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

Xu_P 2012.

Study characteristics
Patient sampling 113 patients with suspected lPA admitted in 'Department of Respiratory Medicine, Infectious Diseased, Kidney Disease Centre and ICU' were included in the study
Patient characteristics and setting ICU patients
Index tests Galactomannan antigen; threshold: two OD > 0.5 or one OD > 0.8.
Target condition and reference standard(s) Invasive pulmonary aspergillosis, EORTC/MSG
Flow and timing Difficult to extract due to Chinese language; time interval unclear.
As reference standard was EORTC criteria and study used a one‐gate inclusion process, we assumed that all patients received the same reference standard.
As there were no withdrawals or dropouts reported and the numbers in the 2x2 were the same as the numbers included, we assumed that all patients were included in the analyses.
Comparative  
No patients per category 4 proven, 36 probable, 16 possible, 57 no IA
Notes No information on conflicts of interest; Chinese language.
Methodological quality
Item Authors' judgement Risk of bias Applicability concerns
DOMAIN 1: Patient Selection
Was a consecutive or random sample of patients enrolled? Unclear    
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? Unclear    
If a threshold was used, was it pre‐specified? Yes    
    Low 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    
    Low 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? Yes    
    Low