Evidence map›Paper›PMID 34668736›Full record

ArticleMicrobiology spectrum2021

Multisite Clinical Validation of Isothermal Amplification-Based SARS-CoV-2 Detection Assays Using Different Sampling Strategies.

Kanan T Desai, Karla Alfaro, Laura Mendoza, Matthew Faron, Brian Mesich, Mauricio Maza, Rhina Dominguez, Adriana Valenzuela, Chyntia Díaz Acosta, Magaly Martínez and 11 more

Abstract readEvaluation StudyMulticenter StudyValidation Study
In one paragraph

Article in Microbiology spectrum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Applicability of a colorimetric reverse transcription loop-mediated isothermal amplification (RT-LAMP) assay for SARS-CoV-2 detection in high exposure risk setting.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Kanan T DesaiDivision of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville, Maryland, USA.ORCID 0000-0002-8992-5944
Karla AlfaroBasic Health International, Pittsburgh, Pennsylvania, USA.
Laura MendozaInstituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción, San Lorenzo, Paraguay.
Matthew FaronMedical College of Wisconsingrid.30760.32, Milwaukee, Wisconsin, USA.
Brian MesichMedical College of Wisconsingrid.30760.32, Milwaukee, Wisconsin, USA.
Mauricio MazaBasic Health International, Pittsburgh, Pennsylvania, USA.
Rhina DominguezResearch Unit, El Salvador National Institute of Health (INS), San Salvador, El Salvador.
Adriana ValenzuelaInstituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción, San Lorenzo, Paraguay.
Chyntia Díaz AcostaInstituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción, San Lorenzo, Paraguay.
Magaly MartínezInstituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción, San Lorenzo, Paraguay.
Juan C FelixMedical College of Wisconsingrid.30760.32, Milwaukee, Wisconsin, USA.
Rachel MaschBasic Health International, Pittsburgh, Pennsylvania, USA.
Jennifer S SmithDepartment of Epidemiology, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, USA.
Sofia GabrilovichRutgers New Jersey Medical School, Newark, New Jersey, USA.
Tracy WuRutgers New Jersey Medical School, Newark, New Jersey, USA.
Michael PlumpRutgers New Jersey Medical School, Newark, New Jersey, USA.
Akiva P NovetskyRutgers New Jersey Medical School, Newark, New Jersey, USA.
Mark H EinsteinRutgers New Jersey Medical School, Newark, New Jersey, USA.
Nataki C DouglasRutgers New Jersey Medical School, Newark, New Jersey, USA.
Miriam CremerBasic Health International, Pittsburgh, Pennsylvania, USA.
Nicolas WentzensenDivision of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Isothermal amplification-based tests have been introduced as rapid, low-cost, and simple alternatives to real-time reverse transcriptase PCR (RT-PCR) tests for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection. The clinical performance of two isothermal amplification-based tests (Atila Biosystems iAMP coronavirus disease of 2019 [COVID-19] detection test and OptiGene COVID-19 direct plus RT-loop-mediated isothermal amplification [LAMP] test) was compared with that of clinical RT-PCR assays using different sampling strategies. A total of 1,378 participants were tested across 4 study sites. Compared with standard of care RT-PCR testing, the overall sensitivity and specificity of the Atila iAMP test for detection of SARS-CoV-2 were 76.2% and 94.9%, respectively, and increased to 88.8% and 89.5%, respectively, after exclusion of an outlier study site. Sensitivity varied based on the anatomic site from which the sample was collected. Sensitivity for nasopharyngeal sampling was 65.4% (range across study sites, 52.8% to 79.8%), for midturbinate was 88.2%, for saliva was 55.1% (range across study sites, 42.9% to 77.8%), and for anterior nares was 66.7% (range across study sites, 63.6% to 76.5%). The specificity for these anatomic collection sites ranged from 96.7% to 100%. Sensitivity improved in symptomatic patients (overall, 82.7%) and those with a higher viral load (overall, 92.4% for cycle threshold [

Indexed as

COVID-19COVID-19 Nucleic Acid TestingHumansLimit of DetectionMass ScreeningMolecular Diagnostic TechniquesNasopharynxNucleic Acid Amplification TechniquesPoint-of-Care SystemsReverse Transcriptase Polymerase Chain ReactionRNA, ViralSARS-CoV-2Specimen HandlingViral LoadRNA, Viralcancer screeningclinical validationCOVID-19isothermal amplificationSARS-CoV-2

Identifiers

PMID34668736
PMCPMC8528118

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.