A systematic review and meta-analysis of the diagnostic effectiveness of human papillomavirus methylation biomarkers for detection of cervical cancer

Background: The aim of this systematic review and meta-analysis was to assess the evidence for the diagnostic effectiveness of human papillomavirus (HPV) methylation biomarkers for detection of cervical cancer. Methods: PubMed, Embase and Web of Science were searched. Nine articles focusing on HPV methylation for detection of precancerous and cancerous cervical lesions were included. The QUADAS-2 tool was used for quality assessment. The receiver operating characteristic (ROC) was the main diagnostic performance parameter extracted. Results: Of the nine articles included in this study, seven were of moderate quality and two were of high quality. A meta-analysis of the ROC for 27 HPV methylation biomarkers revealed an overall pooled ROC of 0.770 (95% CI: 0.720-0.819; I2: 98.4%; Q: 1537.4; p < 0.01). Four methylation biomarkers had strong diagnostic ability (ROC > 0.900), 17 were moderate (ROC: 0.7000-0.8999) and six were poor (ROC < 0.700). Conclusion: HPV methylation biomarkers hold significant promise as independent screening tests for the detection of cervical precancerous and cancerous lesions.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Epigenomics - 14(2022), 18 vom: 07. Sept., Seite 1055-1072

Sprache:

Englisch

Beteiligte Personen:

Hillyar, Christopher Rt [VerfasserIn]
Kanabar, Shivani S [VerfasserIn]
Pufal, Kamil R [VerfasserIn]
Lawson, Alexander W [VerfasserIn]
Saw Hee, Joshua Li [VerfasserIn]
Rallis, Kathrine S [VerfasserIn]
Nibber, Anjan [VerfasserIn]
Sideris, Michail [VerfasserIn]

Links:

Volltext

Themen:

Biomarker
Biomarkers
Cancer
Cervical cancer
DNA
Epigenetics
HPV
Journal Article
Meta-Analysis
Methylation
ROC
Review
Sensitivity
Specificity
Systematic Review

Anmerkungen:

Date Completed 18.10.2022

Date Revised 20.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.2217/epi-2022-0160

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM34684794X