Ulusakarya 2000.
Study characteristics | |||
Patient sampling | Consecutive series of patients; retrospectively selected | ||
Patient characteristics and setting | 507 samples from 135 patients were analysed during 193 neutropenic periods Age ranged from 6 to 78 years; 47% males Haematology unit France Children and adults undergoing bone marrow transplantation (BMT); all consecutive patients with haematological malignancies and treated with high‐dose chemotherapy Monitoring clinical course |
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Index tests | Platelia Antigenaemia was monitored weekly Positive = one or more positives; negative = all negatives Cut‐off: 1.0 and 1.5 reported |
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Target condition and reference standard(s) | Invasive aspergillosis, as defined by EORTC‐like criteria, citation Machetti 1998. Proven + probable + possible versus no IA Galactomannan ELISA was not mentioned as part of the reference criteria |
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Flow and timing | Not clear if all patients were categorised according to the same criteria Withdrawals were explained Uninterpretable results reported: these were ignored | ||
Comparative | |||
No patients per category | 10 proven, 6 probable, 2 possible, 117 no IA | ||
Notes | Nothing reported about financing | ||
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? | Unclear | ||
Unclear | Unclear | ||
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 |