Evidence map›Paper›PMID 38275299›Full record

SynthesisJournal of clinical microbiology2024

Diagnostic accuracy of commercially available serological tests for the detection of measles and rubella viruses: a systematic review and meta-analysis.

Vanessa Zubach, Jennifer Beirnes, Shannon Hayes, Alberto Severini, Joanne Hiebert

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of clinical microbiology, 2024. 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
–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

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

  1. Pooled it
  2. Review
  3. Review
  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

5 authors.

Vanessa ZubachViral Exanthemata and STD Section, National Microbiology Laboratory, Public Health Agency of Canada, JC Wilt infectious Diseases Research Centre , Winnipeg, Manitoba, Canada.ORCID 0000-0001-8513-9973
Jennifer BeirnesViral Exanthemata and STD Section, National Microbiology Laboratory, Public Health Agency of Canada, JC Wilt infectious Diseases Research Centre , Winnipeg, Manitoba, Canada.
Shannon HayesCorporate Services Branch, Health Canada and the Public Health Agency of Canada, Government of Canada , Ottawa, Canada.
Alberto SeveriniViral Exanthemata and STD Section, National Microbiology Laboratory, Public Health Agency of Canada, JC Wilt infectious Diseases Research Centre , Winnipeg, Manitoba, Canada.ORCID 0000-0002-0844-2634
Joanne HiebertViral Exanthemata and STD Section, National Microbiology Laboratory, Public Health Agency of Canada, JC Wilt infectious Diseases Research Centre , Winnipeg, Manitoba, Canada.ORCID 0000-0003-3238-1859

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Measles and rubella serological diagnoses are done by IgM detection. The World Health Organization Global Measles and Rubella Laboratory Network previously endorsed Siemens Enzygnost enzyme-linked immunosorbant assay kits, which have been discontinued. A recommended replacement has not been determined. We aimed to search for suitable replacements by conducting a systematic review and meta-analysis of IgM detection methods that are currently available for measles and rubella. A systematic literature search was performed in Medline, Embase, Global Health, Cochrane Central, and Scopus on March 22 and on 27 September 2023. Studies reporting measles and/or rubella IgM detection with terms around diagnostic accuracy were included. Risk of bias was assessed using QUADAS tools. Meta-DiSc and R were used for statistical analysis. Clinical samples totalling 5,579 from 28 index tests were included in the measles meta-analysis. Sensitivity and specificity of the individual measles studies ranged from 0.50 to 1.00 and 0.53 to 1.00, respectively. Pooled sensitivity and specificity of all measles IgM detection methods were 0.94 (CI: 0.90-0.97) and 0.94 (CI: 0.91-0.97), respectively. Clinical samples totalling 4,983 from 15 index tests were included in the rubella meta-analysis. Sensitivity and specificity of the individual rubella studies ranged from 0.78 to 1.00 and 0.52 to 1.00, respectively. Pooled sensitivity and specificity of all rubella IgM detection methods were 0.97 (CI: 0.93-0.98) and 0.96 (CI: 0.93-0.98), respectively. Although more studies would be ideal, our results may provide valuable information when selecting IgM detection methods for measles and/or rubella.

Indexed as

Antibodies, ViralImmunoglobulin MMeaslesMeasles virusRubellaRubella virusSensitivity and SpecificitySerologic TestsHumansReagent Kits, DiagnosticAntibodies, ViralImmunoglobulin MReagent Kits, Diagnosticmeasles IgMmeta-analysisrubella IgMsystematic review

Identifiers

PMID38275299
PMCPMC10865830

What OpenQuestion holds

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Registered trials

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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.