Evidence map›Paper›PMID 33648983›Full record

SynthesisBMJ open gastroenterology2021

Accuracy and comparison of two rapid multiplex PCR tests for gastroenteritis pathogens: a systematic review and meta-analysis.

Li-Jun Chang, Chun-Jen Hsiao, Bing Chen, Tzu-Yu Liu, Julia Ding, Wan-Ting Hsu, Victor Su-Ortiz, Szu-Ta Chen, Ke-Ying Su, Han-Ping Wu and 1 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Impact of the BioFireBMC infectious diseases · 2026
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  16. Clinical Performance of the LiquidArrayDiagnostics (Basel, Switzerland) · 2024
    Article
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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 6 institutions in 2 countries.

Li-Jun Chang *Department of Medical Education, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0002-6348-6496
Chun-Jen Hsiao *Department of Medical Education, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0002-3048-4312
Bing ChenDepartment of Medicine, Mount Sinai Morningside Hospital, New York, New York, USA.ORCID 0000-0002-6058-9529
Tzu-Yu LiuDepartment of Medicine, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA.ORCID 0000-0001-8348-620X
Julia DingInternal Medicine, Brown University Division of Biology and Medicine, Providence, Rhode Island, USA.ORCID 0000-0001-6738-4713
Wan-Ting HsuDepartment of Epidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0002-6677-0951
Victor Su-OrtizDepartment of Medical Engineering, College of Engineering, Cornell University, Ithaca, New York, USA.ORCID 0000-0002-8282-2272
Szu-Ta ChenDepartment of Epidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0002-9715-1221
Ke-Ying SuDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Han-Ping WuDepartment of Pediatric Emergency Medicine and Medical Research, China Medical University Children's Hospital, Taichung, Taiwan.
Chien-Chang LeeDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan cclee100@gmail.com.ORCID 0000-0002-1243-2463
National Taiwan University Hospital · TWBrown University · USHarvard University · USChina Medical University · TWCornell University · USMount Sinai Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe primary aim is to provide a summary of evidence for the diagnostic accuracies of multiplex PCR gastrointestinal (GI) panels-BioFire FilmArray and Luminex xTAG on the detection of gastroenteritis pathogens. The secondary aim is to compare the performance of these GI panels head to head.

methodsA comprehensive search up to 1 December 2019 was conducted on PubMed, Embase, Ovid Medline and Web of Science for studies that used FilmArray or Luminex xTAG Gastrointestinal Pathogen Panel (GPP) for diagnosis of acute gastroenteritis. A summary of diagnostic accuracies for the 16 pathogens were calculated by comparing the GI panels to the current gold standards (conventional standard microbiology techniques such as culture or PCR for bacteria, PCR or enzyme immunoassay (EIA) for viruses, microscopy or EIA for parasite). Hierarchical summary receiver operating characteristic (HSROC) curve analysis, pretest and post-test probabilities were used for estimating the pathogen detection performance.

resultsA total of 11 studies with 7085 stool samples were eligible for analysis. Multiplex PCRs demonstrated high diagnostic accuracy, with specificity ≧0.98 and area under the ROC curve (AUROC) ≧0.97 for all the pathogens except for

conclusionsThis is the first meta-analysis that is a head-to-head comparison examining the performance of the novel multiplex PCR-based tests Luminex xTAG GPP and FilmArray GI panel in detecting each pathogen. Point estimates calculated from eligible studies showed that both GI panels are highly accurate and may provide important diagnostic information for early identification of gastroenteritis. In addition, although FilmArray has higher sensitivity and post-test probability than xTAG GPP for most of the pathogens, how this will translate to a clinical setting remains unclear.

Indexed as

GastroenteritisRotavirusVirusesAnimalsMultiplex Polymerase Chain ReactionSensitivity and Specificityenteric infectionsmeta-analysisreal time PCR

Identifiers

PMID33648983
PMCPMC7925250
OpenAlexW3135882546

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.