Herbrecht 2002.
Study characteristics | |||
Patient sampling | Consecutive ("all patients presenting with ... had a serum sample collected") and prospective series of patients Episode‐based analysis | ||
Patient characteristics and setting | 177 participants
Age ranged from 4 months to 88 years France Neutropenic children and adults (neutrophil count < 500/ųl) with a persistent fever despite antibiotics, but without any other signs of infection Daily monitoring of clinical course |
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Index tests | Platelia: sera with an index > 1.5 ODI were considered positive | ||
Target condition and reference standard(s) | Invasive aspergillosis; EORTC‐criteria, citation Ascioglu 2002 The results of the antigen testing were not included in our classification |
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Flow and timing | All patients fulfilling the inclusion criteria were diagnosed with the EORTC criteria Withdrawals explained? No. Not clear how they came from 797 episodes to 640 episodes Uninterpretable results reported? Not reported |
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Comparative | |||
No patients per category | 6 proven, 3 probable, 75 possible, 93 non‐IA | ||
Notes | Nothing reported on sponsoring | ||
Methodological quality | |||
Item | Authors' judgement | Risk of bias | Applicability concerns |
DOMAIN 1: Patient Selection | |||
Was a consecutive or random sample of patients enrolled? | Yes | ||
Was a case‐control design avoided? | Yes | ||
Did the study avoid inappropriate exclusions? | Yes | ||
Low | Low | ||
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 | ||
Unclear | 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? | Yes | ||
Low | Low | ||
DOMAIN 4: Flow and Timing | |||
Was there an appropriate interval between index test and reference standard? | Yes | ||
Did all patients receive the same reference standard? | Yes | ||
Were all patients included in the analysis? | Unclear | ||
Unclear |