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

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)
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
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)
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
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
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