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Diagnostic Accuracy of the Copenhagen Index in Ovarian Malignancy: A Meta-analysis

Overview
Journal PLoS One
Date 2023 Jun 14
PMID 37315054
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Abstract

Objective: To assess the diagnostic value of the Copenhagen index for ovarian malignancy.

Methods: PubMed, Web of Science, the Cochrane Library, Embase, CBM, CNKI, and WanFang databases were searched throughout June 2021. Statistical analyses were performed using Stata 12, Meta-DiSc, and RevMan 5.3. The pooled sensitivity, specificity, and diagnostic odds ratio were calculated, the summary receiver operating characteristic curve was drawn, and the area under the curve was calculated.

Results: Ten articles, including 11 studies with a total of 5266 patients, were included. The pooled sensitivity, specificity, and diagnostic odds ratio were 0.82 [95% CI (0.80-0.83)], 0.88 [95% CI (0.87-0.89)], and 57.31 [95% CI (32.84-100.02)], respectively. The area under the summary receiver operating characteristics curve and the Q index were 0.9545 and 0.8966, respectively.

Conclusion: Our systematic review shows that the sensitivity and specificity of the Copenhagen index are high enough for it to be used in a clinical setting to provide accurate ovarian cancer diagnosis without considering menopausal status.

Citing Articles

Current and Emerging Strategies for Tubo-Ovarian Cancer Diagnostics.

Brincat M, Mira A, Lawrence A Diagnostics (Basel). 2023; 13(21).

PMID: 37958227 PMC: 10647517. DOI: 10.3390/diagnostics13213331.

References
1.
Deeks J, Macaskill P, Irwig L . The performance of tests of publication bias and other sample size effects in systematic reviews of diagnostic test accuracy was assessed. J Clin Epidemiol. 2005; 58(9):882-93. DOI: 10.1016/j.jclinepi.2005.01.016. View

2.
Higgins J, Thompson S . Quantifying heterogeneity in a meta-analysis. Stat Med. 2002; 21(11):1539-58. DOI: 10.1002/sim.1186. View

3.
Gong S, Chen Y, Zhang Y, Yao W, Chen L, Liu S . [Diagnostic value of CA125, HE4 and Copenhagen Index in differentiating benign from malignant epithelial ovarian tumors]. Nan Fang Yi Ke Da Xue Xue Bao. 2017; 37(5):628-632. PMC: 6780478. View

4.
. Practice Bulletin No. 174: Evaluation and Management of Adnexal Masses. Obstet Gynecol. 2016; 128(5):e210-e226. DOI: 10.1097/AOG.0000000000001768. View

5.
. Committee Opinion No. 477: the role of the obstetrician-gynecologist in the early detection of epithelial ovarian cancer. Obstet Gynecol. 2011; 117(3):742-746. DOI: 10.1097/AOG.0b013e31821477db. View