Evidence map›Paper›PMID 31006817›Full record

ArticleAmerican journal of clinical pathology2019

Comparison of Minimally Invasive Tissue Sampling With Conventional Autopsy to Detect Pulmonary Pathology Among Respiratory Deaths in a Resource-Limited Setting.

Drucilla J Roberts, Henry N Njuguna, Barry Fields, Corinne L Fligner, Sherif R Zaki, M Kelly Keating, Emily Rogena, Edwin Walong, Andrew K Gachii, Elizabeth Maleche-Obimbo and 14 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in American journal of clinical pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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  11. Article
  12. Effect of Time Since Death on Multipathogen Molecular Test Results of Postmortem Specimens Collected Using Minimally Invasive Tissue Sampling Techniques.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  13. Histopathology Is Key to Interpreting Multiplex Molecular Test Results From Postmortem Minimally Invasive Tissue Samples.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  14. Guidance for Systematic Integration of Undernutrition in Attributing Cause of Death in Children.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  15. 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

24 authors at 8 institutions in 2 countries.

Drucilla J RobertsMassachusetts General Hospital, Boston.
Henry N NjugunaDivision of Global Health Protection, Centers for Disease Control and Prevention, Nairobi, Kenya.
Barry FieldsDivision of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, GA.
Corinne L FlignerUniversity of Washington, Seattle.
Sherif R ZakiDivision of High-Consequence Pathogens and Pathology, Infectious Diseases Pathology Branch, Centers for Disease Control and Prevention, Atlanta, GA.
M Kelly KeatingDivision of High-Consequence Pathogens and Pathology, Infectious Diseases Pathology Branch, Centers for Disease Control and Prevention, Atlanta, GA.
Emily RogenaUniversity of Nairobi, Kenya.
Edwin WalongUniversity of Nairobi, Kenya.
Andrew K GachiiKenyatta National Hospital, Nairobi, Kenya.
Elizabeth Maleche-ObimboUniversity of Nairobi, Kenya.
Grace IrimuUniversity of Nairobi, Kenya.
John MathaiyaUniversity of Nairobi, Kenya.
Noelle OrataUniversity of Nairobi, Kenya.
Rosemarie LopokoiyitUniversity of Nairobi, Kenya.
Jackson MichukiUniversity of Nairobi, Kenya.
Gideon O EmukuleDivision of Global Health Protection, Centers for Disease Control and Prevention, Nairobi, Kenya.
Clayton O OnyangoDivision of Global Health Protection, Centers for Disease Control and Prevention, Nairobi, Kenya.
Stella GikunjuKenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Collins OwuorKenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Peter K MuturiIHRC, Nairobi, Kenya.
Milka BuneiIHRC, Nairobi, Kenya.
Marc-Alain WiddowsonDivision of Global Health Protection, Centers for Disease Control and Prevention, Nairobi, Kenya.
Joshua A MottInfluenza Division, Centers for Disease Control and Prevention, Atlanta, GA.
Sandra S ChavesDivision of Global Health Protection, Centers for Disease Control and Prevention, Nairobi, Kenya.
University of Nairobi · KECenters for Disease Control and Prevention · USCenters for Disease Control and Prevention · KEAfrican Population and Health Research Center · KEKenya Medical Research Institute · KEKenyatta National Hospital · KEMassachusetts General Hospital · USUniversity of Washington · US

Funding

CGH CDC HHS U01 GH002133
6 · The paper itself

Abstract

objectivesWe compared minimally invasive tissue sampling (MITS) with conventional autopsy (CA) in detection of respiratory pathology/pathogens among Kenyan children younger than 5 years who were hospitalized with respiratory disease and died during hospitalization.

methodsPulmonary MITS guided by anatomic landmarks was followed by CA. Lung tissues were triaged for histology and molecular testing using TaqMan Array Cards (TACs). MITS and CA results were compared for adequacy and concordance.

resultsAdequate pulmonary tissue was obtained by MITS from 54 (84%) of 64 respiratory deaths. Comparing MITS to CA, full histologic diagnostic concordance was present in 23 (36%) cases and partial concordance in 19 (30%), an overall 66% concordance rate. Pathogen detection using TACs had full concordance in 27 (42%) and partial concordance in 24 (38%) cases investigated, an overall 80% concordance rate.

conclusionsMITS is a viable alternative to CA in respiratory deaths in resource-limited settings, especially if combined with ancillary tests to optimize diagnostic accuracy.

Indexed as

AutopsyCause of DeathFemaleHumansInfantKenyaLungLung DiseasesMaleSpecimen HandlingConventional autopsyMinimally invasive tissue sampling techniquePediatric mortalityPostmortem investigationPulmonary pathologyResource limitedRespiratory illness deathTaqMan Array Card

Identifiers

PMID31006817
PMCPMC12146096
OpenAlexW2941069840

What OpenQuestion holds

Textmetadata
LicenceTDM
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.