Evidence map›Paper›PMID 33545516›Full record

ArticleClinical imaging2021

Improving CT accuracy in the diagnosis of COVID-19 in a hospital setting.

Christoph Erxleben, Lisa C Adams, Jacob Albrecht, Antonia Petersen, Janis L Vahldiek, Hans-Martin Thieß, Julia Kremmin, Marcus R Makowski, Alexandra Niehues, Stefan M Niehues and 1 more

Abstract read
In one paragraph

Article in Clinical imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Thoracic imaging tests for the diagnosis of COVID-19.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Mutations in SARS-CoV-2: Insights on structure, variants, vaccines, and biomedical interventions.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2023
    Review
  3. 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.

Christoph ErxlebenCharité - Universitätsmedizin Berlin, Campus Benjamin Franklin - Klinik für Radiologie, Hindenburgdamm 30, 12203 Berlin, Germany.
Lisa C AdamsCharité - Universitätsmedizin Berlin, Campus Charité Mitte - Klinik für Radiologie, Charitéplatz 1, 10117 Berlin, Germany. Electronic address: lisa.adams@charite.de.
Jacob AlbrechtCharité - Universitätsmedizin Berlin, Campus Benjamin Franklin - Klinik für Radiologie, Hindenburgdamm 30, 12203 Berlin, Germany.
Antonia PetersenCharité - Universitätsmedizin Berlin, Campus Benjamin Franklin - Klinik für Radiologie, Hindenburgdamm 30, 12203 Berlin, Germany.
Janis L VahldiekCharité - Universitätsmedizin Berlin, Campus Benjamin Franklin - Klinik für Radiologie, Hindenburgdamm 30, 12203 Berlin, Germany.
Hans-Martin ThießCharité - Universitätsmedizin Berlin, Campus Benjamin Franklin - Klinik für Radiologie, Hindenburgdamm 30, 12203 Berlin, Germany.
Julia KremminCharité - Universitätsmedizin Berlin, Campus Benjamin Franklin - Klinik für Radiologie, Hindenburgdamm 30, 12203 Berlin, Germany.
Marcus R MakowskiTechnical University of Munich, School of Medicine, Department of Diagnostic and Interventional Radiology, 81675 Munich, Germany.
Alexandra NiehuesCharité - Universitätsmedizin Berlin, Campus Benjamin Franklin - Klinik für Radiologie, Hindenburgdamm 30, 12203 Berlin, Germany.
Stefan M NiehuesCharité - Universitätsmedizin Berlin, Campus Benjamin Franklin - Klinik für Radiologie, Hindenburgdamm 30, 12203 Berlin, Germany.
Keno K BressemCharité - Universitätsmedizin Berlin, Campus Benjamin Franklin - Klinik für Radiologie, Hindenburgdamm 30, 12203 Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to improve the accuracy of CT for detection of COVID-19-associated pneumonia and to identify patient subgroups who might benefit most from CT imaging.

methodsA total of 269 patients who underwent CT for suspected COVID-19 were included in this retrospective analysis. COVID-19 was confirmed by reverse-transcription-polymerase-chain-reaction. Basic demographics (age and sex) and initial vital parameters (O

resultsThe sole use of vital parameters for the prediction of COVID-19 was inferior to CT. After correction for confounders, such as age and sex, CT showed a sensitivity of 0.86, specificity of 0.78, and positive predictive value of 0.36. In the subgroup analysis based on pretest probability, positive predictive value and sensitivity increased to 0.53 and 0.89 in the high-risk group, while specificity was reduced to 0.68. In the low-risk group, sensitivity and positive predictive value decreased to 0.76 and 0.33 with a specificity of 0.83. The negative predictive value remained high (0.94 and 0.97) in both groups.

conclusionsThe accuracy of CT for the detection of COVID-19 might be increased by selecting patients with a high-pretest probability of COVID-19.

Indexed as

COVID-19HospitalsHumansRadiography, ThoracicRetrospective StudiesSARS-CoV-2Sensitivity and SpecificityTomography, X-Ray ComputedComputed tomographyPrediction of COVID-19Pretest probabilityVital parameters

Identifiers

PMID33545516
PMCPMC7846468

What OpenQuestion holds

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Registered trials

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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.