Evidence map›Paper›PMID 31387539›Full record

Trial reportBMC infectious diseases2019

Prospective study of the serum Aspergillus-specific IgG, IgA and IgM assays for chronic pulmonary aspergillosis diagnosis.

Xiuqing Ma, Kaifei Wang, Xin Zhao, Yang Liu, Yanqin Li, Xiaotian Yu, Chunsun Li, David W Denning, Lixin Xie

Registry-linked trialOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03027089 (Aspergillus-specific IgG Assays for the Diagnosis of Chronic Pulmonary Aspergillosis), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT03027089 unknown statusnot on this map

Aspergillus-specific IgG Assays for the Diagnosis of Chronic Pulmonary Aspergillosis (CPA) in Chinese Patients -Multicenter Study

TypeobservationalSponsorChinese PLA General HospitalRan2017 to 2018Enrolled560ConditionsChronic Pulmonary Aspergillosis
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Detection of serum Aspergillus-specific IgM and IgG antibody levels for the diagnosis of chronic pulmonary aspergillosis developed in patients with tuberculosis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Standardization ofTherapeutic advances in infectious disease
    Article
  17. Distribution ofTherapeutic advances in infectious disease
    Review
  18. Review
  19. Chronic respiratory disease
    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

9 authors at 3 institutions in 2 countries.

Xiuqing MaDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Kaifei WangDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Xin ZhaoDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Yang LiuDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Yanqin LiDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Xiaotian YuAcademy for Life Science, Nankai University, Tianjin, China.
Chunsun LiDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
David W DenningThe National Aspergillosis Centre, Wythenshawe Hospital, The University of Manchester and Manchester Academic Health Science Centre, Manchester, UK. david.denning@manchester.ac.uk.
Lixin XieDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China. xielx301@126.com.
Chinese PLA General Hospital · CNNankai University · CNUniversity of Manchester · GB

Funding

China Key Scientific under grant 2018ZX09201013
6 · The paper itself

Abstract

backgroundChronic pulmonary aspergillosis (CPA) is an underdiagnosed and misdiagnosed disease and now increasingly recognised. However, the diagnosis of CPA remains challenging. In this study, we aimed to investigate the diagnostic values of serum Aspergillus-specific IgG, IgA and IgM antibodies in patients with CPA.

methodsThe prospective study was performed at Chinese People's Liberation Army General Hospital in Beijing, from January 2017 to December 2017. Adult patients with lung lesions presented as cavity, nodule, mass, bronchiectasis or severe fibrotic destruction with at least two lobes in CT imaging were enrolled. One hundred healthy persons were also enrolled as additional controls. The serum levels of Aspergillus-specific IgG, IgA and IgM antibodies and galactomannan (GM) levels were measured simultaneously by plate ELISA kit.

resultsA total of 202 patients were enrolled in this study, including 42 CPA patients, 60 non-CPA patients and 100 healthy persons. The most common underlying lung diseases in CPA patients were bronchiectasis (28.6%) and COPD (19.0%). The most common symptoms in the CPA patients were cough (76.2%), sputum (71.4%), and fever (45.2%); chest pain (4.8%) was infrequent. Receiver operating characteristic (ROC) curve analysis revealed that the optimal CPA diagnostic cut-off of Aspergillus-specific IgG, IgA and IgM assays and GM test were 89.3 AU/mL, 8.2 U/mL, 73.3 AU/mL and 0.5μg/L, respectively. The serum levels of Aspergillus-specific IgG and IgA in CPA patients were higher than these in non-CPA patients or healthy persons. The sensitivities and specificities of Aspergillus-specific IgG, IgA, IgM tests and GM test were 78.6 and 94.4%, 64.3 and 89.4%, 50.0 and 53.7% and 71.4 and 58.1%, respectively.

conclusionsThe sensitivity and specificity of serum Aspergillus-specific IgG assay are satisfactory for diagnosing CPA, while the performance of Aspergillus-specific IgA assay is moderate. Aspergillus-specific IgM assay and serum GM test have limited value for CPA diagnosis.

trial registrationNCT03027089 . Registered 20 January 2017.

Indexed as

AdultAgedAntibodies, FungalAspergillusChronic DiseaseEnzyme-Linked Immunosorbent AssayFemaleGalactoseHumansImmunoglobulin IsotypesMaleMannansMiddle AgedProspective StudiesPulmonary AspergillosisROC CurveAntibodies, FungalgalactomannanGalactoseImmunoglobulin IsotypesMannansAspergillus-specific IgA antibodyAspergillus-specific IgG antibodyAspergillus-specific IgM antibodyChronic pulmonary aspergillosisGalactomannan

Identifiers

PMID31387539
PMCPMC6683501
OpenAlexW2964438317

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.