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

Yoo 2005.

Study characteristics
Patient sampling Prospective; consecutive series of patients. Possible cases were regarded as non‐IA
Patient characteristics and setting 14 participants
 No information about age or gender
 Korea
Neutropenic adults with fever that did not respond to antibiotic therapy
 Inpatients, monitoring of clinical course
Representative spectrum? Yes: neutropenic adults with fever that did not respond to antibiotic therapy
Index tests PlateliaAspergillus. Blood samples were usually obtained twice a week until the patient recovered from neutropenia. 2 consecutive positive samples was considered as a positive result. No explanation of negative result. Many different cut‐off values analysed
Target condition and reference standard(s) Invasive aspergillosis, as defined by EORTC criteria, Ascioglu 2002 cited. In analyses proven and probable versus possible and no IA
Incorporation avoided? Not explicitly stated that galactomannan results were excluded from EORTC criteria
 Acceptable reference standard? Yes: EORTC criteria (Ascioglu 2002)
Flow and timing Time: until recovering from neutropenia
Partial verification avoided? Unclear: not entirely clear whether all patients were classified according to the reference criteria
 Withdrawals explained? Yes
 Uninterpretable results reported? No: not reported
Comparative  
No patients per category 2 proven or probable, 12 possible or no IA
Notes ROC curve provided
Sponsoring precluded? Yes: financial support by the Korean Research Foundation
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? No    
    High Unclear
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? Yes    
Did all patients receive the same reference standard? Yes    
Were all patients included in the analysis? Unclear    
    Low