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First author | Year | Country | Sample size | Aetiology of non-TPE | Gold standard | Testing method | Cutoff value (U/L) | TP | FP | FN | TN |
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Valdés [18] | 1996 | Spain | 350 | Malignant, parapneumonic, CHF, empyema, and others | Microbiology or biopsy | Giusti’s method | 40 | 76 | 11 | 0 | 263 |
Gorguner [19] | 2000 | Turkey | 87 | Malignant and parapneumonic | Microbiology or biopsy | Giusti and Galanti’s method | 29 | 33 | 4 | 3 | 47 |
GAO [20] | 2005 | China | 190 | Malignant | Clinical diagnosis | Muraoka’s method | 37.8 | 119 | 4 | 22 | 45 |
Mohammadtaheri [21] | 2005 | IRAN | 93 | Malignant, parapneumonic, transudates, and others | Microbiology or biopsy | Giusti and Galanti’s method | 42 | 30 | 7 | 1 | 55 |
Nella [22] | 2009 | India | 34 | Malignant | Microbiology or biopsy | Giusti and Galanti’s method | 60 | 18 | 1 | 4 | 11 |
Zemlin [23] | 2009 | South Africa | 879 | Malignant, bacterial, empyema, transudates, and others | Microbiology or biopsy + clinical diagnosis | Giusti and Galanti’s method | 40.6 | 355 | 30 | 10 | 484 |
Li [24] | 2009 | China | 64 | Malignant | Microbiology + clinical diagnosis | NA | 19.7 | 30 | 1 | 6 | 27 |
Shi [25] | 2011 | Taiwan | 155 | Malignant, parapneumonic, CHF, and others | Microbiology or biopsy + antituberculosis treatment | NA | 24 | 29 | 7 | 3 | 116 |
Keng [26] | 2013 | Taiwan | 88 | Malignant and others | Microbiology or biopsy + clinical diagnosis | Giusti and Galanti’s method | 12 | 26 | 4 | 5 | 53 |
Li [27] | 2014 | China | 90 | Malignant | Microbiology or biopsy | Muraoka’s method | 29.45 | 36 | 3 | 11 | 40 |
Yurt [28] | 2014 | Turkey | 93 | Malignant and others | Microbiology or biopsy | Giusti’s method | 20.37 | 41 | 7 | 2 | 43 |
Wang [29] | 2020 | China | 52 | Malignant | Clinical diagnosis | Enzyme colorimetry | 30.4 | 23 | 0 | 6 | 23 |
Zhang [30] | 2020 | China | 155 | Malignant, parapneumonic, CHF, and others | Microbiology or biopsy + antituberculosis treatment | Muraoka’s method | 26 | 29 | 7 | 3 | 116 |
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