Evidence map›Paper›PMID 39732770›Full record

ArticleScientific reports2024

The performance of a novel diagnostic criteria for neurosyphilis in HIV-negative patients.

Rui-Li Zhang, Xu Zhang, Fang-Zhi Du, Qian-Yang Zhou, Min-Zhi Wu, Jian-Jun Ren, Zhe Zhou, Ai-Li Li, Dong-Dong Li, Hong-Xia Li and 16 more

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
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

26 authors.

Rui-Li ZhangDepartment of Dermatology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Xu ZhangInstitute of Dermatology, Peking Union Medical College, Chinese Academy of Medical Sciences, National Center for STD Control, Centers for Disease Control and Prevention, Nanjing, China.
Fang-Zhi DuInstitute of Dermatology, Peking Union Medical College, Chinese Academy of Medical Sciences, National Center for STD Control, Centers for Disease Control and Prevention, Nanjing, China.
Qian-Yang ZhouDepartment of Dermatology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Min-Zhi WuDepartment of Dermatology, The fifth People's Hospital of Suzhou, Suzhou, China.
Jian-Jun RenDepartment of Dermatology, Xi 'an North Hospital, Xian, China.
Zhe ZhouDepartment of Dermatology, Xi 'an North Hospital, Xian, China.
Ai-Li LiDepartment of venereal Diseases, Dalian Dermatology Hospital, Dalian, China.
Dong-Dong LiDepartment of Clinical Laboratory, West China Hospital, Sichuan University, Chengdu, China.
Hong-Xia LiDepartment of Dermatology, First Hospital of Jilin University, Jilin, China.
Li-Gang YangDepartment of Dermatology, Dermatology Hospital of Southern Medical University, Guangzhou, China.
Wen-Li FengDepartment of Dermatology, The Second Hospital of Shanxi Medical University, Taiyuan, China.
Tian-Ci YangDepartment of Clinical Laboratory, Zhongshan Hospital Affiliated to Xiamen University, Xiamen, China.
Yu-Ye LiDepartment of Dermatology, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Jie ZhangDepartment of Dermatology, Guangxi Zhuang Autonomous Region Dermatology Hospital, Nanning, China.
Su-Ping WangDepartment of Dermatology, Chongqing First People's Hospital, Chongqing, China.
Yang LuoDepartment of infectious diseases, Chongqing Public health treatment Service center, Chongqing, China.
Ming-Sheng GuDepartment of Dermatology, Nantong Fourth People's Hospital, Nantong, China.
Xiao-Yun YuDepartment of Dermatology, Nanjing Second Hospital, Nanjing, China.
Li-Hua HuDepartment of Clinical Laboratory, Zhejiang Institute of Dermatology Prevention and Treatment, Huzhou, China.
Jian-Bin ZhaoDepartment of Dermatology, Xuzhou First People's Hospital, Xuzhou, China.
Yin-Ni MaDepartment of Dermatology, Wuxi Second People's Hospital, Wuxi, China.
Xiao-Wen MaDepartment of Dermatology, Angang Group General Hospital, Anshan, China.
Tong-Xiang ZengDepartment of Dermatology, Jingzhou First People's Hospital, Jingzhou, China.
Ying GaoDepartment of Dermatology, Tongji Medical College, The Central hospital of Wuhan, Huazhong University of Science and Technology, Wuhan, China.
Qian-Qiu WangInstitute of Dermatology, Peking Union Medical College, Chinese Academy of Medical Sciences, National Center for STD Control, Centers for Disease Control and Prevention, Nanjing, China. wangqianqiunj@126.com.

Funding

National Natural Science Foundation of China 81601804National Natural Science Foundation of China 81772209
6 · The paper itself

Abstract

Diagnosing neurosyphilis in clinical settings poses significant challenges due to the absence of highly efficient diagnostic criteria. Our objective was to enhance the existing diagnostic criteria and assess their sensitivity and specificity for identifying neurosyphilis in HIV-negative patients. We conducted a retrospective review of patient records from a cross-sectional study carried out between December 2019 and May 2023. This study was designed to explore clinical practices in the diagnosis and treatment of neurosyphilis. We proposed and validated a new set of diagnostic criteria across 782 cases, comparing three different NS criteria for diagnostic efficiency. Among the 782 patients analyzed, 410 were diagnosed with neurosyphilis, while 372 were not. The newly developed NS criteria demonstrated a sensitivity of 99.5% and a specificity of 94.6%, with the added benefit of being user-friendly. In subgroups categorized by neurological symptoms and syphilis stages, the new NS criteria also exhibited high sensitivity and specificity. Statistical analyses confirmed that the novel NS criteria performed comparably well to the expanded NS criteria. The novel NS criteria for HIV-negative patients exhibited high sensitivity and specificity, proving to be both effective and convenient for physicians to implement.

Indexed as

NeurosyphilisSensitivity and SpecificityAdultAgedCross-Sectional StudiesFemaleHIV SeronegativityHumansMaleMiddle AgedRetrospective StudiesDiagnostic criteriaHIV-negativeNeurosyphilisSensitivitySpecificity

Identifiers

PMID39732770
PMCPMC11682042

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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.