Diagnostic value of SARC-CalF scale for sarcopenia in Asian elderly population:A meta-analysis
Objective To systematically evaluate the effect of SARC-CalF scale on screening the risk of sarcopenia in Asian elderly population.Methods The PubMed,Web of Science,Embase,Cochrane Library,CINAHL,CNKI,CBM,VIP and Wanfang for diagnostic/screening trials of SARC-CalF for sarcopenia in Asi-an elderly population were searched from inception to April 2023.The diagnostic accuracy research quality e-valuation tool(QUADAS-2)was used to evaluate the quality of the included literature,and STATA15.1 was used for data analysis.Results A total of 12 literatures were included,and 5 406 cases of sarcopenia in the eld-erly were screened.The results of meta-analysis showed that the combined sensitivity of SARC-CalF scale for screening sarcopenia in the elderly was 0.63[95%confidence interval(95%CI)0.54-0.71],the combined specificity was 0.82(95%CI 0.74-0.88),the positive likelihood ratio was 3.40(95%CI 2.50-4.80),the negative likelihood ratio was 0.45(95%CI 0.37-0.56),and the diagnostic odds ratio was 8(95%CI 5-12).The area under the receiver operating characteristic curve(AUC)was 0.78(95%CI 0.74-0.81).Conclusion SARC-CalF scale has certain accuracy in screening sarcopenia in Asian elderly population,and the diagnostic value of different research populations and regions is different.However,other screening tools are still needed to im-prove the sensitivity and avoid missed diagnosis.