Evidence map›Paper›PMID 36688489›Full record

SynthesisClinical infectious diseases : an official publication of the Infectious Diseases Society of America2023

Assessing the Diagnostic Performance of New Commercial Interferon-γ Release Assays for Mycobacterium tuberculosis Infection: A Systematic Review and Meta-Analysis.

Edgar Ortiz-Brizuela, Lika Apriani, Tania Mukherjee, Sophie Lachapelle-Chisholm, Michele Miedy, Zhiyi Lan, Alexei Korobitsyn, Nazir Ismail, Dick Menzies

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Diagnostic Performance of New Commercial Interferon-Gamma Release Assays for Mycobacterium tuberculosis Infection: An Updated Systematic Review and Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Pooled it
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  4. Consensus-based evaluation of RIDASCREENEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
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  9. International journal of molecular sciences · 2025
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  20. Quantum Dot-Based Nanosensors for In Vitro Detection ofNanomaterials (Basel, Switzerland) · 2024
    Review
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.

Edgar Ortiz-BrizuelaMcGill International Tuberculosis Centre, Department of Medicine, McGill University, Montreal, Quebec, Canada.ORCID 0000-0001-7169-8459
Lika AprianiTuberculosis Working Group, Research Centre for Care and Control of Infectious Diseases, Universitas Padjadjaran, Bandung, Indonesia.
Tania MukherjeeFaculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Sophie Lachapelle-ChisholmMcGill International Tuberculosis Centre, Department of Medicine, McGill University, Montreal, Quebec, Canada.
Michele MiedyMcGill University Health Center, Department of Intensive Care Unit, McGill University, Montreal, Quebec, Canada.
Zhiyi LanMcGill International Tuberculosis Centre, Department of Medicine, McGill University, Montreal, Quebec, Canada.
Alexei KorobitsynGlobal Tuberculosis Programme, World Health Organization, Geneva, Switzerland.
Nazir IsmailGlobal Tuberculosis Programme, World Health Organization, Geneva, Switzerland.
Dick MenziesMcGill International Tuberculosis Centre, Department of Medicine, McGill University, Montreal, Quebec, Canada.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundWe compared 6 new interferon-γ release assays (IGRAs; hereafter index tests: QFT-Plus, QFT-Plus CLIA, QIAreach, Wantai TB-IGRA, Standard E TB-Feron, and T-SPOT.TB/T-Cell Select) with World Health Organization (WHO)-endorsed tests for tuberculosis infection (hereafter reference tests).

methodsData sources (1 January 2007-18 August 2021) were Medline, Embase, Web of Science, Cochrane Database of Systematic Reviews, and manufacturers' data. Cross-sectional and cohort studies comparing the diagnostic performance of index and reference tests were selected. The primary outcomes of interest were the pooled differences in sensitivity and specificity between index and reference tests. The certainty of evidence (CoE) was summarized using the GRADE approach.

resultsEighty-seven studies were included (44 evaluated the QFT-Plus, 4 QFT-Plus CLIA, 3 QIAreach, 26 TB-IGRA, 10 TB-Feron [1 assessing the QFT-Plus], and 1 T-SPOT.TB/T-Cell Select). Compared to the QFT-GIT, QFT Plus's sensitivity was 0.1 percentage points lower (95% confidence interval [CI], -2.8 to 2.6; CoE: moderate), and its specificity 0.9 percentage points lower (95% CI, -1.0 to -.9; CoE: moderate). Compared to QFT-GIT, TB-IGRA's sensitivity was 3.0 percentage points higher (95% CI, -.2 to 6.2; CoE: very low), and its specificity 2.6 percentage points lower (95% CI, -4.2 to -1.0; CoE: low). Agreement between the QFT-Plus CLIA and QIAreach with QFT-Plus was excellent (pooled κ statistics of 0.86 [95% CI, .78 to .94; CoE: low]; and 0.96 [95% CI, .92 to 1.00; CoE: low], respectively). The pooled κ statistic comparing the TB-Feron and the QFT-Plus or QFT-GIT was 0.85 (95% CI, .79 to .92; CoE: low).

conclusionsThe QFT-Plus and the TB-IGRA have very similar sensitivity and specificity as WHO-approved IGRAs.

Indexed as

Latent TuberculosisMycobacterium tuberculosisTuberculosisCross-Sectional StudiesHumansInterferon-gamma Release TestsSensitivity and SpecificityTuberculin TestIGRAsinfectioninterferon-gammatuberculin skin testtuberculosis

Identifiers

PMID36688489
PMCPMC10249994

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.