Evidence map›Paper›PMID 28470022›Full record

ArticleOpen forum infectious diseases2017

Clinical Impact of Nucleic Acid Amplification Testing in the Diagnosis of

Kassem Bourgi, Jaimin Patel, Linoj Samuel, Angela Kieca, Laura Johnson, George Alangaden

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Kassem BourgiDivision of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Jaimin PatelDivision of Endocrinology, Department of Medicine, Rowan University School of Osteopathic Medicine, Stratford, New Jersey.
Linoj SamuelDivision of Clinical Microbiology, Department of Pathology and Laboratory Medicine and.
Angela KiecaDivision of Infectious Diseases, Department of Medicine, Henry Ford Hospital, Detroit, Michigan; and.
Laura JohnsonDivision of Infectious Diseases, Department of Medicine, University of Michigan Health System, Ann Arbor.
George AlangadenDivision of Infectious Diseases, Department of Medicine, Henry Ford Hospital, Detroit, Michigan; and.
Henry Ford Hospital · USMichigan Medicine · USRowan University · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNucleic acid amplification (NAA) testing for

methodsWe identified a retrospective cohort of all patients with AFB smear-positive respiratory specimens at Henry Ford Hospital from January 1, 2001 through December 31, 2011. We examined the association between patients' sociodemographic factors and clinical comorbidities with the likelihood of being diagnosed with MTB. We evaluated the projected change in duration of airborne isolation and unnecessary MTB treatment with introducing NAA testing into clinical decision making for AFB smear-positive patients.

resultsOne hundred thirty patients had AFB smear-positive respiratory specimens, 80 of these patients had a positive NAA test result, and 82 patients grew MTB on culture. Nucleic acid amplification testing had a sensitivity and specificity of 97.6% and 100%, respectively. Integrating NAA testing into clinical decision making for patients with AFB-positive smears was associated with a significantly shorter time in airborne isolation (6.0 ± 7.6 vs 23.1 ± 38.0,

conclusionsNucleic acid amplification testing provided a rapid and accurate test in the diagnosis of MTB while significantly reducing the duration of isolation and unnecessary medications in patients with negative NAA test.

Indexed as

diagnostic testingMycobacterium tuberculosisnucleic acid tests.

Identifiers

PMID28470022
PMCPMC5407217
OpenAlexW2594492270

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.