Evidence map›Paper›PMID 32158776›Full record

ArticleOpen forum infectious diseases2020

Limited Positive Predictive Value of β-d-Glucan in Hematologic Patients Receiving Antimold Prophylaxis.

Euijin Chang, Taek Soo Kim, Chang Kyung Kang, Kang Il Jun, Dongyeop Shin, Youngil Koh, Junshik Hong, Pyoeng Gyun Choe, Wan Beom Park, Nam-Joong Kim and 3 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. ARDS Clinical Practice Guideline 2021.Journal of intensive care · 2022
    Article
  5. Beta-D-Glucan in Patients with Haematological Malignancies.Journal of fungi (Basel, Switzerland) · 2021
    Review
  6. 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

13 authors at 1 institution in 1 country.

Euijin ChangDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Taek Soo KimDepartment of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Chang Kyung KangDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Kang Il JunDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-6019-1238
Dongyeop ShinDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Youngil KohDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Junshik HongDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Pyoeng Gyun ChoeDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Wan Beom ParkDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Nam-Joong KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Sung-Soo YoonDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Inho KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Myoung-Don OhDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Seoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiagnostic value of β-d-glucan (BDG) in populations with low prevalence of invasive fungal infection (IFI), such as hematologic patients receiving antimold prophylaxis, should be re-evaluated.

methodsWe retrospectively reviewed episodes with BDG results in hematologic patients receiving antimold prophylaxis from January 2017 to August 2019 in a tertiary hospital. The episodes were classified as true positive ([TP] positive BDG with IFI), true negative ([TN] negative BDG without IFI), false positive ([FP] positive BDG without IFI), false negative ([FN] negative BDG with IFI), and nonevaluable.

resultsA total of 203 episodes were analyzed: 101 episodes (49.8%) were from stem cell transplants, 89 (43.8%) were from induction chemotherapy, and 13 (6.4%) were from graft-versus-host disease treatment. There were 62 nonevaluable episodes. Among 141 evaluable ones, there were 8 (5.7%) episodes of probable/proven IFI. True positive, TN, FP, and FN cases were 4 (2.8%), 112 (79.4%), 21 (14.9%), and 4 (2.8%) episodes, respectively. Sensitivity, specificity, positive predictive value, and negative predictive value were 50.0%, 84.2%, 16.1%, and 96.5%, respectively. Positive predictive value was 26.7% and 0.0% in diagnostic and surveillance episodes, respectively.

conclusionsβ-d-glucan test should be used to exclude IFI rather than for diagnosis in these patients.

Indexed as

antimold prophylaxisfungal diagnosticshematologic diseasesβ-d-glucan

Identifiers

PMID32158776
PMCPMC7051035
OpenAlexW2981568754

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.