Evidence map›Paper›PMID 33158838›Full record

Observational studyBMJ open2020

Information given by websites selling home self-sampling COVID-19 tests: an analysis of accuracy and completeness.

Sian Taylor-Phillips, Sarah Berhane, Alice J Sitch, Karoline Freeman, Malcolm James Price, Clare Davenport, Julia Geppert, Isobel M Harris, Osemeke Osokogu, Magdalena Skrybant and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2020. 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
0.2field-weighted citation impact, top 33% 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, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. How Official Social Media Affected the Infodemic among Adults during the First Wave of COVID-19 in China.International journal of environmental research and public health · 2022
    Article
  5. 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

11 authors at 3 institutions in 1 country.

Sian Taylor-PhillipsWarwick Medical School, University of Warwick, Coventry, UK s.taylor-phillips@warwick.ac.uk.ORCID 0000-0002-1841-4346
Sarah BerhaneInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Alice J SitchInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Karoline FreemanWarwick Medical School, University of Warwick, Coventry, UK.ORCID 0000-0002-9963-2918
Malcolm James PriceInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Clare DavenportInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Julia GeppertWarwick Medical School, University of Warwick, Coventry, UK.
Isobel M HarrisInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0001-8125-3832
Osemeke OsokoguWarwick Medical School, University of Warwick, Coventry, UK.
Magdalena SkrybantInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Jonathan J DeeksInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
University Hospitals Birmingham NHS Foundation Trust · GBUniversity of Warwick · GBUniversity of Birmingham · GB

Funding

Department of Health CDF-2016-09-018Department of Health DRF-2016-09-038
6 · The paper itself

Abstract

objectivesTo assess the accuracy and completeness of information provided by websites selling home self-sampling and testing kits for COVID-19.

designCross-sectional observational study.

settingAll websites (n=27) selling direct to user home self-sampling and testing kits for COVID-19 (41 tests) in the UK (39 tests) and USA (two tests) identified by a website search on 23 May 2020.

main outcome measuresThirteen predefined basic information items to communicate to a user, including who should be tested, when and how testing should be done, test accuracy, and interpretation of results.

resultsMany websites did not provide the name or manufacturer of the test (32/41; 78%), when to use the test (10/41; 24%), test accuracy (12/41; 29%), and how to interpret results (21/41; 51%). Sensitivity and specificity were the most commonly reported test accuracy measures (either reported for 27/41 [66%] tests): we could only link these figures to manufacturers' documents or publications for four (10%) tests. Predictive values, most relevant to users, were rarely reported (five [12%] tests reported positive predictive values). For molecular virus tests, 9/23 (39%) websites explained that test positives should self-isolate, and 8/23 (35%) explained that test negatives may still have the disease. For antibody tests, 12/18 (67%) websites explained that testing positive does not necessarily infer immunity from future infection. Seven (39%) websites selling antibody tests claimed the test had a CE mark, when they were for a different intended use (venous blood rather than finger-prick samples).

conclusionsAt the point of online purchase of home self-sampling COVID-19 tests, users in the UK are provided with incomplete, and, in some cases, misleading information on test accuracy, intended use, and test interpretation. Best practice guidance for communication about tests to the public should be developed and enforced for online sales of COVID-19 tests.

Indexed as

InternetPandemicsSARS-CoV-2COVID-19COVID-19 TestingCross-Sectional StudiesHumansReproducibility of ResultsSpecimen HandlingCOVID-19health policyinfectious diseasespublic health

Identifiers

PMID33158838
PMCPMC7650079
OpenAlexW3094864976

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.