Evidence map›Paper›PMID 21985809›Full record

SynthesisThe Indian journal of medical research2011

PCR versus serology for diagnosing Mycoplasma pneumoniae infection: a systematic review & meta-analysis.

Lei Zhang, Zhi-Yong Zong, Yan-Bin Liu, Hui Ye, Xiao-Ju Lv

Abstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Indian journal of medical research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

38 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
  2. Article
  3. Comparison between DNA- and RNA-based nucleic acid amplification tests for detecting Mycoplasma pneumoniae in pediatric specimens.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Characteristics of theAntibiotics (Basel, Switzerland) · 2023
    Article
  10. Global research trends ofFrontiers in pediatrics · 2023
    Review
  11. Article
  12. The investigation of P1 gene inNew microbes and new infections · 2022
    Article
  13. Clinical Characteristics of Macrolide-RefractoryJournal of clinical medicine · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Clinical factors influencing the performance of bacterial multiplex polymerase chain reaction in patients with community-onset pneumonia.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  20. Hepatocyte growth factor can guide treatment ofExperimental and therapeutic medicine · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Lei ZhangCenter of Infectious Disease, West China Hospital, Sichuan University, Sichuan, PR China.
Zhi-Yong Zong
Yan-Bin Liu
Hui Ye
Xiao-Ju Lv
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

objectivesDiagnosis for Mycoplasma pneumoniae usually relies on serological tests. PCR technology has some advantages but also limitations. The optimal selection for these tests still needs discussion. This paper reviews the overall diagnostic accuracy of PCR versus serological assays for diagnosis of M. pneumoniae infections and to identify factors associated with heterogeneity of results.

methodsMEDLINE and Embase databases were searched. Articles meeting the selection criteria were retrieved for data collection and analysis. Studies were assessed for methodological quality using QUADAS. Hierarchial summary receiver operating characteristic (HSROC) model was used to estimate summary ROC curve.

resultsInitial meta-analysis showed a summary estimate of sensitivity (SEN) 0.62 (95% CI, 0.45-0.76), and specificity (SPE) 0.96 (95% CI, 0.93-0.98). Subgroup analyses were performed to identify factors associated with heterogeneity. For different gene targets, reference standards, subjects (children or adults) and different PCR types, these aspects can generate results of heterogeneity. The 16s rDNA target and adult subjects and real-time PCR may have better test results for PCR. INTERPRETATION &

conclusionsCommercial PCR tests generated consistent results with high specificity but a lower and more variable sensitivity. The findings suggest commercial PCR tests having superiorities in diagnosing M. pneumoniae infections but still cannot replace serology. PCR plus serology could be good screening tests for reliable and accurate diagnosis of M. pneumoniae.

Indexed as

AdultChildHumansMEDLINEMycoplasma pneumoniaePneumonia, MycoplasmaPolymerase Chain ReactionRNA, Ribosomal, 16SROC CurveSensitivity and SpecificitySerologyRNA, Ribosomal, 16S

Identifiers

PMID21985809
PMCPMC3193707
OpenAlexW2141762910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.