Evidence map›Paper›PMID 36749748›Full record

ArticlePloS one2023

The accuracy of an electronic nose to diagnose tuberculosis in patients referred to an expert centre.

Rosarito Coronel Teixeira, Luis Gómez, Eva González, Nilda Jiménez de Romero, Felipe González, Sarita Aguirre, Martin Boeree, Robin Janssen, Cecile Magis-Escurra

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 10 citations in OpenAlex.

  1. 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.

Rosarito Coronel TeixeiraNational Institute of Respiratory Diseases and the Environment (INERAM), Asunción, Paraguay.ORCID 0000-0002-4765-2917
Luis GómezNational Institute of Respiratory Diseases and the Environment (INERAM), Asunción, Paraguay.
Eva GonzálezNational Institute of Respiratory Diseases and the Environment (INERAM), Asunción, Paraguay.
Nilda Jiménez de RomeroNational Institute of Respiratory Diseases and the Environment (INERAM), Asunción, Paraguay.
Felipe GonzálezNational Institute of Respiratory Diseases and the Environment (INERAM), Asunción, Paraguay.
Sarita AguirreNational Tuberculosis Control Program (NTCP), Asunción, Paraguay.
Martin BoereeDepartment of Respiratory Diseases, Radboud University Medical Centre -TB Expert Centre Dekkerswald, Nijmegen-Groesbeek, The Netherlands.
Robin JanssenDepartment of Respiratory Diseases, Radboud University Medical Centre -TB Expert Centre Dekkerswald, Nijmegen-Groesbeek, The Netherlands.ORCID 0000-0001-8733-7295
Cecile Magis-EscurraDepartment of Respiratory Diseases, Radboud University Medical Centre -TB Expert Centre Dekkerswald, Nijmegen-Groesbeek, The Netherlands.
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn electronic nose (eNose) device has shown a high specificity and sensitivity to diagnose or rule out tuberculosis (TB) in the past. The aim of this study was to evaluate its performance in patients referred to INERAM.

methodsPatients aged ≥15 years were included. A history, physical examination, chest radiography (CRX) and microbiological evaluation of a sputum sample were performed in all participants, as well as a 5-minute breath test with the eNose. TB diagnosis was preferably established by the gold standard and compared to the eNose predictions. Univariate and multivariate logistic regression analyses were performed to assess potential risk factors for erroneous classification results by the eNose.

results107 participants with signs and symptoms of TB were enrolled of which 91 (85.0%) were diagnosed with TB. The blind eNose predictions resulted in an accuracy of 50%; a sensitivity of 52.3% (CI 95%: 39.6-64.7%) and a specificity of 36.4% (CI 95%: 12.4-68.4%). Risk factors for erroneous classifications by the eNose were older age (multivariate analysis: OR 1.55, 95% CI 1.10-2.18, p = 0.012) and antibiotic use (multivariate analysis: OR 3.19, 95% CI 1.06-9.66, p = 0.040).

conclusionIn this study, the accuracy of the eNose to diagnose TB in a tertiary referral hospital was only 50%. The use of antibiotics and older age represent important factors negatively influencing the diagnostic accuracy of the eNose. Therefore, its use should probably be restricted to screening in high-risk communities in less complex healthcare settings.

Indexed as

Electronic NoseTuberculosisBreath TestsHumansSensitivity and Specificity

Identifiers

PMID36749748
PMCPMC9904488
OpenAlexW4319333859

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.