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Open AccessReview
Diagnostic Utility of Copeptin in Pediatric Patients with Polyuria-Polydipsia Syndrome: A Systematic Review and Meta-Analysis
by
Diana-Andreea Ciortea
Diana-Andreea Ciortea 1,2,
Carmen Loredana Petrea (Cliveți)
Carmen Loredana Petrea (Cliveți) 1,3,*,
Laura Bujoreanu Bezman
Laura Bujoreanu Bezman 1,
Iolanda Cristina Vivisenco
Iolanda Cristina Vivisenco 4,5,
Sorin Ion Berbece
Sorin Ion Berbece 1,*,
Gabriela Gurău
Gabriela Gurău 1,3,
Mădălina Nicoleta Matei
Mădălina Nicoleta Matei 1,3 and
Aurel Nechita
Aurel Nechita 1,3
1
Faculty of Medicine and Pharmacy, University “Dunarea de Jos” of Galati, 800201 Galati, Romania
2
Emergency Clinical Hospital for Children “Maria Sklodowska Curie”, 041451 Bucharest, Romania
3
Emergency Clinical Hospital for Children “Sf Ioan”, 800487 Galati, Romania
4
Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 030167 Bucharest, Romania
5
Emergency Clinical Hospital for Children “Grigore Alexandrescu”, Department of Pediatrics, 011743 Bucharest, Romania
*
Authors to whom correspondence should be addressed.
Int. J. Mol. Sci. 2024, 25(19), 10743; https://doi.org/10.3390/ijms251910743 (registering DOI)
Submission received: 23 August 2024
/
Revised: 2 October 2024
/
Accepted: 3 October 2024
/
Published: 5 October 2024
Abstract
Pediatric patients with polyuria polydipsia syndrome (PPS) represent a diagnostic challenge for clinicians because of the technical difficulties in performing the gold standard water deprivation test (WDT). Copeptin, a stable biomarker representing the C-terminal portion of the polypeptide chain of the antidiuretic hormone, is a reliable diagnostic tool. To assess the diagnostic accuracy of baseline copeptin dosing, arginine/hypertonic saline copeptin stimulation tests, and WDT. This study aimed to establish the diagnostic utility of copeptin in pediatric patients by distinguishing between central diabetes insipidus, nephrogenic diabetes insipidus, and primary polydipsia. Comparative and non-comparative primary studies published between January 2018 and August 2024 focusing on children were searched and included in PubMed, Cochrane Library, Web of Science, ScienceDirect, Scopus, and Google Scholar. The QUADAS-2 tool was used to assess the risk of bias and applicability. Meta-analyses used fixed effects models because of low heterogeneity and the HSROC model. Eleven studies were included with an overall low bias and no significant applicability concerns. The mean pooled sensitivity = 0.98 (95% CI: 0.936–1.025), pooled specificity = 0.947 (95% CI: 0.920–0.973), and AUC = 0.972 (95% CI: 0.952–0.992), indicating excellent diagnostic accuracy. Stimulation methods for copeptin dosing represent an effective and less invasive diagnostic test for children with PPS, and future development of standard copeptin testing protocols is needed.
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MDPI and ACS Style
Ciortea, D.-A.; Petrea, C.L.; Bujoreanu Bezman, L.; Vivisenco, I.C.; Berbece, S.I.; Gurău, G.; Matei, M.N.; Nechita, A.
Diagnostic Utility of Copeptin in Pediatric Patients with Polyuria-Polydipsia Syndrome: A Systematic Review and Meta-Analysis. Int. J. Mol. Sci. 2024, 25, 10743.
https://doi.org/10.3390/ijms251910743
AMA Style
Ciortea D-A, Petrea CL, Bujoreanu Bezman L, Vivisenco IC, Berbece SI, Gurău G, Matei MN, Nechita A.
Diagnostic Utility of Copeptin in Pediatric Patients with Polyuria-Polydipsia Syndrome: A Systematic Review and Meta-Analysis. International Journal of Molecular Sciences. 2024; 25(19):10743.
https://doi.org/10.3390/ijms251910743
Chicago/Turabian Style
Ciortea, Diana-Andreea, Carmen Loredana Petrea (Cliveți), Laura Bujoreanu Bezman, Iolanda Cristina Vivisenco, Sorin Ion Berbece, Gabriela Gurău, Mădălina Nicoleta Matei, and Aurel Nechita.
2024. "Diagnostic Utility of Copeptin in Pediatric Patients with Polyuria-Polydipsia Syndrome: A Systematic Review and Meta-Analysis" International Journal of Molecular Sciences 25, no. 19: 10743.
https://doi.org/10.3390/ijms251910743
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