Tumor grade analysis uncovered an important trend: as the proportion of high-grade tumors in the studies increased (from <60% to >80%), the diagnostic specificity significantly improved (from 0.63 to 0.98).
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Urine-Based Biomarkers in the Diagnosis of Upper Tract Urothelial Carcinoma: A Systematic Review and Meta-Analysis.
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The sentences
These results are statistically highly significant (all 95% confidence intervals are far from the null value), indicating the substantial clinical potential of urine tests as a non-invasive diagnostic tool for UTUC.