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. 2020 Aug 31;81(5):681–697. doi: 10.1016/j.jinf.2020.08.043

Table 4.

Studies reporting test performance characteristics of other nucleic acid amplification test methods compared to rRT-PCR.

Authors Country Study Type No. Patients Demographics Specimen (No.) Index Test Ref Stnd: rRT-PCR
Study Findings (95% CI or p-value)
Total Cases* Age (y) % Male Type Primers Platform
Primers rSN rSP rPPV rNPV rAcc rOA Cohen's κ
Baek et al. 21 Korea Case Control|| 154 14 nr nr Nasal swab (154) RT-LAMP N nr ORF1ab, S 100% 98.7% 0.826
Kitagawa et al. 22 Japan Cohort|| 76 30 nr nr NPS (76) RT-LAMP nr LA-200 turbidimeter N 100% 95.6% 97.4%
Lau et al. 23 Malaysia Case Control†† 89‡‡ 47‡‡ nr nr NPS (89) RT-LAMP N LA-320 turbidimeter RdRp,E 100% 100%
Lu et al. 24 China Case Control|| 56 36 nr nr Throat swab (56) RT-LAMP N nr ORF1ab, N 92.9%
Yan et al. 25 China Cohort†† 130 58 nr nr Throat swab, BAL (nr) RT-LAMP ORF1ab, S nr ORF1ab, N 100% (92.3–100) 100% (93.7–100)
Wang, Cai, & He et al. 26 China Cohort†† 947 338 44 ± 17.1 60% OPS (834), sputum (82), NPS (16), nasal swab (8), BAL (4), stool (2), blood (1) RT-RAA ORF1ab RAA-F1620 fluorescent detector ORF1ab &N, or ORF1ab 97.6%
(95.2–98.9)
97.8%
(96.2–98.8)
96.2%
(93.4–97.8)
98.6%
(97.3–99.3)
0.952
p<0.05
Xue et al. 27 China Cohort†† 120‡‡ 22‡‡ nr nr NPS, sputum (nr) RT-RAA ORF1ab RAA-1620 fluorescent detector ORF1ab,  S 100% 100% 1.0
p < 0.001
Perchetti et al. 28 USA Case Control†† 356 186 nr nr NPS (356) Triplex rRT-PCR N1, N2 n/a N1, N2 98.4% 100% 99.2%
Waggoner et al. 29 USA Cohort|| 27 11 nr nr NPS, OPS (nr) Triplex rRT-PCR N2, E n/a N2, E 100%
Li et al. 30 China Cohort†† 303‡‡ 126‡‡ nr nr throat swab (267), sputum (22), nose swab (8), BAL (3), blood (3) AIGS ORF1ab, N, S LifeReady 1000 ORF1ab, N 97.62%
(93.2–99.5)
100%
Suo et al. 19,a China Cohort⁎⁎ 58 52 nr nr Throat swab (58) ddPCR ORF1ab, N QX200 System ORF1ab, N 94%
(83–99)
100%
(48–100)
100%
(NA)
63%
(36–83)
95%
(84–99)
Bulterys et al. 31 USA Cohort†† 80 30 nr nr NPS (80) Isothermal amplification ORF1ab, N Atila iAMP kit E 82.8%
(65.0–92.9)
0.86
(0.74–0.98)
Wang , Cai, & Zhang et al. 32 China Cohort†† 181‡‡ 25‡‡ nr nr Throat swab (181) OSN-qRT-PCR ORF1ab, N Life Tech. 480 ORF1ab,  N 0.737

Cases according to reference standard.

Of cohort or cases.

Format: median (range), median(IQR), or mean±SD. Patient Population.

||

Hospitalized patients

¶Emergency Room/Immediate Care Center patients.

⁎⁎

Outpatients, who were later hospitalized.

††

not reported.

‡‡

Number of samples (when number of patients not reported).

a

Suo et al. data is also present in Table 2. Abbreviations- AIGS: Automatic integrated gene detection system, BAL: Bronchoalveolar lavage, CI: confidence interval, ddPCR: digital droplet polymerase chain reaction, E: envelope, iAMP: isothermal amplification, IQR: Interquartile range, κ: kappa statistic, n/a: not applicable, N: nucleocapsid, No.: number, NPS: nasopharyngeal swab, nr: not reported, OPS: oropharyngeal swab, ORF1ab: open reading frame 1ab, OSN-qRT-PCR: one-step single-tube nested quantitative real-time polymerase chain reaction, rAcc: reported accuracy, RdRp: RNA-dependent RNA polymerase, Ref Stnd: reference standard, rNPA: reported negative percent agreement, rNPV: reported negative predictive value, rOA: reported overall agreement, rPPA: reported positive percent agreement, rPPV: reported positive predictive value, rRT-PCR: real-time Reverse Transcription Polymerase Chain Reaction, rSN: reported sensitivity, rSP: reported specificity, RT-LAMP: reverse transcription loop-mediated isothermal amplification, RT-RAA: reverse-transcription recombinase-aided amplification, S: spike, y: years.