Evidence map›Paper›PMID 30651395›Full record

ArticleJournal of clinical microbiology2019

Diagnosing Invasive Pulmonary Aspergillosis in Hematology Patients: a Retrospective Multicenter Evaluation of a Novel Lateral Flow Device.

Toine Mercier, Alexander Schauwvlieghe, Elizabeth de Kort, Albert Dunbar, Marijke Reynders, Ellen Guldentops, Bart Rijnders, Paul E Verweij, Katrien Lagrou, Johan Maertens

Open access · bronzeAbstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Journal of clinical microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Evaluation of the JF5-based Aspergillus galactomannoprotein lateral flow device for diagnosing invasive aspergillosis in cancer patients.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  5. Review
  6. Invasive Pulmonary Aspergillosis.Journal of fungi (Basel, Switzerland) · 2023
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Journal of fungi (Basel, Switzerland) · 2020
    Article
  12. Identification of Mycoses in Developing Countries.Journal of fungi (Basel, Switzerland) · 2019
    Review
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 at 4 institutions in 2 countries.

Toine MercierDepartment of Microbiology and Immunology, KU Leuven, Leuven, Belgium toine.mercier@uzleuven.be.ORCID 0000-0002-1517-6426
Alexander SchauwvliegheDepartment of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands.
Elizabeth de KortDepartment of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands.
Albert DunbarDepartment of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands.
Marijke ReyndersDepartment of Laboratory Medicine, Medical Microbiology, AZ St Jan Bruges, Bruges, Belgium.
Ellen GuldentopsDepartment of Hematology, University Hospitals Leuven, Leuven, Belgium.
Bart RijndersDepartment of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands.
Paul E VerweijDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Katrien LagrouDepartment of Microbiology and Immunology, KU Leuven, Leuven, Belgium.
Johan MaertensDepartment of Microbiology and Immunology, KU Leuven, Leuven, Belgium.
KU Leuven · BEErasmus MC · NLRadboud University Nijmegen · NLAZ Sint-Jan · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive pulmonary aspergillosis (IPA) is a potentially lethal infection in patients with hematological diseases or following allogeneic stem cell transplantation. Early diagnosis is essential, as delayed treatment results in increased mortality. Recently, a lateral flow device (LFD) for the diagnosis of IPA was CE marked and made commercially available by OLM Diagnostics. We retrospectively analyzed bronchoalveolar lavage fluid (BALf) collected from adult hematology patients from 4 centers in The Netherlands and Belgium. Galactomannan was retested in all samples. All samples were applied to an LFD and read out visually by two independent researchers blinded to the diagnosis of the patient. All samples were also read out using a digital reader. We included 11 patients with proven IPA, 68 patients with probable IPA, 44 patients with possible IPA, and 124 patients with no signs of IPA (controls). In cases of proven IPA versus controls, sensitivity and specificity were 0.82 and 0.86 for visual readout and 0.82 and 0.96 for digital readout, respectively. When comparing patients with proven and probable IPA as cases versus controls, sensitivity and specificity were found to be 0.71 and 0.86, respectively. When excluding serum and BALf galactomannan as mycological criteria from the 2008 European Organization for Research and Treatment of Cancer Invasive Fungal Infections Cooperative Group (EORTC)/Mycoses Study Group of the National Institute of Allergy and Infectious Diseases (MSG) consensus definitions, the LFD was less specific than galactomannan when comparing subjects with proven and probable IPA to controls (0.86 versus 0.96;

Indexed as

AgedAntigens, FungalAspergillusBelgiumBronchoalveolar Lavage FluidDiagnostic Tests, RoutineFemaleGalactoseHematologic DiseasesHematologyHumansImmunoassayInvasive Pulmonary AspergillosisMaleMannansMiddle AgedAntigens, FungalgalactomannanGalactoseMannansdiagnosisgalactomannaninvasive aspergillosislateral flow device

Identifiers

PMID30651395
PMCPMC6440777
OpenAlexW2910950823

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.