Evidence map›Paper›PMID 29859093›Full record

ArticleMalaria journal2018

The role of the Deki Reader™ in malaria diagnosis, treatment and reporting: findings from an Africare pilot project in Nigeria.

Patrick Adah, Omosivie Maduka, Obinna Obasi, Orode Doherty, Susana Oguntoye, Kayla Seadon, Oren Jalon, Nora Zwingerman, Perpetua Uhomoibhi

Open access · goldAbstract readComparative Study
In one paragraph

Article in Malaria journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 12 citations in OpenAlex.

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  7. Target product profile for readers of rapid diagnostic tests.Bulletin of the World Health Organization · 2023
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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

9 authors at 4 institutions in 3 countries.

Patrick AdahAfricare Nigeria, Lagos, Nigeria.
Omosivie MadukaDepartment of Preventive and Social Medicine, College of Health Sciences, University of Port Harcourt, PMB 5323, Port Harcourt, Nigeria. omosivie.maduka@uniport.edu.ng.ORCID http://orcid.org/0000-0002-8243-8131
Obinna ObasiAfricare Nigeria, Lagos, Nigeria.
Orode DohertyAfricare Nigeria, Lagos, Nigeria.
Susana OguntoyeAfricare USA, Washington DC, USA.
Kayla SeadonFio Corporation, Toronto, Canada.
Oren JalonFio Corporation, Toronto, Canada.
Nora ZwingermanFio Corporation, Toronto, Canada.
Perpetua UhomoibhiNational Malaria Elimination Project (NMEP), Federal Ministry of Health, Abuja, Nigeria.
Fio Corporation (Canada) · CAAfricare · USFederal Ministry of Health · NGUniversity of Port Harcourt · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Deki Reader is a diagnostic device used with rapid diagnostic tests (RDTs) and linked to an online database for real-time uploads of patient information and results. This is in contrast to visual interpretation of malaria RDTs recorded on the District Health Information System (DHIS). This paper compares records for use of the Deki Reader with DHIS records of visual interpretation of RDTs.

resultsA total of 4063 patient encounters/tests were recorded on the Deki Reader database between June 1st and December 31st, 2016. These tests were for 2629 persons who presented with fever and had RDT done. In comparison, data from DHIS 2.0 for same period recorded 7201 persons presenting with fever. 2421 out of the 2629 persons (92.1%), received RDT using Deki Reader compared to 6535 out of 7201 persons (90.4%) recorded on DHIS (p = 0.04). From DHIS records, malaria positivity rate was 51.6% (3375 out of 6535 persons) compared to Deki Reader records of 23.6% (572 out of 2421 persons). The difference between these two rates was significant (p < 0.001). The odds ratio (95% CI) for the association between use of Deki Reader and having a positive malaria result was 0.29 (0.26-0.32). DHIS showed that 4008 persons received Artemisinin-based combination therapy (ACT) while 3989 persons tested positive with RDT or microscopy, compared to 691 out of 705 persons (98.0%) using Deki Reader. Finally, Deki Reader identified 618 processing and manufacturers errors with an error rate of 15.3%.

conclusionThe Deki Reader is likely a useful tool for malaria diagnosis, treatment, and real-time data management. It potentially improves diagnostic quality, reduces wastage in ACT administration and improves data quality.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolDiagnostic Tests, RoutineDisease NotificationFemaleHumansInfantInfant, NewbornMalariaMaleMicroscopyMiddle Aged

Identifiers

PMID29859093
PMCPMC5984800
OpenAlexW2807246508

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.