Meta AnalysisID 1420

治疗前De Ritis比值(天冬氨酸转氨酶/丙氨酸转氨酶比值)在泌尿系统癌症中的预后作用:一项系统评价与Meta分析

CRD42019142310

What is the prognostic value of the pretreatment De Ritis ratio (aspartate transaminase/alanine transaminase ratio) in patients with urological cancers?

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Record Fields

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Meta Analysis Id
1420
Evidence Id
9978
Core Evidence Id
9978
Source Meta Analysis Id
1375
Herb2 Meta Analysis Id
HBMA001375
Crd Id
CRD42019142310
Title
Prognostic role of pretreatment De Ritis ratio (aspartate transaminase/alanine transaminase ratio) in urological cancers: a systematic review and meta-analysis
Review Question
What is the prognostic value of the pretreatment De Ritis ratio (aspartate transaminase/alanine transaminase ratio) in patients with urological cancers?
Study Type Included
Inclusion criteria: 1. Studies in which the prognostic role of the AST/ALT ratio for patients with urological cancers has been investigated; 2. Observational studies; 3. Studies involving patients with a histopathologically-confirmed diagnosis of upper tract urothelial cancer (UTUC), renal cell carcinoma (RCC), prostate cancer (PCa), bladder cancer (BCa); 4. Studies involving patients in whom the dNLR has been calculated from blood samples before treatment; 5. Studies reported the association of pretreatment AST/ALT ratio with specific endpoints, including overall survival (OS), cancer-specific survival (CSS), progression-free survival (DFS), and biochemical recurrence-free survival (BRFS); 6. Studies directly provided hazard ratios (HRs) and 95% confidence interval (CI). Exclusion criteria: 1. Studies didn’t provide critical data, such as HRs and 95% CIs for study endpoints; 2. Studies about basic research; 3. Letters, abstracts, opinions, reviews, and case report; 4. Studies didn’t analyze AST/ALT ratio as dichotomous variable, or didn’t clearly reported the cut-off value; 5. Duplicated studies based on the same cohort.
Condition Being Studied
Urological cancer; aspartate transaminase; alanine transaminase; prognosis; meta-analysis
Participant
Inclusion: patients were histopathologically diagnosed with urological cancers, including upper tract urothelial cancer (UTUC), renal cell carcinoma (RCC), prostate cancer (PCa), bladder cancer (BCa), in whom the AST/ALT ratio has been calculated from blood samples before treatment. Exclusion: animal studies.
Animal
Human Disease Modelled
Intervention
High pretreatment De Ritis ratio (aspartate transaminase/alanine transaminase ratio) of peripheral blood.
Comparator Control
Low pretreatment De Ritis ratio (aspartate transaminase/alanine transaminase ratio) of peripheral blood.
Main Outcome
Overall survival. Measures of effect Hazard ratio and 95% confidence interval.
Outcome Measure
Additional Outcome
Cancer-specific survival, progression-free survival, and biochemical recurrence-free survival. Measures of effect Hazard ratio and 95% confidence interval.
Study Method
Diagnostic, Meta-analysis, Prognostic, Systematic review
Keyword
Alanine Transaminase; Aspartate Aminotransferases; Humans; Prognosis; Urologic Neoplasms
Contact
Chao Li [email protected]
Organisational Affiliation
The First Hospital of Shijiazhuang
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2019-07-13
Registration Date
2019-10-07
Anticipated Start Date
2019-06-12
Anticipated Completion Date
2019-08-15
Title Cn
治疗前De Ritis比值(天冬氨酸转氨酶/丙氨酸转氨酶比值)在泌尿系统癌症中的预后作用:一项系统评价与Meta分析
Title En
Prognostic role of pretreatment De Ritis ratio (aspartate transaminase/alanine transaminase ratio) in urological cancers: a systematic review and meta-analysis
Bilingual Status
complete