Evidence map›Paper›PMID 23185397›Full record

ArticlePloS one2012

Rapid diagnostic algorithms as a screening tool for tuberculosis: an assessor blinded cross-sectional study.

Franz Ratzinger, Harald Bruckschwaiger, Martin Wischenbart, Bernhard Parschalk, Delmiro Fernandez-Reyes, Heimo Lagler, Alexandra Indra, Wolfgang Graninger, Stefan Winkler, Sanjeev Krishna and 1 more

Abstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2023
    Article
  4. Review
  5. Review
  6. 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

11 authors.

Franz RatzingerDivision of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University Vienna, Vienna, Austria.
Harald Bruckschwaiger
Martin Wischenbart
Bernhard Parschalk
Delmiro Fernandez-Reyes
Heimo Lagler
Alexandra Indra
Wolfgang Graninger
Stefan Winkler
Sanjeev Krishna
Michael Ramharter

Funding

Medical Research Council MC_U117585869
6 · The paper itself

Abstract

backgroundA major obstacle to effectively treat and control tuberculosis is the absence of an accurate, rapid, and low-cost diagnostic tool. A new approach for the screening of patients for tuberculosis is the use of rapid diagnostic classification algorithms.

methodsWe tested a previously published diagnostic algorithm based on four biomarkers as a screening tool for tuberculosis in a Central European patient population using an assessor-blinded cross-sectional study design. In addition, we developed an improved diagnostic classification algorithm based on a study population at a tertiary hospital in Vienna, Austria, by supervised computational statistics.

resultsThe diagnostic accuracy of the previously published diagnostic algorithm for our patient population consisting of 206 patients was 54% (CI: 47%-61%). An improved model was constructed using inflammation parameters and clinical information. A diagnostic accuracy of 86% (CI: 80%-90%) was demonstrated by 10-fold cross validation. An alternative model relying solely on clinical parameters exhibited a diagnostic accuracy of 85% (CI: 79%-89%).

conclusionHere we show that a rapid diagnostic algorithm based on clinical parameters is only slightly improved by inclusion of inflammation markers in our cohort. Our results also emphasize the need for validation of new diagnostic algorithms in different settings and patient populations.

Indexed as

AdultAgedAlgorithmsArtificial IntelligenceBiomarkersCohort StudiesCross-Sectional StudiesDouble-Blind MethodFemaleHumansInflammationMaleMass ScreeningMiddle AgedReproducibility of ResultsTuberculosisBiomarkers

Identifiers

PMID23185397
PMCPMC3504150

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.