Evidence map›Paper›PMID 36973757›Full record

Trial reportEuropean journal of medical research2023

Retrospective study on the efficacy of monocyte distribution width (MDW) as a screening test for COVID-19.

Kentaro Wakamatsu, Zenzo Nagasawa, Kouta Katsuki, Hiroyuki Kumazoe, Masayo Yasuda, Sae Kawamoto, Ayano Kawamura, Tsuyoshi Ueno, Ruriko Kiyotani, Izumi Fukui and 4 more

Open access · goldFull text readClinical Trial
In one paragraph

Trial report in European journal of medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Novel inflammatory biomarkers in the prognosis of COVID-19.Therapeutic advances in respiratory disease
    Pooled it
  2. Article
  3. Article
  4. 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

14 authors at 3 institutions in 1 country.

Kentaro WakamatsuDepartment of Respiratory Medicine, National Hospital Organization Omuta National Hospital, 1044-1 Oaza, Tachibana, Omuta City, Fukuoka, 837-0911, Japan. wakamatsu.kentaro.fe@mail.hosp.go.jp.
Zenzo NagasawaDepartment of Medical Technology and Science, Faculty of Fukuoka Health Care, International University of Health and Welfare, 137-1 Enokizu, Okawa City, Fukuoka, 831-8501, Japan.
Kouta KatsukiDepartment of Clinical Laboratory, National Hospital Organization Omuta National Hospital, 1044-1 Oaza, Tachibana, Omuta City, Fukuoka, 837-0911, Japan.
Hiroyuki KumazoeDepartment of Respiratory Medicine, National Hospital Organization Omuta National Hospital, 1044-1 Oaza, Tachibana, Omuta City, Fukuoka, 837-0911, Japan.
Masayo YasudaDepartment of Clinical Laboratory, National Hospital Organization Omuta National Hospital, 1044-1 Oaza, Tachibana, Omuta City, Fukuoka, 837-0911, Japan.
Sae KawamotoDepartment of Clinical Laboratory, National Hospital Organization Omuta National Hospital, 1044-1 Oaza, Tachibana, Omuta City, Fukuoka, 837-0911, Japan.
Ayano KawamuraDepartment of Clinical Laboratory, National Hospital Organization Omuta National Hospital, 1044-1 Oaza, Tachibana, Omuta City, Fukuoka, 837-0911, Japan.
Tsuyoshi UenoDepartment of Respiratory Medicine, National Hospital Organization Omuta National Hospital, 1044-1 Oaza, Tachibana, Omuta City, Fukuoka, 837-0911, Japan.
Ruriko KiyotaniDepartment of Respiratory Medicine, National Hospital Organization Omuta National Hospital, 1044-1 Oaza, Tachibana, Omuta City, Fukuoka, 837-0911, Japan.
Izumi FukuiDepartment of Respiratory Medicine, National Hospital Organization Omuta National Hospital, 1044-1 Oaza, Tachibana, Omuta City, Fukuoka, 837-0911, Japan.
Sanae MakiDepartment of Respiratory Medicine, National Hospital Organization Omuta National Hospital, 1044-1 Oaza, Tachibana, Omuta City, Fukuoka, 837-0911, Japan.
Nobuhiko NagataDepartment of Respiratory Medicine, Fukuoka Sanno Hospital, 3-6-45 Momochihama, Sawara-ku, Fukuoka City, Fukuoka, 814-0001, Japan.
Masayuki KawasakiDepartment of Respiratory Medicine, National Hospital Organization Omuta National Hospital, 1044-1 Oaza, Tachibana, Omuta City, Fukuoka, 837-0911, Japan.
Hozumi YamadaDepartment of Respiratory Medicine, Keitendo Koga Hospital, 1150 Kamioda, Kohoku Town, Kishima Gun, Saga, 849-0506, Japan.
Omuta hospital · JPFukuoka International University · JPKoga Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPathogenic genetic testing for coronavirus disease 2019 (COVID-19) can detect viruses with high sensitivity; however, there are several challenges. In the prevention, testing, and treatment of COVID-19, more effective, safer, and convenient methods are desired. We evaluated the possibility of monocyte distribution width (MDW) as an infection biomarker in COVID-19 testing.

methodsThe efficacy of MDW as a screening test for COVID-19 was retrospectively assessed in 80 patients in the COVID-19 group and 232 patients in the non-COVID-19 group (141 patients with acute respiratory infection, 19 patients with nonrespiratory infection, one patient with a viral infection, 11 patients who had received treatment for COVID-19, one patient in contact with COVID-19 patients, and 59 patients with noninfectious disease).

resultsThe median MDW in 80 patients in the COVID-19 group was 23.3 (17.2-33.6), and the median MDW in 232 patients in the non-COVID-19 group was 19.0 (13.6-30.2) (P < 0.001). When the COVID-19 group was identified using the MDW cut-off value of 21.3 from the non-COVID-19 group, the area under the curve (AUC) was 0.844, and the sensitivity and specificity were 81.3% and 78.2%, respectively. Comparison of MDW by severity between the COVID-19 group and patients with acute respiratory infection in the non-COVID-19 group showed that MDW was significantly higher in the COVID-19 group for all mild, moderate I, and moderate II disease.

conclusionsMDW (cut-off value: 21.3) may be used as a screening test for COVID-19 in fever outpatients. Trial registration This study was conducted after being approved by the ethics committee of National Hospital Organization Omuta National Hospital (Approval No. 3-19). This study can be accessed via https://omuta.hosp.go.jp/files/000179721.pdf .

Indexed as

COVID-19Respiratory Tract InfectionsCOVID-19 TestingHumansMonocytesRetrospective StudiesSARS-CoV-2Coronavirus disease 2019 (COVID-19)DxH 900MonocyteMonocyte distribution width (MDW)Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

Identifiers

PMID36973757
PMCPMC10040926
OpenAlexW4360982655

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read12
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.