Evidence map›Paper›PMID 34716159›Full record

ArticleBMJ open2021

Combined use of two rapid tests for the conclusive diagnosis of Chagas disease: a systematic scoping review.

Arturo Ortega-Arroyo, María Delmans Flores-Chavez, Jesús Puente-Alcaraz

Open access · goldAbstract readScoping Review
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

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  9. Laboratory diagnosis ofFrontiers in parasitology · 2023
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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

3 authors at 3 institutions in 2 countries.

Arturo Ortega-ArroyoUniversitary Hospital of Burgos, Burgos, Spain.ORCID 0000-0001-9496-0624
María Delmans Flores-ChavezNational Microbiology Centre, Carlos III Health Institute, Madrid, Spain.ORCID 0000-0003-2597-3100
Jesús Puente-AlcarazHealth Sciences, University of Burgos,Faculty of Health Sciences, Burgos, Spain jpalcaraz@ubu.es.ORCID 0000-0002-6450-5599
Hospital Universitario de Burgos · ESInstituto de Salud Carlos III · ESUniversidad de Burgos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe goal of this systematic scoping review is to collect and summarise scientific evidence regarding the validity of two simultaneous immunochromatographic tests for the conclusive diagnosis of Chagas disease. The research was informed by the following review questions: Will the use of two rapid tests be a valid method for the definitive diagnosis of Chagas disease when compared with conventional serological tests? In what type of population has the operation of two rapid tests been tried for the diagnosis of Chagas disease? What are the biomedical and public health advantages of the diagnostic method resulting from the combination of two rapid tests over the conventional serological method? Will it be a cost-benefit strategy for the diagnosis of Chagas with respect to conventional serological tests?

designSystematic scoping review.

settingA search of the published and unpublished literature in five databases was carried out, in order to identify, screen and select the studies included in this review.

results468 studies were identified, of which 46 were screened with a full-text reading, and finally, three articles were included in the review. All studies were in endemic countries with adult and paediatric populations (n=1133) and, together, they evaluated four different rapid tests. The rapid tests showed good sensitivity (97.4%-100%) and specificity (96.1%-100%) for the diagnosis of Chagas when used in combination and compared with the reference tests.

conclusionsThe simultaneous use of at least two immunochromatographic rapid tests is a valid option for the definitive diagnosis of chronic Chagas in endemic rural areas, as long as there are studies that previously evaluate their performance on the areas of implementation. Therefore, this could be an alternative to the current diagnostic standard. However, additional studies are still needed in more countries in order to provide further evidence and to investigate the cost-benefit.

Indexed as

Chagas DiseaseAdultChildDiagnostic Tests, RoutineHumansMotivationProthrombin TimeSerologic Testsdiagnostic microbiologyepidemiologypublic health

Identifiers

PMID34716159
PMCPMC8559098
OpenAlexW3208420445

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.