Evidence map›Paper›PMID 30830945›Full record

ArticlePloS one2019

Sensitivity and characteristics associated with positive QuantiFERON-TB Gold-Plus assay in children with confirmed tuberculosis.

Duc T Nguyen, Ha Phan, Trang Trinh, Hang Nguyen, Ha Doan, Nam Pham, Hung Nguyen, Hanh Nguyen, Hung V Nguyen, Hoi V Le and 2 more

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Comparing the Diagnostic Performance of QuantiFERON-TB Gold Plus to Other Tests of Latent Tuberculosis Infection: A Systematic Review and Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Journal of clinical tuberculosis and other mycobacterial diseases · 2019
    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

12 authors.

Duc T NguyenHouston Methodist Research Institute, Houston, TX, United States of America.ORCID 0000-0002-5059-4404
Ha PhanCenter for Promotion of Advancement of Society (CPAS), Lot A4 15 Dong Quan, Cau Giay, Ha Noi, Vietnam.
Trang TrinhCenter for Promotion of Advancement of Society (CPAS), Lot A4 15 Dong Quan, Cau Giay, Ha Noi, Vietnam.ORCID 0000-0001-9072-7796
Hang NguyenNational Lung Hospital, Hoang Hoa Tham, Ba Dinh District, Ha Noi, Vietnam.
Ha DoanNational Lung Hospital, Hoang Hoa Tham, Ba Dinh District, Ha Noi, Vietnam.
Nam PhamVietnam National Tuberculosis Program/University of California San Francisco Research Collaboration, Ha Noi, Vietnam.
Hung NguyenCenter for Promotion of Advancement of Society (CPAS), Lot A4 15 Dong Quan, Cau Giay, Ha Noi, Vietnam.
Hanh NguyenCenter for Promotion of Advancement of Society (CPAS), Lot A4 15 Dong Quan, Cau Giay, Ha Noi, Vietnam.
Hung V NguyenNational Lung Hospital, Hoang Hoa Tham, Ba Dinh District, Ha Noi, Vietnam.
Hoi V LeNational Lung Hospital, Hoang Hoa Tham, Ba Dinh District, Ha Noi, Vietnam.
Nhung NguyenNational Lung Hospital, Hoang Hoa Tham, Ba Dinh District, Ha Noi, Vietnam.
Edward A GravissHouston Methodist Research Institute, Houston, TX, United States of America.ORCID 0000-0003-1024-5813

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough QuantiFERON-TB Gold Plus (QFT-Plus), a new interferon-gamma release assay, has shown good performance in adults, little data is available in children.

methodsDe-identified data from TB-suspected patients age <18 years with QFT-Plus results, who were admitted or screened at the National Lung Hospital (NLH) in Ha Noi, Vietnam in 2017, were assessed. Logistic regression analyses were performed to determine the characteristics associated with having a positive QFT-Plus result. Sensitivity, both overall and in subgroups of pulmonary TB only (PTB), extra-pulmonary TB (EPTB) only, and both PTB and EPTB were calculated.

resultsOf 222 children with available QFT-Plus results, 33 were classified as confirmed TB, of whom 18 had QFT-Plus (+) and 15 had QFT-Plus (-). Multiple logistic regression modeling suggested that age, history of TB, and confirmed TB were significantly associated with having a positive QFT-Plus result with an area under the ROC curve of 0.77. QFT-Plus sensitivity in PTB only, EPTB, and both PTB and EPTB patients was 84.2%, 14.3% and 14.3%, respectively. The overall sensitivity of the QFT-Plus assay (regardless PTB or EPTB) in children was 54.5%.

conclusionAlthough QFT-Plus had a good sensitivity in children having exclusive PTB, it had poor sensitivity in EPTB.

Indexed as

Mass ScreeningAdolescentBiological AssayChildChild, PreschoolFemaleHumansInfantInfant, NewbornInterferon-gamma Release TestsMaleMycobacterium tuberculosisPrevalenceROC CurveTuberculosisVietnam

Identifiers

PMID30830945
PMCPMC6398855

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Registered trials

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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.