Review Article

Diagnostic Value of CA 19-9 and Carcinoembryonic Antigen for Pancreatic Cancer: A Meta-Analysis

Table 2

Subgroup based on different cutoff values of CA 19-9 and CEA.

OutcomesGroupRatio of indices and 95% CI valueHeterogeneity (%) value for heterogeneityRatio between subgroups

Sensitivity
Cutoff value of CA 19-937 U/ml1.46 (1.25–1.70)<0.00170.1<0.0010.55 (0.35–0.87)/0.011
Others2.65 (1.72–4.08)<0.0010.00.977
Cutoff value of CEA5 ng/ml1.59 (1.29–1.96)<0.00175.9<0.0011.10 (0.74–1.64)/0.624
Others1.44 (1.03–2.02)0.03452.90.120

Specificity
Cutoff value of CA 19-937 U/ml1.00 (0.92–1.10)0.94567.50.0011.19 (1.04–1.36)/0.011
Others0.84 (0.76–0.93)<0.0010.00.673
Cutoff value of CEA5 ng/ml0.96 (0.86–1.06)0.41269.8<0.0010.94 (0.79–1.12)/0.498
Others1.02 (0.89–1.18)0.75773.10.024

DOR
Cutoff value of CA 19-937 U/ml3.55 (2.16–5.83)<0.00149.80.0301.15 (0.29–4.57)/0.848
Others3.10 (0.85–11.25)0.08638.60.202
Cutoff value of CEA5 ng/ml3.81 (2.56–5.67)<0.0010.00.4511.27 (0.23–7.16)/0.786
Others3.00 (0.56–16.21)0.20284.30.002