Evidence map›Paper›PMID 32321781›Full record

ArticleJournal of clinical microbiology2020

Performance of a Modified Two-Tiered Testing Enzyme Immunoassay Algorithm for Serologic Diagnosis of Lyme Disease in Nova Scotia.

Ian R C Davis, Shelly A McNeil, Wanda Allen, Donna MacKinnon-Cameron, L Robbin Lindsay, Katarina Bernat, Antonia Dibernardo, Jason J LeBlanc, Todd F Hatchette

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-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, 18 citations in OpenAlex.

  1. Article
  2. Changing case definition: An analysis of its impact on Lyme disease surveillance in Nova Scotia.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2026
    Article
  3. Borrelia surface proteins: new horizons in Lyme disease diagnosis.Applied microbiology and biotechnology · 2025
    Review
  4. Article
  5. Evaluation of different standard and modified two-tier testing strategies for the laboratory diagnosis of lyme borreliosis in a European setting.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Laboratory Diagnosis of Lyme Borreliosis.Clinical microbiology reviews · 2021
    Review
  13. Article
  14. Modified two-tiered testing algorithm for Lyme disease serology: the Canadian context.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2020
    Review
  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

9 authors at 3 institutions in 1 country.

Ian R C DavisNova Scotia Health Authority, Halifax, Nova Scotia, Canada ian.davis@nshealth.ca.
Shelly A McNeilNova Scotia Health Authority, Halifax, Nova Scotia, Canada.
Wanda AllenCanadian Center for Vaccinology, Halifax, Nova Scotia, Canada.
Donna MacKinnon-CameronCanadian Center for Vaccinology, Halifax, Nova Scotia, Canada.
L Robbin LindsayZoonotic Diseases and Special Pathogens Division, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada.
Katarina BernatZoonotic Diseases and Special Pathogens Division, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada.
Antonia DibernardoZoonotic Diseases and Special Pathogens Division, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada.
Jason J LeBlancNova Scotia Health Authority, Halifax, Nova Scotia, Canada.
Todd F HatchetteNova Scotia Health Authority, Halifax, Nova Scotia, Canada.
Public Health Agency of Canada · CADalhousie University · CANova Scotia Health Authority · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Compared to the standard two-tiered testing (STTT) algorithm for Lyme disease serology using an enzyme immunoassay (EIA) followed by Western blotting, data from the United States suggest that a modified two-tiered testing (MTTT) algorithm employing two EIAs has improved sensitivity to detect early localized

Indexed as

Borrelia burgdorferiLyme DiseaseAlgorithmsAntibodies, BacterialHumansImmunoenzyme TechniquesImmunoglobulin MNova ScotiaRetrospective StudiesSensitivity and SpecificitySerologic TestsAntibodies, BacterialImmunoglobulin MLyme diseasemodified two-tiered test (MTTT)serologyspecificity

Identifiers

PMID32321781
PMCPMC7315017
OpenAlexW3018407240

What OpenQuestion holds

Textmetadata
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.