Tanriover 2008.
Study characteristics | |||
Patient sampling | Reported as a prospective cohort study All patients (> 16 years of age) with high‐risk haematological malignancies admitted to the Internal Medicine wards during the 2‐year study period were interviewed and those who consented were recruited for follow‐up Patients who gave informed consent were included in the study starting from the day they were admitted to the wards and followed up until death, discharge or withdrawal of consent, whichever occurred earlier. Death or discharge within 10 days of hospitalisation, less than 10 days of neutropenia or major difficulty in obtaining blood samples were the exclusion criteria. |
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Patient characteristics and setting | 58 treatment episodes in 45 participants
Age between 15 and 74 years
Turkey
Analyses are based on episodes All patients (> 16 years of age) with high‐risk haematological malignancies admitted to the Internal Medicine wards during the 2‐year study period were interviewed and those who consented were recruited for follow‐up Representative spectrum? Yes: all patients (> 16 years of age) with high‐risk haematological malignancies; prospective study |
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Index tests | Platelia Aspergillus; Bio‐Rad Laboratories; according to manufacturer's instructions. GM index was expressed as the ratio of the optical density of the sample relative to the optical density of the threshold control (ODI). Cut‐points tested: 0.5, 0.7, 1.0, 1.5. Calculations made separately for single positive values and at least 2 consecutive positive results (within 1 week) as well as classifying the data as proven plus probable or proven plus probable plus possible | ||
Target condition and reference standard(s) | Invasive aspergillosis, as defined by EORTC criteria (Ascioglu 2002) Incorporation avoided? Yes: "GM positivity was not used as a microbiological criterion for classifying IA." Acceptable reference standard? Yes: EORTC criteria |
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Flow and timing | The mean time between the first febrile day and the first CT scan was reported: 15.7 +/‐ 12 days Partial verification avoided; withdrawals were explained; there were no uninterpretable results |
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Comparative | |||
No patients per category | 1 proven, 4 probable, 20 possible, 33 no IA | ||
Notes | Sponsoring reported and no Platelia support mentioned This study is registered as being published in 2010, which is correct, but it was already published online in 2008 |
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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? | 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? | Unclear | ||
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? | Yes | ||
Low |