Evidence map›Paper›PMID 36510889›Full record

ArticleThe Indian journal of medical research2022

Performance & clinical utility of oropharyngeal versus nasopharyngeal swabs in COVID-19.

Suma Radhakrishnan, E Muhammed Afsal, P M Anitha, Hafees Abdullah Perumbally, B K Ajitha, Niyas Kudukkil Pulloor, K P Rafeeq Ali, K V Ajayan, Anas Mohammed Kanyadath, Anvar Sadath Verkoli and 15 more

Open access · diamondAbstract read
In one paragraph

Article in The Indian journal of medical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 54% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

25 authors at 8 institutions in 2 countries.

Suma RadhakrishnanDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
E Muhammed AfsalDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
P M AnithaMicrobiology, Government Medical College, Manjeri, Kerala, India.
Hafees Abdullah PerumballyDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
B K AjithaDepartment of Statistics, Government Medical College, Kozhikode, Kerala, India.
Niyas Kudukkil PulloorMicrobiology, Government Medical College, Manjeri, Kerala, India.
K P Rafeeq AliDepartment of Otorhinolaryngology, General Hospital, Manjeri, Kerala, India.
K V AjayanDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
Anas Mohammed KanyadathDepartment of Otorhinolaryngology, General Hospital, Manjeri, Kerala, India.
Anvar Sadath VerkoliDepartment of Otorhinolaryngology, General Hospital, Manjeri, Kerala, India.
Chinchu SukumaranDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
Hafeefa Abdul NazeerDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
Mohammed SherifDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
V NavyaDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
N K NishithaDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
V T SabirDepartment of Otorhinolaryngology, General Hospital, Manjeri, Kerala, India.
Shakeeber KottayiDepartment of Otorhinolaryngology, General Hospital, Manjeri, Kerala, India.
E K SuchinaDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
T K ThashreefaDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
K Abdul VaheedDepartment of Otorhinolaryngology, General Hospital, Manjeri, Kerala, India.
Fathima KuloothDepartment of Otorhinolaryngology, Government Medical College, Manjeri, Kerala, India.
V S Suvanish KumarAccubits Invent, Thiruvananthapuram, Kerala, India.
Praseeda ChandranCommunity Medicine, Government Medical College, Manjeri, Kerala, India.
Usha ThekkedathUCSF Surgical Innovation, University of California, San Francisco, California, USA.
Chandni RadhakrishnanDepartment of Emergency Medicine, Government Medical College, Kozhikode, Kerala, India.
Government Medical College · INMangla Hospital and Research Center · INGovernment of Kerala · INGovernment College Kodanchery · INGovernment Medical College · INGovernment Medical College · INUniversity of California, San Francisco · USUniversity of Kerala · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & objectives: The oropharyngeal (OP) and nasopharyngeal (NP) swab samples are the most recommended clinical specimens for detecting SARS-CoV-2 in an individual through the quantitative real-time reverse-transcriptase-polymerase chain reaction (rRT-PCR) method. The primary objective of this study was to compare the performance of NP and OP swabs for the diagnosis of COVID-19 among 2250 concomitant samples (1125 NP + 1125 OP) using rRT-PCR test. Methods: This study was conducted at a tertiary care hospital in southern India. The study compared the specificity and efficacy of the two samples (NP & OP swabs) in 1125 individuals suspected having COVID-19 infection. The rRT-PCR values from all the samples were compared based on gender, age group and viral load. The differences between unmatched proportion and matched proportion were analysed. Agreement between the two methods was assessed using Kappa statistic. Absolute sensitivity, specificity, positive and negative predictive values (PPV and NPV) for OP and NP swabs were analysed. Results: The study identified a fair degree of agreement between OP and NP swabs in diagnosis of COVID-19 (kappa = 0.275, P <0.001). There was also a fair degree of agreement between NP and OP swabs irrespective of gender, age or duration of symptoms. NP swabs had better sensitivity and NPV as compared to OP swabs, however, specificity and PPV were 100 per cent for both. Interpretation & conclusions: The present study showed that both OP and NP swabs had similar sensitivity and specificity for predicting the presence of SARS-CoV-2.

Indexed as

COVID-19HumansNasopharynxOropharynxReal-Time Polymerase Chain ReactionSARS-CoV-2COVID-19nasopharyngealoropharyngealRT-PCRSARS-CoV-2swabs

Identifiers

PMID36510889
PMCPMC10101371
OpenAlexW4311281760

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

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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.