Evidence map›Paper›PMID 39469077›Full record

ArticleFrontiers in global women's health2024

Diagnostic accuracy of a non-invasive spot-check hemoglobin meter, Masimo Rad-67® pulse CO-Oximeter®, in detection of anemia in antenatal care settings in Kenya.

Angela Koech, Isaac Mwaniki, Joseph Mutunga, Moses Mukhanya, Emily Mwadime, Marvine Ochieng, Grace Mwashigadi, Hiten D Mistry, Rachel Craik, Peter von Dadelszen and 4 more

Abstract read
In one paragraph

Article in Frontiers in global women's health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
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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.

Angela KoechCentre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.
Isaac MwanikiCentre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.
Joseph MutungaCentre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.
Moses MukhanyaCentre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.
Emily MwadimeCentre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.
Marvine OchiengCentre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.
Grace MwashigadiCentre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.
Hiten D MistryDepartment of Women and Children's Health, Kings College London, London, United Kingdom.
Rachel CraikDepartment of Women and Children's Health, Kings College London, London, United Kingdom.
Peter von DadelszenDepartment of Women and Children's Health, Kings College London, London, United Kingdom.
Marleen TemmermanCentre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.
Stanley LuchtersFaculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Geoffrey OmuseDepartment of Pathology, Aga Khan University, Nairobi, Kenya.
PRECISE Network

Funding

UZIMA-DS: UtiliZing health Information for Meaningful Impact in East Africa through Data ScienceU54TW012089 · FIC · AGA KHAN UNIVERSITY (KENYA) · PI Amina Abubakar Ali, Akbar K Waljee · 2021 to 2026
$7.7M
FIC NIH HHS U54 TW012089Medical Research Council MR/P027938/1
6 · The paper itself

Abstract

Background: Point of care hemoglobin meters play key roles in increasing access to anemia screening in antenatal care especially in settings with limited access to laboratories. We aimed to determine the diagnostic accuracy of a non-invasive spot-check hemoglobin (SpHb) meter, Masimo Rad-67® Pulse CO-Oximeter®, in the diagnosis of anemia in pregnant women attending antenatal care clinics in Kilifi, Kenya. Methods: This was a diagnostic accuracy study that retrospectively evaluated SpHb against a validated reference standard of laboratory assessed hemoglobin (Lab Hb) by a SYSMEX XN-330 automated hematology analyzer. The study was nested within a prospective pregnancy cohort study that recruited unselected pregnant women from antenatal care clinics in two public hospitals in Kilifi County, coastal Kenya. Records with both SpHb and Lab Hb were selected from pregnancy visits between May 2021 and December 2022. Linear regression and Bland-Altman analysis were performed to compare the two tests and diagnostic accuracy parameters obtained for the diagnosis of anemia. Results: A total of 2,975 records (from 2,203 unique participants), with paired SpHb and Lab Hb were analyzed. Linear regression showed a significant but weak positive correlation, a proportional bias of 0.44 (95% CI 0.41-0.47) and a constant of 7.59 (95% CI 7.30-7.87, Conclusion: Overall, SpHb by Masimo Rad-67® Pulse CO-Oximeter® did not accurately identify pregnant women with anemia and many cases would be missed. We would not recommend its use in antenatal care settings.

Indexed as

anemiaantenatal carediagnostic accuracyhemoglobinKenyanon-invasive

Identifiers

PMID39469077
PMCPMC11513392

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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.