Evidence map›Paper›PMID 29899007›Full record

ReviewJournal of clinical microbiology2018

Rapid Antigen Tests for Influenza: Rationale and Significance of the FDA Reclassification.

Daniel A Green, Kirsten StGeorge

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of clinical microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 80 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

2 authors at 2 institutions in 1 country.

Daniel A GreenDepartment of Pathology & Cell Biology, Columbia University College of Physicians and Surgeons, New York, New York, USA dag2149@cumc.columbia.edu.ORCID 0000-0002-2394-1319
Kirsten StGeorgeLaboratory of Viral Diseases, Wadsworth Center, New York State Department of Health, Albany, New York, USA.ORCID 0000-0001-5168-763X
Columbia University · USNew York State Department of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid antigen tests for influenza, here referred to as rapid influenza diagnostic tests (RIDTs), have been widely used for the diagnosis of influenza since their introduction in the 1990s due to their ease of use, rapid results, and suitability for point of care (POC) testing. However, issues related to the diagnostic sensitivity of these assays have been known for decades, and these issues gained greater attention following reports of their poor performance during the 2009 influenza A(H1N1) pandemic. In turn, significant concerns arose about the consequences of false-negative results, which could pose significant risks to both individual patient care and to public health efforts. In response to these concerns, the FDA convened an advisory panel in June 2013 to discuss options to improve the regulation of the performance of RIDTs. A proposed order was published on 22 May 2014, and the final order published on 12 January 2017, reclassifying RIDTs from class I to class II medical devices, with additional requirements to comply with four new special controls. This reclassification is a landmark achievement in the regulation of diagnostic devices for infectious diseases and has important consequences for the future of diagnostic influenza testing with commercial tests, warranting the prompt attention of clinical laboratories, health care systems, and health care providers.

Indexed as

Diagnostic Test ApprovalDiagnostic Tests, RoutineFalse Negative ReactionsHumansImmunoassayInfluenza A Virus, H1N1 SubtypeInfluenza, HumanReagent Kits, DiagnosticSensitivity and SpecificityUnited StatesUnited States Food and Drug AdministrationReagent Kits, Diagnosticdiagnosticsinfluenzapublic healthrapid tests

Identifiers

PMID29899007
PMCPMC6156320
OpenAlexW2807846569

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.