Evidence map›Paper›PMID 35107302›Full record

ReviewJournal of clinical microbiology2022

Flu@home: the Comparative Accuracy of an At-Home Influenza Rapid Diagnostic Test Using a Prepositioned Test Kit, Mobile App, Mail-in Reference Sample, and Symptom-Based Testing Trigger.

Jack Henry Kotnik, Shawna Cooper, Sam Smedinghoff, Piyusha Gade, Kelly Scherer, Mitchell Maier, Jessie Juusola, Ernesto Ramirez, Pejman Naraghi-Arani, Victoria Lyon and 2 more

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of clinical microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Review
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

12 authors at 2 institutions in 1 country.

Jack Henry KotnikDepartment of Bioengineering, University of Washington, Seattle, Washington, USAgrid.34477.33.
Shawna CooperAudere, Seattle, Washington, USA.
Sam SmedinghoffAudere, Seattle, Washington, USA.
Piyusha GadeEvidation Health, Inc., San Mateo, California, USA.
Kelly SchererEvidation Health, Inc., San Mateo, California, USA.
Mitchell MaierEvidation Health, Inc., San Mateo, California, USA.
Jessie JuusolaEvidation Health, Inc., San Mateo, California, USA.
Ernesto RamirezEvidation Health, Inc., San Mateo, California, USA.
Pejman Naraghi-AraniTunnell Government Services, Inc., Bethesda, Maryland, USA.
Victoria LyonDepartment of Family Medicine, University of Washington, Seattle, Washington, USAgrid.34477.33.
Barry LutzDepartment of Bioengineering, University of Washington, Seattle, Washington, USAgrid.34477.33.
Matthew ThompsonDepartment of Family Medicine, University of Washington, Seattle, Washington, USAgrid.34477.33.
Evidation Health (United States) · USUniversity of Washington · US

Funding

Bill and Melinda Gates Foundation (BMGF) 1204286HHS | Biomedical Advanced Research and Development Authority (BARDA) 75A50119C00036
6 · The paper itself

Abstract

At-home testing with rapid diagnostic tests (RDTs) for respiratory viruses could facilitate early diagnosis, guide patient care, and prevent transmission. Such RDTs are best used near the onset of illness when viral load is highest and clinical action will be most impactful, which may be achieved by at-home testing. We evaluated the diagnostic accuracy of the QuickVue Influenza A+B RDT in an at-home setting. A convenience sample of 5,229 individuals who were engaged with an on-line health research platform were prospectively recruited throughout the United States. "Flu@home" test kits containing a QuickVue RDT and reference sample collection and shipping materials were prepositioned with participants at the beginning of the study. Participants responded to daily symptom surveys. If they reported experiencing cough along with aches, fever, chills, and/or sweats, they used their flu@home kit following instructions on a mobile app and indicated what lines they saw on the RDT. Of the 976 participants who met criteria to use their self-collection kit and completed study procedures, 202 (20.7%) were positive for influenza by qPCR. The RDT had a sensitivity of 28% (95% CI = 21 to 36) and specificity of 99% (98 to 99) for influenza A, and 32% (95% CI = 20 to 46) and 99% (95% CI = 98 to 99), for influenza B. Our results support the concept of app-supported, prepositioned at-home RDT kits using symptom-based triggers, although it cannot be recommended with the RDT used in this study. Further research is needed to determine ways to improve the accuracy and utility of home-based testing for influenza.

Indexed as

Influenza, HumanMobile ApplicationsDiagnostic Tests, RoutineFeverHumansPostal ServiceSensitivity and Specificityantigen testat-home testingcomparative accuracydiagnostic accuracydiagnostic performanceinfluenzarapid testsRDTrespiratory virusesSARS-CoV-2

Identifiers

PMID35107302
PMCPMC8925896
OpenAlexW4210396756

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.