White 2013a.
Study characteristics | |||
Patient sampling | As part of the local neutropenic fever care pathway, twice weekly samples were routinely taken. Serum was prospectively tested by GM EIA. Although they speak of controls, it seems that the inclusion was consecutively done, as they have 1 proven, 6 probables, 10 possibles and 48 'controls'. This is very much in agreement with what one would expect | ||
Patient characteristics and setting | Haematology population; not much further information. No reasons to have high concern regarding applicability of this population. | ||
Index tests | Platelia test; cut‐off 0.5 Serum‐positive EIA results were confirmed by retesting if the results from plasma and serum were incongruent or if the result represented a single positive among the samples tested per patient and was not confirmed by plasma testing. Otherwise, agreement between samples or multiple positive results were considered confirmation |
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Target condition and reference standard(s) | Over a 6‐month period, cases (proven, probable and possible IA) were selected according to disease status as defined, at the time of testing, by the revised EORTC/MSG criteria (De Pauw 2008). (They also took plasma samples; the results of these were not included in EORTC criteria, but it is not clear what they did with the serum samples) | ||
Flow and timing | No information on timing | ||
Comparative | |||
No patients per category | 1 proven, 6 probables, 10 possibles and 48 'controls' | ||
Notes | Authors are involved with and paid by (for conferences and talks) Giliad Sciences and Pfizer, 2 therapeutic companies | ||
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? | 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 | 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? | Unclear | ||
Unclear |