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. 2015 Dec 30;2015(12):CD007394. doi: 10.1002/14651858.CD007394.pub2

Adam 2004.

Study characteristics
Patient sampling Prospective; consecutive enrollment of patients not reported
Platelia ODI between 1.0 and 1.5 were excluded
Patient characteristics and setting 225 participants
 Age ranged from 16 to 74 years
 No information about gender
 France
Adults with haematological malignancies who were likely to be severely neutropenic. Inpatients, monitoring clinical course.
Representative spectrum? Unclear: although galactomannan antigenaemia is monitored weekly in those patients with haematological malignancies who are likely to experience severe neutropenia, it is not clear whether the patients were enrolled consecutively
Index tests Platelia: galactomannan antigenaemia is monitored weekly; first positive result is regarded positive. Cut‐off 1.5 ODI
Target condition and reference standard(s) Invasive aspergillosis, defined according to EORTC criteria, reference Ascioglu 2002
Incorporation avoided? Unclear: not reported
 Acceptable reference standard? Yes: a diagnosis of invasive aspergillosis was classified as proven, probable or possible, according to criteria established by the EORTC/MSG (Ascioglu 2002)
Flow and timing Not reported
Partial verification avoided? Yes: all patients were classified according to the reference criteria
 Withdrawals explained? Yes: see above
 Uninterpretable results reported? No: Platelia ODI between 1.0 and 1.5 were excluded
Comparative  
No patients per category 0 proven; 2 probable; 5 possible; 218 non‐IA
Notes Sponsoring? Nothing reported on financial resources
Methodological quality
Item Authors' judgement Risk of bias Applicability concerns
DOMAIN 1: Patient Selection
Was a consecutive or random sample of patients enrolled? Unclear    
Was a case‐control design avoided? Yes    
Did the study avoid inappropriate exclusions? No    
    High Unclear
DOMAIN 2: Index Test All tests
Were the index test results interpreted without knowledge of the results of the reference standard? Unclear    
If a threshold was used, was it pre‐specified? Yes    
    Low Low
DOMAIN 3: Reference Standard
Is the reference standards likely to correctly classify the target condition? Yes    
Were the reference standard results interpreted without knowledge of the results of the index tests? Unclear    
    Unclear Low
DOMAIN 4: Flow and Timing
Was there an appropriate interval between index test and reference standard? Unclear    
Did all patients receive the same reference standard? Yes    
Were all patients included in the analysis? Yes    
    Low