Evidence map›Paper›PMID 27483008›Full record

Trial reportPloS one2016

Clinical Evaluation of the BD FACSPresto™ Near-Patient CD4 Counter in Kenya.

Francis Angira, Benta Akoth, Paul Omolo, Valarie Opollo, Scott Bornheimer, Kevin Judge, Henok Tilahun, Beverly Lu, Imelda Omana-Zapata, Clement Zeh

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02396355 (Accuracy Evaluation of the BD FACS Presto System), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT02396355 completednot on this map

Accuracy Evaluation of the BD FACS Presto System: Instrument, Software and BD CD4/%CD4/Hb Cartridge Assay

TypeobservationalSponsorBecton, Dickinson and CompanyRan2015 to 2015Enrolled583ConditionsAcquired Immunodeficiency SyndromeArmsInvestigational BD FACSPresto System, BD FACSCalibur flow cytometer, Sysmex hematology analyzer KX-21
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Performance Evaluation of BD FACSPrestoDiagnostics (Basel, Switzerland) · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. 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

10 authors.

Francis AngiraKenya Medical Research Institute/US CDC Research and Public Health Collaboration, Kisumu, Kenya.
Benta AkothKenya Medical Research Institute/US CDC Research and Public Health Collaboration, Kisumu, Kenya.
Paul OmoloKenya Medical Research Institute/US CDC Research and Public Health Collaboration, Kisumu, Kenya.
Valarie OpolloKenya Medical Research Institute/US CDC Research and Public Health Collaboration, Kisumu, Kenya.
Scott BornheimerBD Biosciences, 2350 Qume Drive, San Jose, California, United States of America.
Kevin JudgeBD Biosciences, 2350 Qume Drive, San Jose, California, United States of America.
Henok TilahunBD Biosciences, 2350 Qume Drive, San Jose, California, United States of America.
Beverly LuBD Biosciences, 2350 Qume Drive, San Jose, California, United States of America.
Imelda Omana-ZapataBD Biosciences, 2350 Qume Drive, San Jose, California, United States of America.
Clement ZehUS Centers for Disease Control and Prevention (CDC-Kenya), Kisumu, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe BD FACSPresto™ Near-Patient CD4 Counter was developed to expand HIV/AIDS management in resource-limited settings. It measures absolute CD4 counts (AbsCD4), percent CD4 (%CD4), and hemoglobin (Hb) from a single drop of capillary or venous blood in approximately 23 minutes, with throughput of 10 samples per hour. We assessed the performance of the BD FACSPresto system, evaluating accuracy, stability, linearity, precision, and reference intervals using capillary and venous blood at KEMRI/CDC HIV-research laboratory, Kisumu, Kenya, and precision and linearity at BD Biosciences, California, USA.

methodsFor accuracy, venous samples were tested using the BD FACSCalibur™ instrument with BD Tritest™ CD3/CD4/CD45 reagent, BD Trucount™ tubes, and BD Multiset™ software for AbsCD4 and %CD4, and the Sysmex™ KX-21N for Hb. Stability studies evaluated duration of staining (18-120-minute incubation), and effects of venous blood storage <6-24 hours post-draw. A normal cohort was tested for reference intervals. Precision covered multiple days, operators, and instruments. Linearity required mixing two pools of samples, to obtain evenly spaced concentrations for AbsCD4, total lymphocytes, and Hb.

resultsAbsCD4 and %CD4 venous/capillary (N = 189/ N = 162) accuracy results gave Deming regression slopes within 0.97-1.03 and R2 ≥0.96. For Hb, Deming regression results were R2 ≥0.94 and slope ≥0.94 for both venous and capillary samples. Stability varied within 10% 2 hours after staining and for venous blood stored less than 24 hours. Reference intervals results showed that gender-but not age-differences were statistically significant (p<0.05). Precision results had <3.5% coefficient of variation for AbsCD4, %CD4, and Hb, except for low AbsCD4 samples (<6.8%). Linearity was 42-4,897 cells/μL for AbsCD4, 182-11,704 cells/μL for total lymphocytes, and 2-24 g/dL for Hb.

conclusionsThe BD FACSPresto system provides accurate, precise clinical results for capillary or venous blood samples and is suitable for near-patient CD4 testing.

trial registrationClinicalTrials.gov NCT02396355.

Indexed as

AdolescentAdultAgedCD4 Lymphocyte CountCD4-Positive T-LymphocytesChildChild, PreschoolFemaleFlow CytometryHIV InfectionsHumansKenyaMaleMiddle AgedSensitivity and SpecificityYoung Adult

Identifiers

PMID27483008
PMCPMC4970792

What OpenQuestion holds

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Registered trials

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.