Evidence map›Paper›PMID 35249210›Full record

SynthesisInfection2022

Diagnostic accuracy of the interferon-gamma release assay in acquired immunodeficiency syndrome patients with suspected tuberculosis infection: a meta-analysis.

Hao Chen, Atsushi Nakagawa, Mikio Takamori, Seitarou Abe, Daisuke Ueno, Nobuyuki Horita, Seiya Kato, Nobuhiko Seki

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Consensus-based evaluation of RIDASCREENEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Quantum Dot-Based Nanosensors for In Vitro Detection ofNanomaterials (Basel, Switzerland) · 2024
    Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Tuberculosis in Spain: An opinion paper.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Observational
  19. 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

8 authors at 8 institutions in 1 country.

Hao Chen *Department of Internal Medicine, Teikyo University Graduate School of Medicine, Tokyo, Japan.
Atsushi Nakagawa *Department of Respiratory, Kobe City Medical Center General Hospital, Kobe, Japan.
Mikio Takamori *Department of Respiratory, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
Seitarou Abe *Department of Respiratory, Niigata Prefectural Shibata Hospital, Niigata, Japan.
Daisuke Ueno *Department of Emergency Medicine, Kawasaki Medical School Hospital, Okayama, Japan.
Nobuyuki Horita *Department of Pulmonology, Yokohama City University, Yokohama, Japan.
Seiya Kato *Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Tokyo, Japan.
Nobuhiko Seki *Department of Internal Medicine, Teikyo University Graduate School of Medicine, Tokyo, Japan. nseki@med.teikyo-u.ac.jp.
Japan Anti Tuberculosis Association · JPKawasaki Medical School Hospital · JPKobe City Medical Center General Hospital · JPNiigata Prefectural Shibata Hospital · JPTeikyo University · JPTeikyo University Hospital · JPTokyo Metropolitan Tama Medical Center · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe diagnostic accuracy of the interferon-gamma release assay (IGRA) in immunosuppressed patients remains unclear.

methodsA systematic review and meta-analysis were performed for diagnostic test accuracy of IGRA in tuberculosis (TB) infection among people living with HIV (PLWHIV). Summary estimates of sensitivity and specificity were calculated using both univariate and bivariate models.

resultsThe meta-analysis included 45 of the 1,242 first-screened articles. The total number of PLWHIV was 6,525; 3,467 had TB disease, including 806 cases of LTBI and 2,661 cases of active TB. The overall diagnostic odds ratio (DOR) of IGRA in the diagnosis of TB disease was 10.0 (95% confidence interval (CI) 5.59, 25.07), with an area under the curve (AUC) of 0.729. The DOR was better for QFT (14.2 (95%CI 4.359, 46.463)) than T-SPOT (10.0 (95%CI 3.866 26.033)). The sensitivity and specificity of QFT and T-SPOT were 0.663 (95%CI 0.471, 0.813), 0.867 (95%CI 0.683 0.942), and 0.604 (95%CI 0.481, 0.715), 0.862 (95%CI 0.654, 0.954), respectively, in the bivariate model. The sensitivity of IGRA in the diagnosis of LTBI was 0.64 (95%CI 0.61, 0.66).

conclusionIGRA was useful in the diagnostic of TB disease in PLWHIV, and QFT showed a better tendency of DOR than T-SPOT. IGRA showed a limited effect to rule out LTBI in PLWHIV.

Indexed as

Acquired Immunodeficiency SyndromeLatent TuberculosisTuberculosisHumansInterferon-gamma Release TestsSensitivity and SpecificityTuberculin TestInterferon-gamma release assayPeople living with HIVSensitivitySpecificityTuberculosis

Identifiers

PMID35249210
PMCPMC9151521
OpenAlexW4220748712

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.