Evidence map›Paper›PMID 24984164›Full record

SynthesisInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2014

NS1-based tests with diagnostic utility for confirming dengue infection: a meta-analysis.

Hao Zhang, Wei Li, Junjie Wang, Hongjuan Peng, Xiaoyan Che, Xiaoguang Chen, Yuanping Zhou

Open access · goldAbstract readEvaluation StudyMeta-Analysis
In one paragraph

Synthesis in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

31 citing papers in PubMed, 70 citations in OpenAlex.

  1. Article
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  5. Dengue encephalitis: what's new?Current opinion in infectious diseases · 2025
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  11. Performance of VIDASDiagnostics (Basel, Switzerland) · 2023
    Article
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  15. Article
  16. Serological Diagnosis of Dengue.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  17. Review
  18. Evaluation of VIDASDiagnostics (Basel, Switzerland) · 2021
    Article
  19. Dengue: A Minireview.Viruses · 2020
    Review
  20. 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

7 authors at 3 institutions in 1 country.

Hao ZhangDepartment of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Ave, Guangzhou, 510515, China; Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Province, School of Public Health and Tropical Medicine, Southern Medical University, 1838 North Guangzhou Ave, Guangzhou, 510515, China.
Wei LiDepartment of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Ave, Guangzhou, 510515, China.
Junjie WangDepartment of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Ave, Guangzhou, 510515, China.
Hongjuan PengKey Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Province, School of Public Health and Tropical Medicine, Southern Medical University, 1838 North Guangzhou Ave, Guangzhou, 510515, China.
Xiaoyan CheCenter for Clinical Laboratory, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Xiaoguang ChenKey Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Province, School of Public Health and Tropical Medicine, Southern Medical University, 1838 North Guangzhou Ave, Guangzhou, 510515, China. Electronic address: xgchen2001@hotmail.com.
Yuanping ZhouDepartment of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Ave, Guangzhou, 510515, China. Electronic address: yuanpingzhou@163.com.
Nanfang Hospital · CNSouthern Medical University · CNZhujiang Hospital · CN

Funding

Impacts of Urbanization on Vector Biology and Transmission of Dengue in ChinaR01AI083202 · NIAID · SOUTHERN MEDICAL UNIVERSITY · PI CHEN, XIAOGUANG · 2010 to 2013
$413k
NIAID NIH HHS AI083202-02NIAID NIH HHS R01 AI083202
6 · The paper itself

Abstract

objectivesNon-structural protein 1 (NS1)-based tests may offer a larger window of opportunity for dengue diagnosis and could constitute a very useful diagnostic tool. The aim of this study was to establish the overall accuracy of NS1-based tests for diagnosing dengue infection.

methodsA meta-analysis was conducted including 18 studies published up to October 1, 2012 identified using PubMed, ISI Web of Science, Google Scholar, and the Chinese National Knowledge Infrastructure (CNKI) database.

resultsFor the single NS1-based tests - ELISA (Panbio Dengue Early ELISA Kit, Dengue NS1 Ag ELISA Kit, and Platelia Dengue NS1 Ag-ELISA Kit) and immunochromatography (Dengue NS1 Ag STRIP Kit and SD BIOLINE Dengue Duo Strip Kit) - the summarized sensitivities and specificities were 67% (95% confidence interval (CI) 59-74%) and 99% (95% CI 97-99%), and 71% (95% CI 61-79%) and 99% (95% CI 98-100%), respectively. The hierarchical summary receiver operating characteristics (HSROCs) were 0.92 and 0.96, respectively. For NS1 combined with an anti-dengue-specific IgM test, the summarized sensitivity, specificity, and HSROC were 83% (95% CI 68-92%), 86% (95% CI 79-91%), and 0.91 (95% CI 0.89-0.93), respectively. The accuracy for serotypes was 50.0-90.9% for DENV-1, 38.5-85.7% for DENV-2, 46.7-91.3% for DENV-3, and 21.7-87.0% for DENV-4.

conclusionsThese results support the use of single NS1-based tests; they have good diagnostic utility for confirming dengue and for distinguishing serotypes DENV-1 and 3 from DENV-2 and 4, while they can be used as a screening tool when combined with an IgM test. Moreover, the Dengue NS1 Ag STRIP Kit appears to be the best for confirming and serotyping dengue infection.

Indexed as

DengueDengue VirusEnzyme-Linked Immunosorbent AssayHumansImmunoglobulin MReagent Kits, DiagnosticROC CurveSensitivity and SpecificitySerotypingViral Nonstructural ProteinsImmunoglobulin MReagent Kits, DiagnosticViral Nonstructural ProteinsDengueDiagnostic accuracyNS1SensitivitySpecificity

Identifiers

PMID24984164
PMCPMC4157085
OpenAlexW2067923663

What OpenQuestion holds

Textmetadata
LicenceTDM
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.