Evidence map›Paper›PMID 26309503›Full record

ArticleInternational journal of clinical and experimental medicine2015

Diagnostic accuracy of exhaled nitric oxide in asthma: a meta-analysis of 4,691 participants.

Zhenzhen Li, Wenzhe Qin, Lei Li, Qin Wu, Youjuan Wang

Abstract read
In one paragraph

Article in International journal of clinical and experimental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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.

Zhenzhen LiWest China School of Medicine/West China Hospital, Sichuan University Chengdu, Sichuan, China.
Wenzhe QinWest China School of Medicine/West China Hospital, Sichuan University Chengdu, Sichuan, China.
Lei LiWest China School of Medicine/West China Hospital, Sichuan University Chengdu, Sichuan, China.
Qin WuWest China School of Medicine/West China Hospital, Sichuan University Chengdu, Sichuan, China.
Youjuan WangHealth Management Center, West China Hospital, Sichuan University Chengdu, Sichuan, China.
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Asthma is a common airway inflammation, but current methods for diagnosing it are poor. Here we meta-analyze the available evidence on the ability of exhaled nitric oxide (eNO) in asthma to serve as a diagnostic marker of asthma. We systematically searched the PubMed and EMBASE databases, published data on sensitivity, specificity and other measures of diagnostic accuracy of eNO in the diagnosis of asthma were meta-analyzed. The methodological quality of each study was assessed by QUADAS-2 (quality assessment for studies of diagnostic accuracy). Statistical analysis was performed by employing Meta-Disc 1.4 software and STATA. And the measures of accuracy of eNO in the diagnosis of asthma were pooled using random-effects models. A total of nineteen publications reporting twenty-one case-control studies were identified. Pooled results indicated that eNO showed a diagnostic sensitivity of 0.78 (95% CI 0.76 to 0.80), specificity was 0.74 (95% CI 0.72 to 0.76). PLR was 3.70 (95% CI 2.84 to 4.81) and NLR was 0.35 (95% CI 0.26 to 0.47). DOR was 11.37 (95% CI 7.54 to 17.13). Exhaled nitric oxide show insufficient sensitivity and specificity for diagnosing asthma, eNO measurements may be useful in combination with clinical manifestations and conventional tests such as pulmonary function tests, assessment of bronchodilator response and bronchial challenge tests.

Indexed as

asthmadiagnosiseNOExhaled nitric oxidemeta-analysis

Identifiers

PMID26309503
PMCPMC4538098
OpenAlexW1596224231

What OpenQuestion holds

Textmetadata
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.