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

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
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
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
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