Evidence map›Paper›PMID 33208477›Full record

ArticleJournal of clinical microbiology2021

Evaluation of Serological SARS-CoV-2 Lateral Flow Assays for Rapid Point-of-Care Testing.

Steven E Conklin, Kathryn Martin, Yukari C Manabe, Haley A Schmidt, Jernelle Miller, Morgan Keruly, Ethan Klock, Charles S Kirby, Owen R Baker, Reinaldo E Fernandez and 12 more

Open access · greenAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 10% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  9. The feasibility of multiple units of convalescent plasma in mechanically ventilated patients with COVID-19: A pilot study.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2022
    Article
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  16. Comparative performance of multiplex salivary and commercially available serologic assays to detect SARS-CoV-2 IgG and neutralization titers.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2021
    Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 2 institutions in 1 country.

Steven E Conklin *Department of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Kathryn Martin *Department of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Yukari C ManabeDepartment of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Haley A SchmidtDepartment of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Jernelle MillerDepartment of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Morgan KerulyDivision of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Ethan KlockDepartment of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Charles S KirbyDepartment of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Owen R BakerDivision of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Reinaldo E FernandezDepartment of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Yolanda J EbyDepartment of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Justin HardickDepartment of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Kathryn Shaw-SalibaDepartment of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Richard E RothmanDepartment of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Patrizio P CaturegliDepartment of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Andrew D ReddDepartment of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Aaron A R TobianDepartment of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Evan M BlochDepartment of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
H Benjamin LarmanDepartment of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Thomas C QuinnDepartment of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
William Clarke *Department of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Oliver Laeyendecker *Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA olaeyen1@jhmi.edu.ORCID 0000-0002-6429-4760
Johns Hopkins University · USNational Institutes of Health · US

Funding

LC: HIV Prevention Trials Network - Laboratory Support for the SARS-CoV-2 Seroprevalence Study (CoVPN 5002)UM1AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SUSAN H ESHLEMAN, Mark A Marzinke · 2011 to 2026
$100.2M
TrainingU54EB007958 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI Yukari C Manabe, Susan Anne Tuddenham · 2007 to 2026
$34.6M
Unlocking the Potential of HIV-Infected Deceased Donors for Organ TransplantationR01AI120938 · NIAID · JOHNS HOPKINS UNIVERSITY · PI TOBIAN, AARON A · 2016 to 2021
$4.3M
INTERNATIONAL STUDIES ON THE ACQUIRED IMMUNODEFICIENCY SYNDROMEZ01AI000361 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI QUINN, THOMAS · 1985 to 2008
$3.1M
Penile Microbiome, Inflammation and HIV Susceptibility During Sexual Debut and Maturation Among Male AdolescentsR01AI128779 · NIAID · JOHNS HOPKINS UNIVERSITY · PI TOBIAN, AARON A · 2017 to 2020
$2.1M
The Malaria Transfusion Risk (MATRix) StudyK23HL151826 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BLOCH, EVAN MARTIN · 2020 to 2024
$882k
Epidemiologic and Immunologic Investigations of SARS-CoV-2 (COVID-19) InfectionsZIAAI001286 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI QUINN, THOMAS · 2020 to 2023
$349k
Intramural NIH HHS Z01 AI000361NHLBI NIH HHS K23 HL151826NIAID NIH HHS HHSN272201400007CNIAID NIH HHS R01 AI120938NIAID NIH HHS R01 AI128779NIAID NIH HHS UM1 AI068613NIBIB NIH HHS U54 EB007958
6 · The paper itself

Abstract

Rapid point-of-care tests (POCTs) for detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific antibodies vary in performance. A critical need exists to perform head-to-head comparisons of these assays. The performances of 15 different lateral flow POCTs for the detection of SARS-CoV-2-specific antibodies were compared on a well-characterized set of 100 samples. Of these, 40 samples from known SARS-CoV-2-infected, convalescent individuals (collected an average of 45 days after symptom onset) were used to assess sensitivity. Sixty samples from the prepandemic era (negative control) that were known to represent infections with other respiratory viruses (rhinoviruses A, B, and C and/or coronavirus 229E, HKU1, and NL63 OC43) were used to assess specificity. The timing of seroconversion was assessed using five lateral flow assays (LFAs) and a panel of 272 longitudinal samples from 47 patients for whom the time since symptom onset was known. Among the assays that were evaluated, the sensitivity and specificity for any reactive band ranged from 55% to 97% and from 78% to 100%, respectively. Assessing the performance of the IgM and the IgG bands alone, sensitivity and specificity ranged from 0% to 88% and 80% to 100% for IgM and from 25% to 95% and 90% to 100% for IgG, respectively. Longitudinal testing revealed that the median times after symptom onset to a positive result were 7 days (interquartile range [IQR], 5.4 to 9.8) for IgM and 8.2 days (IQR, 6.3 to 11.3) for IgG. The testing performances differed widely among LFAs, with greatest amount of variation related to the sensitivity of the assays. The IgM band was the band most likely to misclassify prepandemic samples. The appearances of IgM and IgG bands occurred almost simultaneously.

Indexed as

Point-of-Care TestingAntibodies, ViralCOVID-19COVID-19 Serological TestingCross ReactionsHumansImmunoassayImmunoglobulin GImmunoglobulin MSARS-CoV-2Sensitivity and SpecificitySeroconversionAntibodies, ViralImmunoglobulin GImmunoglobulin Mcross-reactivityperformancepoint-of-care testSARS-CoV-2 serology

Identifiers

PMID33208477
PMCPMC8111122
OpenAlexW3104761811

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.