Evidence map›Paper›PMID 36180209›Full record

SynthesisSexually transmitted infections2022

Improved rapid diagnostic tests to detect syphilis and yaws: a systematic review and meta-analysis.

Ying Zhang, Su Mei Goh, Maeve B Mello, Rachel C Baggaley, Teodora Wi, Cheryl C Johnson, Kingsley B Asiedu, Michael Marks, Minh D Pham, Christopher K Fairley and 5 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Sexually transmitted infections, 2022. 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
1.2field-weighted citation impact, top 21% 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, 10 citations in OpenAlex.

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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

15 authors at 8 institutions in 4 countries.

Ying ZhangSchool of Public Health, The University of Sydney, Campertown, New South Wales, Australia.ORCID 0000-0001-7717-5691
Su Mei GohMelbourne Sexual Health Centre, Melbourne, Victoria, Australia.
Maeve B MelloGlobal HIV, Hepatitis and STI Programmes, WHO, Geneva, Switzerland.
Rachel C BaggaleyGlobal HIV, Hepatitis and STI Programmes, WHO, Geneva, Switzerland.
Teodora WiGlobal HIV, Hepatitis and STI Programmes, WHO, Geneva, Switzerland.
Cheryl C JohnsonGlobal HIV, Hepatitis and STI Programmes, WHO, Geneva, Switzerland.
Kingsley B AsieduGlobal HIV, Hepatitis and STI Programmes, WHO, Geneva, Switzerland.
Michael MarksClinical Research Department, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-7585-4743
Minh D PhamBurnet Institute, Melbourne, Victoria, Australia.ORCID 0000-0002-5932-3491
Christopher K FairleyMelbourne Sexual Health Centre, Melbourne, Victoria, Australia.ORCID 0000-0001-9081-1664
Eric P F ChowMelbourne Sexual Health Centre, Melbourne, Victoria, Australia.ORCID 0000-0003-1766-0657
Oriol MitjàFight AIDS and Infectious Diseases Foundation, Catalonia, Spain.
Igor ToskinDepartment of Sexual and Reproductive Health and Research, WHO, Geneva, Switzerland.
Ronald C BallardDepartment of Sexual and Reproductive Health and Research, WHO, Geneva, Switzerland.
Jason J OngMelbourne Sexual Health Centre, Melbourne, Victoria, Australia jason.ong@monash.edu.ORCID 0000-0001-5784-7403
World Health Organization · CHMelbourne Sexual Health Centre · AUBurnet Institute · AUFundació Lluita contra les Infeccions · ESLondon School of Hygiene & Tropical Medicine · GBRoyal London Hospital · GBThe University of Melbourne · AUThe University of Sydney · AU

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundCurrent rapid tests for syphilis and yaws can detect treponemal and non-treponemal antibodies. We aimed to critically appraise the literature for rapid diagnostic tests (RDTs) which can better distinguish an active infection of syphilis or yaws.

methodsWe conducted a systematic review and meta-analysis, searching five databases between January 2010 and October 2021 (with an update in July 2022). A generalised linear mixed model was used to conduct a bivariate meta-analysis for the pooled sensitivity and specificity. Heterogeneity was assessed using the I

resultsWe included 17 studies for meta-analyses. For syphilis, the pooled sensitivity and specificity of the treponemal component were 0.93 (95% CI: 0.86 to 0.97) and 0.98 (95% CI: 0.96 to 0.99), respectively. For the non-treponemal component, the pooled sensitivity and specificity were 0.90 (95% CI: 0.82 to 0.95) and 0.97 (95% CI: 0.92 to 0.99), respectively. For yaws, the pooled sensitivity and specificity of the treponemal component were 0.86 (95% CI: 0.66 to 0.95) and 0.97 (95% CI: 0.94 to 0.99), respectively. For the non-treponemal component, the pooled sensitivity and specificity were 0.80 (95% CI: 0.55 to 0.93) and 0.96 (95% CI: 0.92 to 0.98), respectively.

conclusionsRDTs that can differentiate between active and previously treated infections could optimise management by providing same-day treatment and reducing unnecessary treatment. PROSPERO REGISTRATION NUMBER: CRD42021279587.

Indexed as

SyphilisYawsDiagnostic Tests, RoutineHumansSensitivity and SpecificityDIAGNOSISSYPHILISYAWS

Identifiers

PMID36180209
PMCPMC9685714
OpenAlexW4298132412

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.