Evidence map›Paper›PMID 32865458›Full record

ReviewEar, nose, & throat journal2021

Diagnosis of SARS-CoV-2 by RT-PCR Using Different Sample Sources: Review of the Literature.

Sara Torretta, Gianvincenzo Zuccotti, Valentina Cristofaro, Jacopo Ettori, Lorenzo Solimeno, Ludovica Battilocchi, Alessandra D'Onghia, Anna Bonsembiante, Lorenzo Pignataro, Paola Marchisio and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Ear, nose, & throat journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 11% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. BRET-based biosensors for SARS-CoV-2 oligonucleotide detection.Frontiers in bioengineering and biotechnology · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. British journal of biomedical science · 2022
    Article
  20. Measuring the Possibility of Middle Ear Discharge for COVID-19 Test Material.Interdisciplinary perspectives on infectious diseases · 2022
    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

11 authors at 2 institutions in 1 country.

Sara TorrettaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0000-0002-8461-6042
Gianvincenzo Zuccotti9304Università degli Studi di Milano, Department of Biomedical and Clinical Sciences Luigi Sacco, Milan, Italy.
Valentina CristofaroFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Jacopo EttoriFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Lorenzo SolimenoFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Ludovica BattilocchiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Alessandra D'OnghiaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Anna Bonsembiante9299University of Ferrara, Ferrara, Italy.
Lorenzo PignataroFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Paola MarchisioFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Pasquale CapaccioFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
University of Milan · ITUniversity of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe most widely used diagnostic technique for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is real-time reverse transcriptase-polymerase chain reaction (RT-PCR). It can be done on different samples: nasopharyngeal swabs (NPS) or oropharyngeal swabs (OPS), and self-collected saliva. However, negative findings do not rule out infection.

methodsA review was conceived to discuss advantages and limitations of the available diagnostic modalities for nonserologic diagnosis of SARS-CoV-2 based on RT-PCR; the article also proposes some practical suggestions to improve diagnostic reliability.

resultsA total of 16 papers (corresponding to 452 patients) of the 56 initially identified were included. Most of the papers describe findings from different samples obtained in limited case series; comparative studies are missing.

conclusionsDiagnostic accuracy of NPS and OPS is suboptimal and the risk of contaminated aerosol dispersal is not negligible. The SARS-CoV-2 RNA can be found in self-collected saliva specimens of many infected patients within 7 to 10 days after symptom onset. There is an urgent need for comparative trials to define the diagnostic modality of choice. Adequate education and training of health care personnel is mandatory.

Indexed as

COVID-19COVID-19 Nucleic Acid TestingHumansNasopharynxOropharynxRNA, ViralSalivaSARS-CoV-2Sensitivity and SpecificitySpecimen HandlingRNA, ViralCOVID-19emergencyinfectionnasopharynxswab

Identifiers

PMID32865458
PMCPMC7459180
OpenAlexW3082786676

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.