Usefulness of Procalcitonin in Inflammatory Bowel Disease: A Systematic Review and Meta-analysis

Author:

Cheung Donna Ann1ORCID,Tamariz Leonardo2,Nemeth Zsuzsanna3,Langshaw Amber Hamid4

Affiliation:

1. Division of Pediatric Gastroenterology, Hepatology, Pancreatology and Nutrition, Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA

2. Division of Population Health and Computational Medicine, Department of Medicine, University of Miami, Miami, FL

3. Department of Health Informatics, Leonard M. Miller School of Medicine, University of Miami, Miami, FL

4. Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University of Miami, Miami, FL

Abstract

Abstract Background Mixed results are reported for procalcitonin (PCT) as biomarkers of infection and disease activity in inflammatory bowel disease (IBD). Method We systematically evaluated and performed a meta-analysis on the usefulness of PCT in assessing infection and disease activity in IBD. Results The pooled standardized mean difference of PCT for those with infection compared with those without was 1.59 (95% CI, 0.72–2.46, P < 0.01) and those with active disease compared with those without was 1.22 (95% CI, 0.66–1.78, P < 0.01), respectively. Conclusion PCT may potentially be useful in differentiating an infectious process from IBD and active from inactive IBD.

Publisher

Oxford University Press (OUP)

Subject

General Earth and Planetary Sciences,General Engineering,General Environmental Science

Reference22 articles.

1. Update on procalcitonin measurements;Meisner;Ann Lab Med.,2014

2. Diagnostic accuracies of procalcitonin and C-reactive protein for bacterial infection in patients with systemic rheumatic diseases: a meta-analysis;Song;Clin Exp Rheumatol.,2015

3. Noninvasive tests for inflammatory bowel disease: a meta-analysis;Holtman;Pediatrics,2016

4. C-Reactive protein, fecal calprotectin, and stool lactoferrin for detection of endoscopic activity in symptomatic inflammatory bowel disease patients: a systematic review and meta-analysis;Mosli;Am J Gastroenterol.,2015

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