Evidence map›Paper›PMID 40705024›Full record

ArticleThe Journal of antimicrobial chemotherapy2025

Classifying patients with invasive fungal disease: towards a unified case definition?

Mehmet Ergün, Roger J M Brüggemann, Alexandre Alanio, Robbert G Bentvelsen, Karin van Dijk, Meltem Ergün, Katrien Lagrou, Jeroen A Schouten, Joost Wauters, P Lewis White and 1 more

Abstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2025. 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. Review
  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

11 authors.

Mehmet ErgünRadboudumc-CWZ Center of Expertise for Mycology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-8807-3233
Roger J M BrüggemannRadboudumc-CWZ Center of Expertise for Mycology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-7618-725X
Alexandre AlanioMycology-Parasitology Department, Hôpital Saint-Louis, Assistance Publique Hôpitaux de Paris, Paris, France.ORCID 0000-0001-9726-3082
Robbert G BentvelsenMicrovida Laboratory for Microbiology, Amphia Hospital, Breda, The Netherlands.
Karin van DijkDepartment of Medical Microbiology and Infection Control, Amsterdam Infection & Immunity Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Meltem ErgünFaculty of Mathematics and Computer Science, Eindhoven University of Technology, Eindhoven, The Netherlands.
Katrien LagrouDepartment of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0000-0001-8668-1350
Jeroen A SchoutenDepartment of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Joost WautersDepartment of General Internal Medicine, Medical Intensive Care Unit, University Hospitals Leuven, Leuven, Belgium.
P Lewis WhitePublic Health Wales Mycology Reference Laboratory and Cardiff University Centre for Trials Research, University Hospital of Wales, Heath Park, Cardiff, UK.ORCID 0000-0003-3056-4205
Paul E VerweijRadboudumc-CWZ Center of Expertise for Mycology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-8600-9860

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Management of invasive fungal disease (IFD) is increasingly challenging due to recognition of novel at-risk groups, emergence of new fungal pathogens and antifungal drug resistance. Together with the availability of new diagnostic tests and treatment modalities, robust and broadly applicable IFD case definitions are critical to support research. However, the ability to classify IFDs with the current definitions has decreased, prompting the development of new case definitions. Furthermore, current case definitions rely on a single positive test as mycological evidence, while not considering discordant evidence. We propose to explore the development of a machine learning (ML)-based IFD classification model, which uses algorithms to automatically 'learn' from observed data to consistently and accurately classify IFDs. Although developing and validating an ML-based IFD classification model is a significant undertaking, such an endeavour should be considered a worthwhile investment by the mycology community to standardize and reduce the ambiguity in the diagnosis of non-proven IFD.

Indexed as

Invasive Fungal InfectionsAlgorithmsHumansMachine Learning

Identifiers

PMID40705024
PMCPMC12404735

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.