Evidence map›Paper›PMID 34501297›Full record

ArticleJournal of clinical medicine2021

Role of Rapid Antigen Testing in Population-Based SARS-CoV-2 Screening.

Vicente Martín-Sánchez, Tania Fernández-Villa, Ana Carvajal Urueña, Ana Rivero Rodríguez, Sofía Reguero Celada, Gloria Sánchez Antolín, José Pedro Fernández-Vázquez

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Importance of external quality assessment for SARS-CoV-2 antigen detection during the COVID-19 pandemic.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2022
    Article
  5. Article
  6. Rapid Diagnostic Testing for SARS-CoV-2.The New England journal of medicine · 2022
    Review
  7. 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

7 authors at 4 institutions in 1 country.

Vicente Martín-SánchezResearch Group on Gene-Environment Interactions and Health (GIIGAS), Institute of Biomedicine (IBIOMED), Universidad de León, 24071 León, Spain.ORCID 0000-0003-0552-2804
Tania Fernández-VillaResearch Group on Gene-Environment Interactions and Health (GIIGAS), Institute of Biomedicine (IBIOMED), Universidad de León, 24071 León, Spain.ORCID 0000-0002-9049-3026
Ana Carvajal UrueñaAnimal Health Department, Universidad de León, 24071 León, Spain.
Ana Rivero RodríguezGerencia de Atención Primaria, 24008 León, Spain.
Sofía Reguero CeladaGerencia de Atención Primaria, 24008 León, Spain.
Gloria Sánchez AntolínCastilla y Leon Health Department, Universidad de Valladolid, 47002 Valladolid, Spain.
José Pedro Fernández-VázquezGerencia de Atención Primaria, 24008 León, Spain.
Agencia de Evaluación de Tecnologías Sanitarias · ESUniversidad de León · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESUniversidad de Valladolid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study evaluates a population-based screening of asymptomatic people, using a rapid antigen diagnostic test (RADT), in areas of high transmission. To detect sources of SARS-CoV-2 infection, nasopharyngeal samples were taken and were tested using RADT. Confirmatory RT-qPCR tests were performed in both positive and negative cases. The internal validity of the RADT, the prevalence of infection, and the positive and negative predictive values (PPV and NPV) were estimated, based on the percentages of confirmed cases with 95% confidence interval. Of the 157,920 people registered, 50,492 participated in the screening; 50,052 were negative, and 440 were positive on the RADT (0.87%). A total of 221 positive RADT samples were reanalysed using RT-qPCR and 214 were confirmed as positive (96.8%; 95% CI: 93.5-98.7%), while 657 out of 660 negative RADT samples were confirmed as RT-qPCR negative (99.5%; 95% CI 98.7-99.9%). The sensitivity obtained was 65.1% (38.4-90.2%) and the specificity was 99.97% (99.94-99.99%). The prevalence of infection was 1.30% (0.95-2.13%). The PPVs were 95.4% (85.9-98.9%) and 97.9% (93.3-99.5%), respectively, while the NPVs were 99.7% (99.4-100%) and 99.2% (98.7-100%), respectively. The high specificity found allow us to report a high screening performance in asymptomatic patients, even in areas where the prevalence of infection was less than 2%.

Indexed as

antigenSARS-CoV-2screening

Identifiers

PMID34501297
PMCPMC8432187
OpenAlexW3196770508

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.