Evidence map›Paper›PMID 32767548›Full record

ArticleInfluenza and other respiratory viruses2021

Horses for courses? Assessing the potential value of a surrogate, point-of-care test for SARS-CoV-2 epidemic control.

Sharif A Ismail, Catherine Huntley, Nathan Post, Samuel Rigby, Madhumita Shrotri, Sarah V Williams, Sharon J Peacock

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Observational
  5. COVID-19-vaccinated plasma treatment for COVID-19 patients?Influenza and other respiratory viruses · 2021
    Article
  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

7 authors.

Sharif A IsmailDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0001-7246-7337
Catherine HuntleyFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Nathan PostFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Samuel RigbyFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Madhumita ShrotriFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Sarah V WilliamsFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Sharon J PeacockDepartment of Medicine, University of Cambridge, Cambridge, UK.

Funding

Wellcome TrustWellcome Trust 215654/Z/19/Z
6 · The paper itself

Abstract

Point-of-care tests (POCTs) offer considerable potential for improving clinical and public health management of COVID-19 by providing timely information to guide decision-making, but data on real-world performance are in short supply. Besides SARS-CoV-2-specific tests, there is growing interest in the role of surrogate (non-specific) tests such as FebriDx, a biochemical POCT which can be used to distinguish viral from bacterial infection in patients with influenza-like illnesses. This short report assesses what is currently known about FebriDx performance across settings and populations by comparison with some of the more intensively evaluated SARS-CoV-2-specific POCTs. While FebriDx shows some potential in supporting triage for early-stage infection in acute care settings, this is dependent on SARS-CoV-2 being the most likely cause for influenza-like illnesses, with reduction in discriminatory power when COVID-19 case numbers are low, and when co-circulating viral respiratory infections become more prevalent during the autumn and winter. Too little is currently known about its performance in primary care and the community to support use in these contexts, and further evaluation is needed. Reliable SARS CoV2-specific POCTs-when they become available-are likely to rapidly overtake surrogates as the preferred option given the greater specificity they provide.

Indexed as

Point-of-Care TestingSARS-CoV-2COVID-19COVID-19 TestingHumansantibodyCOVID-19diagnosticmolecularrapid diagnostic testSARS-CoV-2

Identifiers

PMID32767548
PMCPMC7436809

What OpenQuestion holds

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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.