Evidence map›Paper›PMID 31217268›Full record

ReviewJournal of clinical microbiology2019

Clinical Utility of Advanced Microbiology Testing Tools.

Melissa B Miller, Faranak Atrzadeh, C A Burnham, Stephen Cavalieri, James Dunn, Stephen Jones, Charles Mathews, Peggy McNult, John Meduri, Chris Newhouse and 8 more

Open access · hybridAbstract readReview
In one paragraph

Review 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 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 50 citations in OpenAlex.

  1. Randomized Trial Evaluating Clinical Impact of RAPid IDentification and Susceptibility Testing for Gram-negative Bacteremia: RAPIDS-GN.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Trial
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Prospective on Imaging Mass Spectrometry in Clinical Diagnostics.Molecular & cellular proteomics : MCP · 2023
    Review
  13. Article
  14. Understanding how diagnostics influence antimicrobial decision-making is key to successful clinical trial design.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2023
    Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

18 authors at 12 institutions in 1 country.

Melissa B MillerUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina, USA Melissa.Miller@unchealth.unc.edu charles.mathews@clearviewhcp.com.
Faranak AtrzadehCuretis USA Inc, San Diego, California, USA.
C A BurnhamWashington School of Medicine, St. Louis, Missouri, USA.
Stephen CavalieriCreighton University School of Medicine, Omaha, Nebraska, USA.
James DunnTexas Children's Hospital, Houston, Texas, USA.
Stephen JonesClearView Healthcare Partners, Newton, Massachusetts, USA.
Charles MathewsClearView Healthcare Partners, Newton, Massachusetts, USA Melissa.Miller@unchealth.unc.edu charles.mathews@clearviewhcp.com.
Peggy McNultAmerican Society for Microbiology, Washington, DC, USA.
John MeduriAccelerate Diagnostics, Inc., Tucson, Arizona, USA.
Chris NewhouseRoche Diagnostics Corporation, Indianapolis, Indiana, USA.
Duane NewtonUniversity of Michigan Medical School, Ann Arbor, Michigan, USA.
Michael OberholzerIllumina, San Diego, California, USA.
John OsieckiRoche Diagnostics Corporation, Indianapolis, Indiana, USA.
David PedersenClearView Healthcare Partners, Newton, Massachusetts, USA.
Nicole SweeneyBecton Dickinson, Diagnostics Systems, Sparks, Maryland, USA.
Natalie WhitfieldGenmark Diagnostics, Inc., Carlsbad, California, USA.
Joe Campos
ASM Clinical and Public Health Microbiology Committee and the ASM Corporate Council
Mass General Brigham · USRoche (United States) · USAccelerated Medical Diagnostics (United States) · USAmerican Society for Microbiology · USBecton Dickinson (United States) · USChildren's National · USCreighton University · USIllumina (United States) · USTexas Children's Hospital · USUniversity of Michigan–Ann Arbor · USUniversity of North Carolina at Chapel Hill · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advanced microbiology technologies are rapidly changing our ability to diagnose infections, improve patient care, and enhance clinical workflow. These tools are increasing the breadth, depth, and speed of diagnostic data generated per patient, and testing is being moved closer to the patient through rapid diagnostic technologies, including point-of-care (POC) technologies. While select stakeholders have an appreciation of the value/importance of improvements in the microbial diagnostic field, there remains a disconnect between clinicians and some payers and hospital administrators in terms of understanding the potential clinical utility of these novel technologies. Therefore, a key challenge for the clinical microbiology community is to clearly articulate the value proposition of these technologies to encourage payers to cover and hospitals to adopt advanced microbiology tests. Specific guidance on how to define and demonstrate clinical utility would be valuable. Addressing this challenge will require alignment on this topic, not just by microbiologists but also by primary care and emergency room (ER) physicians, infectious disease specialists, pharmacists, hospital administrators, and government entities with an interest in public health. In this article, we discuss how to best conduct clinical studies to demonstrate and communicate clinical utility to payers and to set reasonable expectations for what diagnostic manufacturers should be required to demonstrate to support reimbursement from commercial payers and utilization by hospital systems.

Indexed as

Communicable DiseasesDiagnostic Tests, RoutineHumansMicrobiological TechniquesPoint-of-Care Systemsclinical utilityevidencehealth economicsmolecular methodsoutcomes researchreimbursement

Identifiers

PMID31217268
PMCPMC6711927
OpenAlexW2949361723

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.