Evidence map›Paper›PMID 36670347›Full record

SynthesisBMC infectious diseases2023

Comparing the diagnostic performance of QuantiFERON-TB Gold Plus with QFT-GIT, T-SPOT.TB and TST: a systematic review and meta-analysis.

Yu Zhang, Guozhong Zhou, Wei Shi, Weili Shi, Meijun Hu, Defu Kong, Rong Long, Jian He, Nan Chen

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Evaluating the Cepheid Xpert TB/LTBI Research-Use-Only Assay for Detection of Active and Latent Mycobacterium tuberculosis Infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. IJTLD open · 2025
    Article
  9. Article
  10. Article
  11. Comparison of Two Interferon-Gamma Release Assays for Pediatric Tuberculosis Infection.Journal of the Pediatric Infectious Diseases Society · 2025
    Observational
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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 1 institution in 1 country.

Yu ZhangDepartment of Endocrinology, Anning First People's Hospital Affiliated to Kunming University of Science and Technology, Kunming, 650302, Yunnan, China.
Guozhong ZhouDepartment of Science and Research, Anning First People's Hospital Affiliated to Kunming University of Science and Technology, Kunming, 650302, Yunnan, China.
Wei ShiDepartment of Endocrinology, Anning First People's Hospital Affiliated to Kunming University of Science and Technology, Kunming, 650302, Yunnan, China.
Weili ShiDepartment of Endocrinology, Anning First People's Hospital Affiliated to Kunming University of Science and Technology, Kunming, 650302, Yunnan, China.
Meijun HuDepartment of Endocrinology, Anning First People's Hospital Affiliated to Kunming University of Science and Technology, Kunming, 650302, Yunnan, China.
Defu KongDepartment of Endocrinology, Anning First People's Hospital Affiliated to Kunming University of Science and Technology, Kunming, 650302, Yunnan, China.
Rong LongDepartment of Endocrinology, Anning First People's Hospital Affiliated to Kunming University of Science and Technology, Kunming, 650302, Yunnan, China.
Jian HeDepartment of Pulmonary and Critical Care Medicine, Anning First People's Hospital Affiliated to Kunming University of Science and Technology, Kunming, 650302, Yunnan, China.
Nan ChenDepartment of Endocrinology, Anning First People's Hospital Affiliated to Kunming University of Science and Technology, Kunming, 650302, Yunnan, China. saint0728@163.com.
Kunming University of Science and Technology · CN

Funding

The Reserve Talent Development Project of Kunming Health Science and Technology 2022-SW [Reserve Talents]-006
6 · The paper itself

Abstract

backgroundQuantiFERON-TB Gold Plus (QFT-Plus) is an important test that has emerged in recent years for detecting TB infection. We conducted a review to compare the sensitivity, specificity and positive rate of QFT-Plus with that of QuantiFERON-TB Gold In-Tube (QFT-GIT), T-cell spot of tuberculosis assay (T-SPOT.TB) and Tuberculin test (TST).

methodsPubMed and Embase were searched, without language restrictions, from 1 January 2015 to 31 March 2022 using "Mycobacterium tuberculosis Infections" and "QuantiFERON-TB-Plus" as search phrases. We estimated the sensitivity from studies of patients with active tuberculosis, specificity from studies of populations with very low risk of TB exposure, and positive rate from studies of high-risk populations. The methodological quality of the eligible studies was assessed, and a random-effects model meta-analysis was used to determine the risk difference (RD). We assessed the pooled rate by using a random-effects model. This study was registered in PROSPERO (CRD 42021267432).

resultsOf 3996 studies, 83 were eligible for full-text screening and 41 were included in the meta-analysis. In patients with active TB, the sensitivity of QFT-Plus was compared to that of QFT-GIT and T-SPOT.TB, respectively, and no statistically differences were found. In populations with a very low risk of TB exposure, the specificity of QFT-Plus was compared with that of QFT-GTI and T-SPOT.TB, respectively, and no statistically differences were found. Two studies were eligible to compare the specificity of the QFT-Plus test with that of the TST test, and the pooled RD was 0.12 (95% CI 0.02 to 0.22). In high-risk populations, 18 studies were eligible to compare the positive rate of the QFT-Plus test with that of the QFT-GIT test, and the pooled RD was 0.02 (95% CI 0.01 to 0.03). The positive rate of QFT-Plus was compared with that of T-SPOT.TB and TST groups, and no statistically differences were found.

conclusionsThe diagnostic performance of QFT-Plus was similar to that of QFT-GIT and T-SPOT.TB, but was slightly more specific than TST.

Indexed as

Latent TuberculosisTuberculosisBiological AssayHumansInterferon-gamma Release TestsRisk FactorsTuberculin TestLatent tuberculosis infectionPositive rateQuantiFERON-TB Gold plusSensitivitySpecificity

Identifiers

PMID36670347
PMCPMC9862551
OpenAlexW4317612363

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.