eu-repo/semantics/openAccessAccuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction : systematic literature review and meta-analysisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleLeishmanioseDiagnósticoThe diagnosis of mucocutaneous leishmaniasis (MCL) is hampered by the absence of a gold standard. An accurate diagnosis is essential because of the high toxicity of the medications for the disease. This study aimed to assess the ability of polymerase chain reaction (PCR) to identify MCL and to compare these results with clinical research recently published by the authors. A systematic literature review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement was performed using comprehensive search criteria and communication with the authors. A meta-analysis considering the estimates of the univariate and bivariate models was performed. Specificity near 100% was common among the papers. The primary reason for accuracy differences was sensitivity. The meta-analysis, which was only possible for PCR samples of lesion fragments, revealed a sensitivity of 71% [95% confidence interval (CI) = 0.59; 0.81] and a specificity of 93% (95% CI = 0.83; 0.98) in the bivariate model. The search for measures that could increase the sensitivity of PCR should be encouraged. The quality of the collected material and the optimisation of the amplification of genetic material should be prioritised.Faculdade de Medicina (FM)engreponame:Repositório Institucional da UnBinstname:Universidade de Brasília (UnB)instacron:UNBORIGINALARTIGO_AccuracyMucocutaneousLeishmaniasis.pdfARTIGO_AccuracyMucocutaneousLeishmaniasis.pdfapplication/pdf943427http://repositorio.unb.br/bitstream/10482/29536/1/ARTIGO_AccuracyMucocutaneousLeishmaniasis.pdfd3648350db2029cfe739fea2299f84a6MD51open access10482/295362024-09-19 12:17:41.607open accessoai:repositorio.unb.br:10482/29536Repositório InstitucionalPUBhttps://repositorio.unb.br/oai/requestrepositorio@unb.bropendoar:2024-09-19T15:17:41Repositório Institucional da UnB - Universidade de Brasília (UnB)
spellingShingle Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction : systematic literature review and meta-analysis
Gomes, Ciro Martins
Leishmaniose
Diagnóstico
status_str publishedVersion
title Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction : systematic literature review and meta-analysis
title_full Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction : systematic literature review and meta-analysis
title_fullStr Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction : systematic literature review and meta-analysis
title_full_unstemmed Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction : systematic literature review and meta-analysis
title_short Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction : systematic literature review and meta-analysis
title_sort Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction : systematic literature review and meta-analysis
topic Leishmaniose
Diagnóstico
url http://repositorio.unb.br/handle/10482/29536
http://dx.doi.org/10.1590/0074-02760140280