Evidence map›Paper›PMID 41392149›Full record

ArticleMalaria journal2025

The underperforming Abbott-Bioline Malaria Ag P.f/P.v rapid diagnostic test: a whiter shade of pale - where the truth is not plain to see.

Kyaw Sithu Thein, Kyaw Soe, Saw Kan Sint Tun, Roy Kuipers, Sieb Janssen, Joel Tarning, Yinmon Htun, Nicholas P Day, Thar Tun Kyaw, Arjen M Dondorp and 2 more

Abstract readEvaluation StudyComparative Study
In one paragraph

Article in Malaria journal, 2025. 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
–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

2 citing papers in PubMed.

  1. Review
  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

12 authors.

Kyaw Sithu TheinMedical Action Myanmar, Yangon, Myanmar.
Kyaw SoeMedical Action Myanmar, Yangon, Myanmar.
Saw Kan Sint TunMedical Action Myanmar, Yangon, Myanmar.
Roy KuipersMedical Action Myanmar, Yangon, Myanmar.
Sieb JanssenMedical Action Myanmar, Yangon, Myanmar.
Joel TarningMahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, PO 10400, Thailand.
Yinmon HtunMedical Action Myanmar, Yangon, Myanmar.
Nicholas P DayMahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, PO 10400, Thailand.
Thar Tun KyawMedical Action Myanmar, Yangon, Myanmar.
Arjen M DondorpMahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, PO 10400, Thailand.
Nicholas J WhiteMahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, PO 10400, Thailand.
Frank M SmithuisMedical Action Myanmar, Yangon, Myanmar. frank.m.smithuis@gmail.com.

Funding

Wellcome Trust
6 · The paper itself

Abstract

The Abbott-Bioline™ malaria antigen Plasmodium falciparum and Plasmodium vivax rapid diagnostic test (Abbott-Bioline™ Malaria Ag P.f/P.v RDT) is used widely in the Greater Mekong Subregion. It is approved by the World Health Organization (WHO) and deployed on a large scale in the regional malaria elimination programmes. Following reports of false-negative test results from field-workers, the Abbott-Bioline™ Malaria Ag P.f/P.v RDT was compared with microscopy in 187 persons with fever during a vivax malaria outbreak in Myanmar. Among them 11 tested positive for P. vivax using the Abbott RDT, while 46 were diagnosed with P. vivax malaria by microscopy. The sensitivity of the Abbott RDTs among febrile patients was 0.24 (95% CI 0.12-0.36) with a specificity of 1.0. Twenty-eight (61%) of the 46 patients had a parasite count of ≥200/µL, the WHO-recommended lower limit of detection for RDTs. Among these 11 were detected by the Abbott malaria RDT, a sensitivity at this threshold of 0.39, (95% CI 0.21-0.57). The colour band denoting positivity on the malaria RDT was often absent. The low intensity of the RDT colour band was confirmed objectively using ImageJ

Indexed as

Antigens, ProtozoanDiagnostic Tests, RoutineMalaria, FalciparumMalaria, VivaxPlasmodium falciparumPlasmodium vivaxReagent Kits, DiagnosticAdolescentAdultAgedChildChild, PreschoolFalse Negative ReactionsFemaleHumansMaleAntigens, ProtozoanReagent Kits, DiagnosticAbbott-Bioline™ Malaria Ag P.f/P.vImageJ®MalariaParasite densityP. falciparumP. vivaxRapid diagnostic tests

Identifiers

PMID41392149
PMCPMC12703916

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.