Review Article

The Value of Adenosine Deaminase 2 in the Detection of Tuberculous Pleural Effusion: A Meta-Analysis and Systematic Review

Table 1

A clinical summary of the included studies.

First authorYearCountrySample sizeAetiology of non-TPEGold standardTesting methodCutoff value (U/L)TPFPFNTN

Valdés [18]1996Spain350Malignant, parapneumonic, CHF, empyema, and othersMicrobiology or biopsyGiusti’s method4076110263
Gorguner [19]2000Turkey87Malignant and parapneumonicMicrobiology or biopsyGiusti and Galanti’s method29334347
GAO [20]2005China190MalignantClinical diagnosisMuraoka’s method37.811942245
Mohammadtaheri [21]2005IRAN93Malignant, parapneumonic, transudates, and othersMicrobiology or biopsyGiusti and Galanti’s method42307155
Nella [22]2009India34MalignantMicrobiology or biopsyGiusti and Galanti’s method60181411
Zemlin [23]2009South Africa879Malignant, bacterial, empyema, transudates, and othersMicrobiology or biopsy + clinical diagnosisGiusti and Galanti’s method40.63553010484
Li [24]2009China64MalignantMicrobiology + clinical diagnosisNA19.7301627
Shi [25]2011Taiwan155Malignant, parapneumonic, CHF, and othersMicrobiology or biopsy + antituberculosis treatmentNA242973116
Keng [26]2013Taiwan88Malignant and othersMicrobiology or biopsy + clinical diagnosisGiusti and Galanti’s method12264553
Li [27]2014China90MalignantMicrobiology or biopsyMuraoka’s method29.453631140
Yurt [28]2014Turkey93Malignant and othersMicrobiology or biopsyGiusti’s method20.37417243
Wang [29]2020China52MalignantClinical diagnosisEnzyme colorimetry30.4230623
Zhang [30]2020China155Malignant, parapneumonic, CHF, and othersMicrobiology or biopsy + antituberculosis treatmentMuraoka’s method262973116

NA, not available; FN, false-negative; FP, false-positive; TN, true-negative; TP, true-positive; CHF, congestive heart failure.