Systematic review with meta‐analysis: Diagnostic performance of faecal calprotectin in distinguishing inflammatory bowel disease from irritable bowel syndrome in adults Article Swipe
Elton Dajti
,
Leonardo Frazzoni
,
Veronica Iascone
,
Matteo Secco
,
Amanda Vestito
,
Lorenzo Fuccio
,
Leonardo Henry Eusebi
,
Pietro Fusaroli
,
Fernando Rizzello
,
Carlo Calabrese
,
Paolo Gionchetti
,
Franco Bazzoli
,
Rocco Maurizio Zagari
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/apt.17754
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/apt.17754
Summary Background Symptoms of inflammatory bowel disease (IBD) often overlap with those of irritable bowel syndrome (IBS). Aim To evaluate the diagnostic performance of faecal calprotectin in distinguishing patients with IBD from those with IBS Methods We searched MEDLINE, Embase, Scopus, and Cochrane Library databases up to 1 January 2023. Studies were included if they assessed the diagnostic performance of faecal calprotectin in distinguishing IBD from IBS (defined according to the Rome criteria) using colonoscopy with histology or radiology as reference standard in adults. We calculated summary sensitivity and specificity and their 95% confidence intervals (CI) using a random‐effect bivariate model. The risk of bias was assessed using the Quality Assessment of Diagnostic Accuracy Studies II. Results We included 17 studies with a total of 1956 patients. The summary sensitivity was 85.8% (95% CI: 78.3–91), and the specificity was 91.7% (95% CI: 84.5–95.7). At a prevalence of IBD of 1%, the negative predictive value was 99.8%, while the positive predictive value was only 9%. Subgroup analyses showed a higher sensitivity in Western than in Eastern countries (88% vs 73%) and at a cut‐off of ≤50 μg/g than at >50 μg/g (87% vs. 79%), with similar estimates of specificity. All studies were at “high” or “unclear” risk of bias. Conclusions Faecal calprotectin is a reliable test in distinguishing patients with IBD from those with IBS. Faecal calprotectin seems to have a better sensitivity in Western countries and at a cut‐off of ≤50 μg/g.
Related Topics
Concepts
Medicine
Irritable bowel syndrome
Internal medicine
Faecal calprotectin
Calprotectin
Meta-analysis
Gastroenterology
Colonoscopy
Inflammatory bowel disease
Cochrane Library
Disease
Colorectal cancer
Cancer
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1111/apt.17754
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/apt.17754
- OA Status
- hybrid
- Cited By
- 25
- References
- 40
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4387563339
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4387563339Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/apt.17754Digital Object Identifier
- Title
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Systematic review with meta‐analysis: Diagnostic performance of faecal calprotectin in distinguishing inflammatory bowel disease from irritable bowel syndrome in adultsWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-10-12Full publication date if available
- Authors
-
Elton Dajti, Leonardo Frazzoni, Veronica Iascone, Matteo Secco, Amanda Vestito, Lorenzo Fuccio, Leonardo Henry Eusebi, Pietro Fusaroli, Fernando Rizzello, Carlo Calabrese, Paolo Gionchetti, Franco Bazzoli, Rocco Maurizio ZagariList of authors in order
- Landing page
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https://doi.org/10.1111/apt.17754Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/apt.17754Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/apt.17754Direct OA link when available
- Concepts
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Medicine, Irritable bowel syndrome, Internal medicine, Faecal calprotectin, Calprotectin, Meta-analysis, Gastroenterology, Colonoscopy, Inflammatory bowel disease, Cochrane Library, Disease, Colorectal cancer, CancerTop concepts (fields/topics) attached by OpenAlex
- Cited by
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25Total citation count in OpenAlex
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2025: 15, 2024: 10Per-year citation counts (last 5 years)
- References (count)
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40Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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