Evidence map›Paper›PMID 34240750›Full record

ArticleTransfusion2021

Assessment of Liaison XL Murex Chagas diagnostic performance in blood screening for Chagas disease using a reference array of chimeric antigens.

Emily F Santos, Leonardo M Leony, Ângelo A O Silva, Ramona T Daltro, Natália E M Freitas, Larissa C M Vasconcelos, Fernando L V de Araújo, Paola A F Celedon, Marco A Krieger, Nilson I T Zanchin and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Transfusion, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Frontiers in microbiology · 2024
    Article
  11. Article
  12. Article
  13. Performance of ChimericFrontiers in medicine · 2022
    Article
  14. Chagas Immunochromatographic Rapid Test in the Serological Diagnosis ofFrontiers in cellular and infection microbiology · 2022
    Article
  15. 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 4 institutions in 1 country.

Emily F SantosAdvanced Public Health Laboratory, Gonçalo Moniz Institute (FIOCRUZ/BA), Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID 0000-0002-4707-5494
Leonardo M LeonyAdvanced Public Health Laboratory, Gonçalo Moniz Institute (FIOCRUZ/BA), Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID 0000-0003-0681-8332
Ângelo A O SilvaAdvanced Public Health Laboratory, Gonçalo Moniz Institute (FIOCRUZ/BA), Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID 0000-0003-1723-6928
Ramona T DaltroAdvanced Public Health Laboratory, Gonçalo Moniz Institute (FIOCRUZ/BA), Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID 0000-0002-4974-1972
Natália E M FreitasAdvanced Public Health Laboratory, Gonçalo Moniz Institute (FIOCRUZ/BA), Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID 0000-0001-6286-1883
Larissa C M VasconcelosAdvanced Public Health Laboratory, Gonçalo Moniz Institute (FIOCRUZ/BA), Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID 0000-0003-4818-6732
Fernando L V de AraújoHematology and Hemotherapy Foundation of the State of Bahia (HEMOBA), Salvador, Bahia, Brazil.ORCID 0000-0003-3434-5069
Paola A F CeledonMolecular Biology Institute of Paraná (IBMP), Curitiba, Paraná, Brazil.ORCID 0000-0002-1968-7039
Marco A KriegerMolecular Biology Institute of Paraná (IBMP), Curitiba, Paraná, Brazil.ORCID 0000-0003-0030-3952
Nilson I T ZanchinCarlos Chagas Institute (Fiocruz/PR), Oswaldo Cruz Foundation, Curitiba, Paraná, Brazil.ORCID 0000-0002-1153-0694
Fred L N SantosAdvanced Public Health Laboratory, Gonçalo Moniz Institute (FIOCRUZ/BA), Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID 0000-0002-3944-0818
Fundação Oswaldo Cruz · BRInstituto de Biologia Molecular do Paraná · BRFundação Carlos Chagas · BRFundação Hospitalar de Hematologia e Hemoterapia do Amazonas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChagas disease (CD) serological screening at blood banks is usually performed by a single highly sensitive serological assay, with chemiluminescent immunoassays (CLIAs) being the method of choice. CLIAs employ recombinant, fusion peptides and/or chimeric antigens that selectively capture anti-Trypanosoma cruzi antibodies. However, despite high sensitivity, the ability of these tests to identify CD-positive cases should be evaluated against T. cruzi strains circulating in specific locales. Herein, we used a latent class analysis (LCA) approach employing an array of four chimeric antigens to assess the diagnostic performance of the Liaison XL Murex Chagas CLIA for the detection of anti-T. cruzi IgG in serum samples. STUDY DESIGN AND

methodsThe study included a panel of 5014 serum samples collected from volunteer blood donors at the Hematology and Hemotherapy Foundation of the State of Bahia, submitted to anti-T. cruzi antibody detection using Liaison Chagas CLIA and LCA as a reference test in the absence of a gold standard.

resultsLCA classified 4993 samples as negative, while positivity for T. cruzi antibodies was predicted in 21 samples. Compared with LCA, CLIA demonstrated sensitivity and specificity of 76.2% and 99.5%, respectively, providing an overall accuracy of 99.4%. DISCUSSION: In blood banks lacking a de facto highly sensitive screening immunoassay, the low sensitivity offered by Liaison Chagas CLIA renders it unsuitable for standalone use in serological screening procedures for CD. Moreover, blood banks are encouraged to carefully assess the ability of diagnostic methods to identify local T. cruzi strains in circulation.

Indexed as

Blood DonorsBlood SafetyAntibodies, ProtozoanAntigens, ProtozoanChagas DiseaseHumansLuminescent MeasurementsTrypanosoma cruziAntibodies, ProtozoanAntigens, ProtozoanChagas diseasechemiluminescenceimmunoassaylatent class analysisserological screening

Identifiers

PMID34240750
PMCPMC9292309
OpenAlexW3182315647

What OpenQuestion holds

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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.