Evidence map›Paper›PMID 31382894›Full record

SynthesisBMC microbiology2019

Xpert MTB/RIF assay for the diagnosis of rifampicin resistance in different regions: a meta-analysis.

Kaican Zong, Chen Luo, Hui Zhou, Yangzhi Jiang, Shiying Li

Open access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in BMC microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
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

14 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Need for caution when interpreting XpertThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2021
    Article
  12. Article
  13. Article
  14. 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

5 authors at 2 institutions in 1 country.

Kaican ZongDepartment of Respiratory Medicine, The Seventh People's Hospital of Chongqing, Chongqing, People's Republic of China.ORCID 0000-0002-2815-6299
Chen LuoDepartment of Respiratory Medicine, The Seventh People's Hospital of Chongqing, Chongqing, People's Republic of China.
Hui ZhouDepartment of Respiratory Medicine, The Seventh People's Hospital of Chongqing, Chongqing, People's Republic of China.
Yangzhi JiangDepartment of Respiratory Medicine, The Seventh People's Hospital of Chongqing, Chongqing, People's Republic of China.
Shiying LiDepartment of Infectious Disease, The Second Affiliated Hospital, Chongqing Medical University, 74# Linjiang Road, Chongqing, 400010, People's Republic of China. lishiying__1985@126.com.
Seventh People's Hospital of Shanghai · CNDalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo estimate the diagnostic accuracy of Xpert MTB/RIF for rifampicin resistance in different regions, a meta-analysis was carried out.

methodsSeveral databases were searched for relevant studies up to March 3, 2019. A bivariate random-effects model was used to estimate the diagnostic accuracy.

resultsWe identified 97 studies involving 26,037 samples for the diagnosis of rifampicin resistance. The pooled sensitivity, specificity and AUC of Xpert MTB/RIF for rifampicin resistance detection were 0.93 (95% CI 0.90-0.95), 0.98 (95% CI 0.96-0.98) and 0.99 (95% CI 0.97-0.99), respectively. For different regions, the pooled sensitivity were 0.94(95% CI 0.89-0.97) and 0.92 (95% CI 0.88-0.94), the pooled specificity were 0.98 (95% CI 0.94-1.00) and 0.98 (95% CI 0.96-0.99), and the AUC were 0.99 (95% CI 0.98-1.00) and 0.99 (95% CI 0.97-0.99) in high and middle/low income countries, respectively. The pooled sensitivity were 0.91 (95% CI 0.87-0.94) and 0.91 (95% CI 0.86-0.94), the pooled specificity were 0.98 (95% CI 0.96-0.99) and 0.98 (95% CI 0.96-0.99), and the AUC were 0.98 (95% CI 0.97-0.99) and 0.99 (95% CI 0.97-0.99) in high TB burden and middle/low prevalence countries, respectively.

conclusionsThe diagnostic accuracy of Xpert MTB/RIF for rifampicin resistance detection was excellent.

Indexed as

Drug Resistance, BacterialHumansMolecular Diagnostic TechniquesMycobacterium tuberculosisPrevalenceRifampinSensitivity and SpecificityTuberculosis, PulmonaryRifampinIncomeMeta-analysisPrevalenceRifampicin resistanceXpert MTB/RIF

Identifiers

PMID31382894
PMCPMC6683411
OpenAlexW2966660786

What OpenQuestion holds

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LicenceCC BY
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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.