Study characteristics |
Patient Sampling |
Retrospective study of patients with at least 1 BDG test. Samples were collected twice weekly |
Patient characteristics and setting |
Records of all inpatients from August 2009 to August 2011 were reviewed. Forty‐three pediatric and adult patients, most with hematologic or solid tumor malignancies, were selected and had at least 1 BDG test and a diagnosis of proven, probable, or possible IFI. A control group of 40 patients from hematology or oncology wards with no IFI was used for comparison |
Index tests |
Fungitell test using 80 pg/mL as cut‐off for positivity |
Target condition and reference standard(s) |
Mixed IFI determined by the 2008 EORTC criteria with BDG excluded |
Flow and timing |
Sample taken with 10 days of reference standard; all received index test and reference standard and were included in the analysis |
Comparative |
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Notes |
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Methodological quality |
Item |
Authors' judgement |
Risk of bias |
Applicability concerns |
DOMAIN 1: Patient Selection |
Was a consecutive or random sample of patients enrolled? |
Yes |
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Was a case‐control design avoided? |
No |
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Did the study avoid inappropriate exclusions? |
Yes |
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Could the selection of patients have introduced bias? |
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High risk |
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Are there concerns that the included patients and setting do not match the review question? |
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Low concern |
DOMAIN 3: Reference Standard |
Is the reference standards likely to correctly classify the target condition? |
Yes |
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Were the reference standard results interpreted without knowledge of the results of the index tests? |
Unclear |
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Could the reference standard, its conduct, or its interpretation have introduced bias? |
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Low risk |
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Are there concerns that the target condition as defined by the reference standard does not match the question? |
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Low concern |
DOMAIN 4: Flow and Timing |
Was there an appropriate interval between index test and reference standard? |
Yes |
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Did all patients receive the same reference standard? |
Yes |
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Were all patients included in the analysis? |
Yes |
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Could the patient flow have introduced bias? |
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Low risk |
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