Evidence map›Paper›PMID 35149391›Full record

ArticleDiagnostic microbiology and infectious disease2022

Clinical yield of multiple testing with respiratory pathogen panels.

Jonathan D Baghdadi, Jerry M Yang, Amanda Lynen, Scott Sorongon, Anthony D Harris, Jennifer Kristie Johnson, Daniel J Morgan

Open access · greenAbstract read
In one paragraph

Article in Diagnostic microbiology and infectious disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Observational
  3. 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 2 institutions in 1 country.

Jonathan D BaghdadiDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA; Department of Epidemiology and Public Health, VA Maryland Health Care System, Baltimore, MD, USA. Electronic address: jbaghdadi@som.umaryland.edu.
Jerry M YangDepartment of Epidemiology and Public Health, University of Maryland, College Park, MD, USA.
Amanda LynenDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
Scott SorongonDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
Anthony D HarrisDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA; Department of Epidemiology and Public Health, VA Maryland Health Care System, Baltimore, MD, USA.
Jennifer Kristie JohnsonDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
Daniel J MorganDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA; Department of Epidemiology and Public Health, VA Maryland Health Care System, Baltimore, MD, USA.
University of Maryland, Baltimore · USUniversity of Maryland, College Park · US

Funding

QAQC Johns Hopkins Institute for Clinical and Translational ResearchUL1TR003098 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2019 to 2023
$57.7M
Institutional Career Development CoreKL2TR003099 · NCATS · JOHNS HOPKINS UNIVERSITY · PI GEBO, KELLY A · 2019 to 2023
$7.9M
NCATS NIH HHS KL2 TR003099NCATS NIH HHS UL1 TR003098
6 · The paper itself

Abstract

Though multiplex respiratory pathogen panels (RPP) have high sensitivity, multiple tests are occasionally performed simultaneously or in rapid succession in an attempt to increase the yield. The purpose of this study was to assess the impact of this practice.

methods"Multiple testing" was defined as >1 RPP performed within 12 hours on the same patient and specimen type. All cases of multiple testing for adults at two hospitals over a 5-year period were included. Chart review was performed to determine whether discordant results led to a clinical diagnosis or change in clinical management.

resultsOf 18,779 RPPs, 462 (2.5%) represented cases of multiple testing. Twenty-six of 462 cases (5.6%) produced discordant results. Five discordant results (1.1% of 462 multiple testing episodes) were associated with a clinical diagnosis, and 4 (0.9%) influenced clinical management.

conclusionMultiple RPP testing facilitates clinical management in <1% of cases. Medical centers may consider de-implementing this practice.

Indexed as

Molecular Diagnostic TechniquesRespiratory Tract InfectionsAdultHumansdiagnostic stewardshipduplicate testingmultiple testingmultiplex molecular panel testingrespiratory panelssyndromic panels

Identifiers

PMID35149391
PMCPMC9942518
OpenAlexW4200069391

What OpenQuestion holds

Textmetadata
LicenceTDM
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.