Evidence map›Paper›PMID 29912875›Full record

ArticlePLoS neglected tropical diseases2018

Accuracy of dengue clinical diagnosis with and without NS1 antigen rapid test: Comparison between human and Bayesian network model decision.

Chaitawat Sa-Ngamuang, Peter Haddawy, Viravarn Luvira, Watcharapong Piyaphanee, Sopon Iamsirithaworn, Saranath Lawpoolsri

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in PLoS neglected tropical diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07432061 (Prediction of Infectious Diseases in LMICs Using Electronic Health Record Data), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
6.0field-weighted citation impact, top 4% 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.

NCT07432061 completednot on this mapstarted 2024, after this paper: background citation

Prediction of Infectious Diseases in LMICs Using Electronic Health Record Data

TypeobservationalSponsorMahidol UniversityRan2024 to 2025Enrolled1,000ConditionsDengue Fever, Electronic Health Records, PredictionArmsNo intervention
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
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  7. Review
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  12. Surveillance and Epidemiology of Dengue in Medellín, Colombia from 2009 to 2017.The American journal of tropical medicine and hygiene · 2021
    Article
  13. Article
  14. Diagnosis of COVID-19 in a Dengue-Endemic Area.The American journal of tropical medicine and hygiene · 2020
    Article
  15. Development and Performance of Dengue Diagnostic Clinical Algorithms in Colombia.The American journal of tropical medicine and hygiene · 2020
    Article
  16. Article
  17. Etiologies of Acute Undifferentiated Febrile Illness in Bangkok, Thailand.The American journal of tropical medicine and hygiene · 2019
    Article
  18. 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

6 authors at 2 institutions in 1 country.

Chaitawat Sa-NgamuangDepartment of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-2535-1803
Peter HaddawyFaculty of Information and Communication Technology, Mahidol University, Nakhon Pathom, Thailand.
Viravarn LuviraDepartment of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Watcharapong PiyaphaneeDepartment of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.ORCID 0000-0002-2905-1034
Sopon IamsirithawornDepartment of Disease Control, Ministry of Public Health, Nonthaburi, Thailand.
Saranath LawpoolsriDepartment of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-4841-7924
Mahidol University · THMinistry of Public Health · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Differentiating dengue patients from other acute febrile illness patients is a great challenge among physicians. Several dengue diagnosis methods are recommended by WHO. The application of specific laboratory tests is still limited due to high cost, lack of equipment, and uncertain validity. Therefore, clinical diagnosis remains a common practice especially in resource limited settings. Bayesian networks have been shown to be a useful tool for diagnostic decision support. This study aimed to construct Bayesian network models using basic demographic, clinical, and laboratory profiles of acute febrile illness patients to diagnose dengue. Data of 397 acute undifferentiated febrile illness patients who visited the fever clinic of the Bangkok Hospital for Tropical Diseases, Thailand, were used for model construction and validation. The two best final models were selected: one with and one without NS1 rapid test result. The diagnostic accuracy of the models was compared with that of physicians on the same set of patients. The Bayesian network models provided good diagnostic accuracy of dengue infection, with ROC AUC of 0.80 and 0.75 for models with and without NS1 rapid test result, respectively. The models had approximately 80% specificity and 70% sensitivity, similar to the diagnostic accuracy of the hospital's fellows in infectious disease. Including information on NS1 rapid test improved the specificity, but reduced the sensitivity, both in model and physician diagnoses. The Bayesian network model developed in this study could be useful to assist physicians in diagnosing dengue, particularly in regions where experienced physicians and laboratory confirmation tests are limited.

Indexed as

AdolescentAdultBayes TheoremDengueFemaleFeverHumansImmunologic TestsMaleMiddle AgedPredictive Value of TestsSensitivity and SpecificityThailandViral Nonstructural ProteinsYoung AdultViral Nonstructural Proteins

Identifiers

PMID29912875
PMCPMC6023245
OpenAlexW2808376171

What OpenQuestion holds

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LicenceCC BY
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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.