Evidence map›Paper›PMID 18923709›Full record

Trial reportPloS one2008

Accuracy of immunodiagnostic tests for active tuberculosis using single and combined results: a multicenter TBNET-Study.

Delia Goletti, Stefania Carrara, Carrara Stefania, Ornella Butera, Massimo Amicosante, Martin Ernst, Ilaria Sauzullo, Vincenzo Vullo, Daniela Cirillo, Emanuele Borroni and 12 more

Erratum issuedOpen access · goldAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in PloS one, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Frontiers in immunology · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Pulmonary Tuberculosis Diagnosis: Where We Are?Tuberculosis and respiratory diseases · 2016
    Review
  14. Article
  15. Article
  16. The biology of mycobacterium tuberculosis infection.Mediterranean journal of hematology and infectious diseases · 2013
    Review
  17. TBNET - Collaborative research on tuberculosis in Europe.European journal of microbiology & immunology · 2012
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

  • Erratum issued
    Stefania, Carrara [corrected to Carrara, Stefania]
5 · Who and what money

Authors and funding

22 authors at 10 institutions in 5 countries.

Delia GolettiTranslational Research Unit, Department of Epidemiology and Preclinical Research, National Institute for Infectious Diseases (INMI) L Spallanzani, IRCCS, Rome, Italy. d.goletti@tiscali.it
Stefania Carrara
Carrara Stefania
Ornella Butera
Massimo Amicosante
Martin Ernst
Ilaria Sauzullo
Vincenzo Vullo
Daniela Cirillo
Emanuele Borroni
Roumiana Markova
Roumiana Drenska
José Dominguez
Irene Latorre
Claudio Angeletti
Assunta Navarra
Nicola Petrosillo
Francesco Nicola Lauria
Giuseppe Ippolito
Giovanni Battista Migliori
Christoph Lange
Enrico Girardi
Istituti di Ricovero e Cura a Carattere Scientifico · ITNational Center of Infectious and Parasitic Diseases · BGResearch Center Borstel - Leibniz Lung Center · DESan Raffaele University of Rome · ITSapienza University of Rome · ITCenter for Prevention and Treatment of Infections · USCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESInstitut d'Investigació en Ciències de la Salut Germans Trias i Pujol · ESIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical application of IFN-gamma release assays (IGRAs) has recently improved the diagnosis of latent tuberculosis infection. In a multicenter study of the Tuberculosis Network European Trialsgroup (TBNET) we aimed to ascertain in routine clinical practice the accuracy of a novel assay using selected peptides encoded in the mycobacterial genomic region of difference (RD) 1 for the diagnosis of active tuberculosis in comparison with tuberculin skin test (TST), QuantiFERON-TB GOLD In-Tube (Cellestis Ltd., Carnegie, Australia) and T-SPOT.TB (Oxfordimmunotec, Abingdon, UK). PRINCIPAL

findings425 individuals from 6 different European centres were prospectively enrolled. We found that sensitivity of the novel test, TST, QuantiFERON-TB GOLD In-Tube and T-SPOT.TB was respectively 73.1%, 85.3%, 78.1%, and 85.2%; specificity was respectively 70.6%, 48.0%, 61.9% and 44.3%; positive likelihood ratios were respectively 2.48, 1.64, 2.05, and 1.53; negative likelihood ratios were respectively 0.38, 0.31, 0.35, 0.33. Sensitivity of TST combined with the novel test, QuantiFERON-TB GOLD In-Tube and T-SPOT.TB increased up to 92.4%, 97.7% and 97.1%, respectively. The likelihood ratios of combined negative results of TST with, respectively, the novel test, QuantiFERON-TB GOLD In-Tube and T-SPOT.TB were 0.19, 0.07 and 0.10.

conclusionsThe assay based on RD1 selected peptides has similar accuracy for active tuberculosis compared with TST and commercial IGRAs. Then, independently of the spectrum of antigens used in the assays to elicit mycobacterial specific immune responses, the novel test, IGRAs, and the TST do not allow an accurate identification of active tuberculosis in clinical practice. However, the combined use of the novel assay or commercial IGRAs with TST may allow exclusion of tuberculosis.

Indexed as

AdultAntigens, BacterialFemaleHumansImmunologic TestsMaleMiddle AgedMycobacterium tuberculosisProspective StudiesReproducibility of ResultsSensitivity and SpecificityTuberculin TestTuberculosisAntigens, Bacterial

Identifiers

PMID18923709
PMCPMC2561073
OpenAlexW2113243225

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.