Evidence map›Paper›PMID 35953247›Full record

SynthesisBMJ open2022

Diagnostic accuracy of urinary antigen tests for pneumococcal pneumonia among patients with acute respiratory failure suspected pneumonia: a systematic review and meta-analysis.

Shunsuke Yasuo, Maki Murata, Natsuki Nakagawa, Takeshi Kawasaki, Takuo Yoshida, Koichi Ando, Satoshi Okamori, Yohei Okada, Japanese ARDS clinical practice guideline systematic review task force

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05681156 (Curian S. Pneumo/Legionella Assay Beta Clinical Trial Protocol), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT05681156 completednot on this mapstarted 2023, after this paper: background citation

Curian S. Pneumo/Legionella Assay Beta Clinical Trial Protocol

TypeobservationalSponsorMeridian Bioscience, Inc.Ran2023 to 2023Enrolled199ConditionsStreptococcus Pneumoniae Infection, Legionella Pneumophila Serogroup 1 InfectionArmsN/A- There is no intervention.
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Rapid detection of S. pyogenes and S. pneumoniae in pleural fluid for diagnosis of parapneumonic empyema.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    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

9 authors at 8 institutions in 1 country.

Shunsuke YasuoDepartment of Emergency and Critical Care Medicine, Kyoto Katsura Hospital, Kyoto, Kyoto, Japan yasuoshun@gmail.com.ORCID 0000-0002-3030-123X
Maki MurataDepartment of Emergency medicine and Critical care, National Hospital Organization Kyoto Medical Center, Kyoto, Kyoto, Japan.ORCID 0000-0002-4331-5729
Natsuki NakagawaDepartment of Respiratory Medicine, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan.
Takeshi KawasakiDepartment of Respirology, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan.
Takuo YoshidaDepartment of Intensive Care Medicine, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, Japan.
Koichi AndoDivision of Respiratory Medicine and Allergology, Department of Medicine, Showa University, School of Medicine, Shinagawa-ku, Tokyo, Japan.ORCID 0000-0002-6535-8279
Satoshi OkamoriDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Yohei OkadaDepartment of Primary Care and Emergency Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Kyoto, Japan.ORCID 0000-0002-2266-476X
Japanese ARDS clinical practice guideline systematic review task force
Chiba University · JPKeio University · JPKyoto Katsura Hospital · JPKyoto Medical Center · JPKyoto University · JPShowa University · JPTokyo Women's Medical University · JPUniversity of Tokyo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesUrinary antigen tests have been used for the rapid identification of

methodsA systematic search was performed using MEDLINE and the Cochrane Central Register of Controlled Trials for studies published up to 3 June 2020. Prospective and retrospective cohort studies (in English) that reported on the diagnostic performance of urinary antigen tests versus culture or smear diagnostic methods in adult patients with clinically diagnosed pneumonia were selected and analysed. The QUADAS-2 tool was used to assess the risk of bias, and a bivariate random effects model was applied to perform a meta-analysis of the selected studies.

resultsA total of 2179 studies were screened, of which 30 met the eligibility criteria for quality assessment and meta-analysis. Overall, data from 12 366 patients, including 1548 patients (12.5%) with the target condition and suspected pneumococcal pneumonia, were included in the analysis. The overall quality of the included studies was determined to be serious. The calculated pooled sensitivity and specificity were of 0.66 (95% CI 0.62 to 0.69) and 0.90 (95% CI 0.85 to 0.93), respectively.

conclusionsThe urinary antigen test is useful for achieving a definitive diagnosis of

Indexed as

Pneumonia, PneumococcalRespiratory Distress SyndromeRespiratory InsufficiencyAdultHumansProspective StudiesRetrospective StudiesSensitivity and SpecificityStreptococcus pneumoniaeDiagnostic microbiologyINFECTIOUS DISEASESINTERNAL MEDICINEMICROBIOLOGY

Identifiers

PMID35953247
PMCPMC9379505
OpenAlexW4293900070

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.