Evidence mapPaperPMID 40229920Full record

SynthesisAnnals of African medicine2026

Diagnostic Accuracy of the Serum-free Androgen Index in Diagnosing Polycystic Ovary Syndrome: An Updated Systematic Review and Meta-analysis.

Shishir Kumar, Divakar Kumar, Mukesh Kumar Niraj, Avijit Saha, Amit Kumar, Pramod Kumar, Rajendra Kumar

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Annals of African medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Shishir KumarDepartment of Biochemistry, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Divakar KumarDepartment of Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Mukesh Kumar NirajDepartment of Biochemistry, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Avijit SahaDepartment of Biochemistry, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Amit KumarDepartment of Laboratory Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Pramod KumarDepartment of Biochemistry, Hi-Tech Medical College and Hospital, Rourkela, Odisha, India.
Rajendra KumarDepartment of Physiology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the diagnostic accuracy of the free androgen index (FAI) in diagnosing polycystic ovary syndrome (PCOS).

methodsWe systematically searched PubMed, Cochrane Library, and Google Scholar databases for relevant studies published up to June 2024. The inclusion criteria were studies that reported the sensitivity and specificity of FAI for PCOS diagnosis. We used a random-effects model to find the pooled sensitivity, specificity, diagnostic odds ratio (DOR), and summary receiver operating characteristic area under the curve (SROC AUC). We determined positive and negative likelihood ratios (NLRs) using the Fagan nomogram and assessed heterogeneity using I2 statistics. We performed meta-regression and subgroup analysis to explore sources of heterogeneity and used Deeks' funnel plot to assess publication bias. This study is registered with PROSPERO (ID: CRD42024546829).

resultsWe included 14 studies with 2870 PCOS patients and 3985 non-PCOS controls. Pooled sensitivity and specificity were 0.81 (95% confidence interval [CI]; 0.73-0.86) and 0.82 (95% CI; 0.72-0.90), respectively. The positive and NLRs were 4.6 (95% CI; 2.8-7.6) and 0.23 (95% CI; 0.17-0.33), respectively. The DOR was 20 (95% CI: 10-39), and the SROC AUC was 0.88 (95% CI: 0.85-0.90). Variability in FAI cutoff values contributed significantly to heterogeneity across studies.

conclusionSerum FAI is a reliable biomarker for diagnosing PCOS, demonstrating sensitivity and specificity exceeding 80%. It is particularly valuable in primary care settings where ultrasound facility is unavailable. FAI assists in diagnosing biochemical hyperandrogenism, especially in cases where clinical criteria are inconclusive.

Indexed as

AndrogensPolycystic Ovary SyndromeBiomarkersFemaleHumansROC CurveSensitivity and SpecificityAndrogensBiomarkersDiagnostic accuracyfree androgen indexIndex d’androgènes librespolycystic ovary syndromeprécision diagnostiquesensibilitésensitivityspécificitéspecificitysyndrome des ovaires polykystiques

Identifiers

PMID40229920
PMCPMC12872155

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.