Review Article

Cell-free DNA as a Promising Diagnostic Biomarker in Prostate Cancer: A Systematic Review and Meta-Analysis

Table 2

Summary diagnostic performance of cell-free DNA for prostate cancer.

GroupSubgroupSEN (95% CI)SPE (95% CI)PLR (95% CI)NLR (95% CI)DOR (95% CI)AUC (95% CI)

EthnicityAsian0.38 (0.22, 0.58)1.00 (0.77, 1.00)176.9 (1.6, 19814.7)0.62 (0.45, 0.84)287 (3, 29034)0.81 (0.77, 0.84)
European0.53 (0.34, 0.71)0.90 (0.80, 0.95)5.3 (2.9, 9.6)0.53 (0.36, 0.76)10 (5, 21)0.83 (0.79, 0.86)
American0.75 (0.56, 0.87)0.63 (0.35, 0.84)2.0 (1.2, 3.5)0.40 (0.29, 0.35)5 (3, 9)0.76 (0.72, 0.79)

Sample typesPlasma and serum0.55 (0.41, 0.68)0.90 (0.81, 0.95)5.5 (3.2, 9.4)0.50 (0.39, 0.64)11 (7, 18)0.81 (0.77, 0.84)
Plasma0.50 (0.33, 0.67)0.88 (0.78, 0.94)4.3 (2.8, 6.4)0.57 (0.43, 0.75)8 (5, 11)0.79 (0.75, 0.82)
Serum0.58 (0.39, 0.76)0.95 (0.77, 0.99)11.6 (2.8, 48.7)0.44 (0.29, 0.66)26 (7, 100)0.84 (0.80, 0.87)
Urine supernatant0.65 (−)0.59 (−)1.59 (−)0.59 (−)2.69 (−)

MethylationYes0.44 (0.31, 0.58)0.95 (0.89, 0.98)8.7 (4.5, 16.6)0.59 (0.47, 0.75)15 (7, 29)0.84 (0.80, 0.87)
No0.78 (0.64, 0.88)0.59 (0.36, 0.78)1.9 (1.2, 2.9)0.37 (0.26, 0.53)5 (3, 9)0.76 (0.73, 0.80)

Overall0.56 (0.43, 0.68)0.89 (0.80, 0.95)5.1 (3.1, 8.6)0.49 (0.39, 0.63)10 (6, 17)0.80 (0.76, 0.83)

SEN, sensitivity; SPE, specificity; PLR, positive likelihood ratios; PLR, positive likelihood ratios; NLR, negative likelihood ratios; DOR, diagnostic odds ratios; AUC, the area under curve.