Evidence map›Paper›PMID 37702955›Full record

SynthesisEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2023

The performance of interferon gamma release assays in patients with nontuberculous mycobacterial infection: a systematic review and meta-analysis.

Cui-Ping Guan, Yan-Hua Wu, Xin-Feng Wang, Yu He, Yan-An Zhang, Mao-Shui Wang

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 2 institutions in 1 country.

Cui-Ping Guan *Department of Lab Medicine, Shandong Public Health Clinical Center, Shandong University, Jinan, 250013, China.
Yan-Hua Wu *Department of Lab Medicine, Shandong Public Health Clinical Center, Shandong University, Jinan, 250013, China.
Xin-Feng Wang *Department of Lab Medicine, Shandong Public Health Clinical Center, Shandong University, Jinan, 250013, China.
Yu HeDepartment of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University, Nanning, 530012, China.
Yan-An ZhangDepartment of Cardiovascular Surgery, Shandong Public Health Clinical Center, Shandong University, Jinan, 250013, China.
Mao-Shui WangDepartment of Lab Medicine, Shandong Public Health Clinical Center, Shandong University, Jinan, 250013, China. wangmaoshui@gmail.com.ORCID http://orcid.org/0000-0001-6046-3953
Shandong University · CNGuangxi Medical University · CN

Funding

Taishan Scholar Project of Shandong Province tsqn202211358
6 · The paper itself

Abstract

backgroundThe actual positive rate of interferon gamma release assays (IGRAs) in patients with nontuberculous mycobacteria (NTM) infections remains unclear. This review and meta-analysis present the prevalence of positive IGRAs (T-SPOT.TB and QuantiFERON [QFT] tests) among patients infected with NTM isolates (with or without ESAT-6/CFP-10).

methodsSeveral databases, including PubMed, Scopus, Embase, and Web of Science were searched (until June 18th, 2022). Studies that had the following data were included: (1) results of T-SPOT.TB, QuantiFERON (QFT) test, or both, (2) NTM species, and (3) NTM diseases, or NTM colonization. The metaprop command that incorporates a Freeman-Tukey double arcsine transformation is used for pooling proportions.

resultsA total of 11 articles (n = 929) were deemed eligible for inclusion. Meta-analysis identified that the overall pooled positive and indeterminate rates of IGRA results in patients with NTM infections was 16% and 5%, respectively. Subgroup analysis showed that the positive rate of IGRAs in patients infected with NTM (without ESAT-6/CFP-10) was 7% (95% CI, 1%-18%), and 44% (95%CI, 22%-68%) in patients infected with NTM (with ESAT-6/CFP-10). In addition, the indeterminate rate of QFT (7%, 95% CI: 4%-12%) was higher than that of T-SPOT.TB (0%; 95% CI, 0%-2%) among the overall population with NTM infections.

conclusionsThe IGRAs have a moderate positive rate for the diagnosis of NTM (expressing ESAT-6/CFP-10) infections, and a significant indeterminate rate is observed among the overall population infected with NTM. However, these findings should be interpreted with caution because of the high heterogeneity among studies.

Indexed as

Interferon-gamma Release TestsMycobacterium Infections, NontuberculousDatabases, FactualHumansPatientsHeterogeneityIndeterminate rateInterferon gamma release assayNontuberculous mycobacteriaPositive rate

Identifiers

PMID37702955
OpenAlexW4386704600

What OpenQuestion holds

Textmetadata
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.