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Table 1 Diagnostic performance of CA125, HE4 and combination of CA125 + HE4 in the subset of studies cited in this article

From: Biomarkers and algorithms for diagnosis of ovarian cancer: CA125, HE4, RMI and ROMA, a review

 

Systematic review or meta-analysis

CA125

HE4

CA125 + HE4

Se (%) (95% IC)

Sp (%) (95% IC)

PPV (%)

NPV (%)

AUC (95% IC)

Se (%) (95% IC)

Sp (%) (95% IC)

PPV (%)

NPV (%)

AUC (95% IC)

Se (%) (95% IC)

Sp (%) (95% IC)

PPV (%)

NPV (%)

AUC (95% IC)

Ferraro et al. [14]

X

79 (77–82)

78 (76–80)

   

79 (76–81)

93 (92–94)

   

82 (78–86)

76 (72–80)

   

Dikmen et al. [15]

 

63

   

0.78

78

   

0.93

     

Chen et al. [19]

 

93

67

  

0.93 (0.88–.97)

73

99

  

0.96 (0.93–1)

97

66

  

0.96 (0.93–1)

Yanaranop et al. [31]

 

84

53

41

89

0.81 (0.74–0.87)

66

86

65

87

0.82 (0.76–.89)

     

Wilailak et al. [32]

     

0.87 (0.80–0.93)

    

0.89 (0.84–0.95)

    

0.89 (0.84–0.95)

Wang et al. [36]

X

79 (74–84)

82 (77–87)

  

0.87 (0.84–0.90)

76 (72–80)

94 (90–96)

  

0.89 (0.86–0.92)

     

Zhen et al. [37]

X

74 (72–76)

83 (81–84)

  

0.85

74 (72–76)

90 (89–91)

  

0.89

     

Abdel-Azeez et al. [45]

 

73 (57–86)

79 (58–93)

  

0.90 (0.82–0.97)

83 (68–93)

88 (68–97)

  

0.95 (0.90–1)

90

79

   

Holcomb et al. [46]

 

85 (69–95)

59 (52–66)

27

96

 

65 (46–80)

92 (87–95)

58

94

 

91

55

26

97

 

Moore et al. [48]

  

61

  

0.84 (0.77–0.90)

 

78

  

0.91 (0.86–0.95)

 

81

  

0.91 (0.87–0.96)

Goff et al. [52]

 

79 (67–88)

76 (68–83)

63

87

 

58 (45–70)

94 (88–97)

83

81

      

Meys et al. [55]

X

               

Van Gorp et al. [56]

 

80 (72–85)

82 (76–86)

   

75 (67–81)

83 (78–88)

        

Al Musalhi et al. [57]

 

79

62

38

91

0.81

71

90

68

91

0.82

     

Moore et al. [62]

           

89 (85–93)

75 (70–79)

60

94

 

Li et al. [64]

X

77 (58–89)

84 (76–90)

  

0.88 (0.85–0.91)

79 (74–84)

93 (87–96)

  

0.82 (0.78–0.85)

     

Wei et al. [66]

 

85

92

91

89

 

75

98

96

85

      

Sandri et al. [67]

 

91

71

  

0.90 (0.86–0.93)

83

91

  

0.92 (0.89–.95)

     
  1. CA125 carbohydrate antigen 125, HE4 human epididymis protein 4, Se sensitivity, Sp specificity, PPV positive predictive value, NPV negative predictive value, AUC area under the curve