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

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
Index tests Platelia
Antigenaemia was monitored weekly
Positive = one or more positives; negative = all negatives
Cut‐off: 1.0 and 1.5 reported
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
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