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

Williamson 2000.

Study characteristics
Patient sampling Prospective; consecutive series of patients; blood samples re‐analysed later for ELISA
Patient characteristics and setting 104 participants
Age ranged from 3 months to 56 years
 No information about gender
 UK
Children and adults undergoing bone marrow transplantation (BMT) or chemotherapy for haematological malignancy with severe neutropenia
 Inpatients
 Monitoring clinical course
Index tests Platelia Aspergillus
Serum samples were collected and tested twice weekly
One positive is positive; no positive at all is negative
Cut‐off value not reported
Target condition and reference standard(s) Invasive aspergillosis, as defined by EORTC‐like criteria, no reference; 3 groups
Galactomannan ELISA was not mentioned as part of the reference criteria
Flow and timing All patients were classified according to the same reference criteria
Withdrawals explained? Yes
 Uninterpretable results reported? No
Comparative  
No patients per category 7 proven, no probables, 9 possible, 88 no IA
Notes Nothing reported on conflicts of interest or sponsoring
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    
    Unclear 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    
    Unclear Low
DOMAIN 3: Reference Standard
Is the reference standards likely to correctly classify the target condition? Unclear    
Were the reference standard results interpreted without knowledge of the results of the index tests? Yes    
    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? Unclear    
    Low