Evidence map›Paper›PMID 32479412›Full record

ArticleJMIR public health and surveillance2020

Suitability and Sufficiency of Telehealth Clinician-Observed, Participant-Collected Samples for SARS-CoV-2 Testing: The iCollect Cohort Pilot Study.

Jodie L Guest, Patrick S Sullivan, Mariah Valentine-Graves, Rachel Valencia, Elizabeth Adam, Nicole Luisi, Mariko Nakano, Jeannette Guarner, Carlos Del Rio, Charles Sailey and 3 more

Open access · goldAbstract read
In one paragraph

Article in JMIR public health and surveillance, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 5 pooled it
0.9field-weighted citation impact, top 14% 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

30 citing papers in PubMed, 5 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Performance of saline and water gargling for SARS-CoV-2 reverse transcriptase PCR testing: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2022
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  9. Prospective, clinical comparison of self-collected throat-bilateral nares swabs and saline gargle compared to health care provider collected nasopharyngeal swabs among symptomatic outpatients with potential SARS-CoV-2 infection.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2024
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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.

Jodie L Guest *Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0000-0002-3650-3975
Patrick S Sullivan *Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0000-0002-7728-0587
Mariah Valentine-GravesRollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0000-0002-2834-8602
Rachel ValenciaRollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0000-0002-9130-7176
Elizabeth AdamRollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0000-0002-4061-2971
Nicole LuisiRollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0000-0003-4466-7141
Mariko NakanoMolecular Testing Labs, Vancouver, WA, United States.ORCID 0000-0002-2465-3212
Jeannette GuarnerSchool of Medicine, Emory University, Atlanta, GA, United States.ORCID 0000-0001-5610-3541
Carlos Del RioSchool of Medicine, Emory University, Atlanta, GA, United States.ORCID 0000-0002-0153-3517
Charles SaileyMolecular Testing Labs, Vancouver, WA, United States.ORCID 0000-0002-7866-4224
Zoe GoedeckeMolecular Testing Labs, Vancouver, WA, United States.ORCID 0000-0003-0666-7044
Aaron J SieglerRollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0000-0001-5553-7540
Travis H SanchezSchool of Medicine, Emory University, Atlanta, GA, United States.ORCID 0000-0003-1133-4762
Emory University · US

Funding

Population-based survey of SARS-CoV-2 infection and immune responseR01AI143875 · NIAID · EMORY UNIVERSITY · PI SIEGLER, AARON JULIUS, SULLIVAN, PATRICK SEAN · 2019 to 2023
$9.2M
NIAID NIH HHS R01 AI143875
6 · The paper itself

Abstract

backgroundThe severe acute respiratory coronavirus 2 (SARS-CoV-2) pandemic calls for expanded opportunities for testing, including novel testing strategies such as home-collected specimens.

objectiveWe aimed to understand whether oropharyngeal swab (OPS), saliva, and dried blood spot (DBS) specimens collected by participants at home and mailed to a laboratory were sufficient for use in diagnostic and serology tests of SARS-CoV-2.

methodsEligible participants consented online and were mailed a participant-collection kit to support collection of three specimens for SARS-CoV-2 testing: saliva, OPS, and DBS. Participants performed the specimen collection procedures during a telehealth video appointment while clinical observers watched and documented the suitability of the collection. The biological sufficiency of the specimens for detection of SARS-CoV-2 by reverse transcriptase-polymerase chain reaction and serology testing was assessed by laboratorians using visual inspection and quantification of the nucleic acid contents of the samples by ribonuclease P (RNase P) measurements.

resultsOf the enrolled participants,153/159 (96.2%) returned their kits, which were included in this analysis. All these participants attended their video appointments. Clinical observers assessed that of the samples collected, 147/153 (96.1%) of the saliva samples, 146/151 (96.7%) of the oropharyngeal samples, and 135/145 (93.1%) of the DBS samples were of sufficient quality for submission for laboratory testing; 100% of the OPS samples and 98% of the saliva samples had cycle threshold values for RNase P <30, indicating that the samples contained sufficient nucleic acid for RNA-PCR testing for SARS-CoV-2.

conclusionsThese pilot data indicate that most participant-collected OPS, saliva, and DBS specimens are suitable and sufficient for testing for SARS-CoV-2 RNA and serology. Clinical observers rated the collection of specimens as suitable for testing, and visual and quantitative laboratory assessment indicated that the specimens were biologically sufficient. These data support the utility of participant-collected and mailed-in specimens for SARS-CoV-2 testing. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/19054.

Indexed as

PandemicsTelemedicineAdolescentAdultAgedClinical Laboratory TechniquesCohort StudiesCoronavirus InfectionsCOVID-19COVID-19 TestingDried Blood Spot TestingFemaleHealth Services ResearchHumansMaleMiddle AgedCOVID-19diagnosisdiagnostichome testingpilot studytelehealthtesting

Identifiers

PMID32479412
PMCPMC7318863
OpenAlexW3030758565

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.