Review Article

Prognostic Value of MACC1 in Digestive System Neoplasms: A Systematic Review and Meta-Analysis

Table 1

Summary of eligible studies included for meta-analysis.

Study designNumber of patientsCancer subtypeTNM stagingSampleMACC1 detectionMACC1 cut-offHigh MACC1 proportionOutcomeHR obtainmentHR95% CI

Stein et al., 2012 [12, 13]C294CRCI–IVBloodqRT-PCRMedian value147/294OSEstimated1.2600.450–3.530
Zhang et al., 2012 [14]R90CRCI–IVTissueIHCScore ≥ 578/90OSEstimated2.2401.220–4.100
Kang et al., 2013 [15]R317CRCI–IVTissueIHCPositive cells > 20%176/317OSReported2.5601.830–3.570
Zhen et al., 2014 [16]R323CRCI–IVTissueIHCStaining score = 6169/323OSReported1.4100.737–2.699
Ge et al., 2011 [17]R128GCI–IVTissueIHCPositive cells ≥ 20%61/128OSReported0.6210.380–1.014
Guo et al., 2013 [18]R98GCI–IVTissueIHCScore > 360/98OSEstimated1.3300.640–2.760
Wang et al., 2013 [5]R361GCI–IVTissueIHCScore ≥ 3280/361OSReported2.2171.311–3.049
Zhu et al., 2013 [9]R85ECI–IIITissueIHCScore > 247/85OSReported2.2501.180–4.280
Yang et al., 2013 [19]R120HCCN/ATissueqRT-PCRMedian value60/120OSReported1.8421.201–2.514
Qiu et al., 2011 [10]R128HCCI–IIITissueqRT-PCRThreshold value57/128OSReported2.2301.257–3.957
Qu et al., 2012 [20]R234HCCN/ATissueqRT-PCR Value > 0.006 73105/234OSReported1.5081.079–1.835
Ding et al., 2013 [21]R66HCCI–IVTissueIHCPositive cells > 50%33/66OSEstimated2.1900.870–5.530
Xie et al., 2013 [22]R308HCCI–IVTissueIHCScore > 6126/308OSReported4.8233.257–6.893
Ji et al., 2014 [23]R60HCCI–IVTissueIHCScore ≥ 341/60OSReported2.827 1.030–7.759
Gao et al., 2014 [24]R160HCCN/ATissueqRT-PCRROC curve72/160OSReported2.280 1.453–3.580
Stein et al., 2009 [3]C60CRCI–IIITissueqRT-PCRMedian value30/60MFSEstimated3.3401.820–6.130
Isella et al., 2013 [25]R64CRCN/ATissueqRT-PCR >−1.3051/64RFS
DFS
Estimated
Reported
1.880
7.274
1.210–2.920
1.658–31.905
Kawamura et al., 2012 [26]R52CRCII-IIITissueqRT-PCR0.26118/52RFSEstimated2.1001.030–4.300

Study design is described as consecutive patients (C) or retrospective (R). Cancer subgroups include colorectal cancer (CRC), gastric cancer (GC), esophageal cancer (EC), and hepatocellular cancer (HCC). Clinical outcomes include overall survival (OS), metastasis-free survival (MFS), relapse-free survival (RFS), and disease-free survival (DFS). MACC1 measurement is categorized as quantitative real-time polymerase chain reaction (qRT-PCR) and immunohistochemistry (IHC) group.