Suankratay 2006.
Study characteristics | |||
Patient sampling | From June 2002 to January 2004 a consecutive series of adult patients with haematological disorders who were at risk of developing IA were included Eligible patients were 1) receiving chemotherapy with an expected duration of neutropenia of less than 500 cells/μL of at least 7 days or 2) undergoing allogeneic bone marrow or peripheral blood stem cell transplantation Those patients who were undergoing autologous bone marrow transplantation or were less than 16 years old were excluded from the present study (not sure if autologous BMT would fall under inappropriate exclusion) |
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Patient characteristics and setting | All 50 patients older than 16
46% male
At KCMH, Bangkok, Thailand Patients receiving chemotherapy or allogeneic haematopoietic stem cell transplantation. Patients under 16 and patients undergoing autologous stem cell transplantation were excluded Inpatients; monitoring of clinical course Representative spectrum? Patients receiving chemotherapy or allogeneic haematopoietic stem cell transplantation |
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Index tests | Platelia Aspergillus. Blood samples were obtained once or twice weekly until death or discharge. 2 subsequent positive samples were needed to get a positive test result. Cut‐off 0.5, 0.75, 1.0, 1.25, 1.5 ODI | ||
Target condition and reference standard(s) | Invasive aspergillosis, as defined by EORTC criteria (Ascioglu 2002) Incorporation avoided? Galactomannan not included in description of reference criteria Acceptable reference standard? Yes: EORTC (Ascioglu 2002) |
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Flow and timing | Timing not reported Partial verification avoided? Yes, all patients were classified according to the reference criteria Withdrawals explained? No Uninterpretable results reported? Yes |
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Comparative | |||
No patients per category | 5 proven, 12 probable, 33 possible or no IA | ||
Notes | Timelines GM for 17 patients Sponsoring: nothing reported about financial support |
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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? | Unclear | ||
Low | Low | ||
DOMAIN 2: Index Test All tests | |||
Were the index test results interpreted without knowledge of the results of the reference standard? | Yes | ||
If a threshold was used, was it pre‐specified? | Unclear | ||
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? | Yes | ||
Low | 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 |