Table 4.
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).
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.