FIND 2020b.
Study characteristics | |||
Patient Sampling | Single group study to estimate sensitivity and specificity at single site:
‐ patients seeking COVID‐19 testing at main testing centre; described as presenting either with symptoms compatible with a SARS‐CoV‐2 infection, or with a known positive contact or asymptomatic HCWs (n=535) Recruitment: Consecutive recruitment Prospective or retrospective: Prospective |
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Patient characteristics and setting | Setting: Community (main testing centre) Location: Hopitaux Universitaires de Geneve (HUG), Geneva Country: Switzerland Dates: 9‐16 Oct 2020 Symptoms and severity: 534/535 symptomatic (99%) Demographics: Mean age 38.5y (16 to 85y) 247, 46% male Exposure history: Not stated |
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Index tests | Test name: PanbioTM Covid‐19 Ag Rapid Test (41FK10) Manufacturer: Abbott Antibody: Not reported Antigen target: Not reported Test method: CGIA (from product insert) Samples used: NP Transport media: No transport media; assay buffer used Sample storage: Author contact advises tested as soon as possible and within the time limit specified in the IFU Test operator: HCW Definition of test positivity: Presence of visible control and test lines Blinding reported: Yes Timing of samples: time pso recorded for 115/124, 92%. Day 0‐3 89, 78%; Day 4‐7 23, 20%; Day 8+ 3, 3% |
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Target condition and reference standard(s) | Reference standard: RT‐PCR Roche Cobas; Ct threshold <40 (from Figure) Definition of non‐COVID cases: Same as for cases. Single negative PCR required for absence of infection Genetic target(s): Not stated Samples used: NP swab (paired, from contralateral nostril) Timing of reference standard: Not stated; author contact advises only paired swabs used. Blinded to index test: Yes Incorporated index test: No |
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Flow and timing | Time interval between index and reference tests: Paired swabs; 0 to several days based on PCR turnaround times at the lab All patients received same reference standard: Yes Missing data: Reports 0 invalid. Uninterpretable results: None reported Indeterminate results (index test): None reported Indeterminate results (reference standard): None reported Unit of analysis: Patients |
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Comparative | |||
Notes | Funding: FIND Publication status: published Source: FIND/HUG website/IFU index test Author COI: None stated (these are independent evaluations) |
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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 | ||
Was a case‐control design avoided? | Yes | ||
Did the study avoid inappropriate exclusions? | Yes | ||
Did the study avoid inappropriate inclusions? | Yes | ||
Could the selection of patients have introduced bias? | Low risk | ||
Are there concerns that the included patients and setting do not match the review question? | Low concern | ||
DOMAIN 2: Index Test (Antigen tests) | |||
Were the index test results interpreted without knowledge of the results of the reference standard? | Yes | ||
If a threshold was used, was it pre‐specified? | Yes | ||
Could the conduct or interpretation of the index test have introduced bias? | Low risk | ||
Are there concerns that the index test, its conduct, or interpretation differ from the review question? | Low concern | ||
DOMAIN 2: Index Test (Rapid molecular tests) | |||
DOMAIN 3: Reference Standard | |||
Is the reference standards likely to correctly classify the target condition? | No | ||
Were the reference standard results interpreted without knowledge of the results of the index tests? | Yes | ||
Reference standard does not incorporate result of index test? | Yes | ||
Could the reference standard, its conduct, or its interpretation have introduced bias? | High risk | ||
Are there concerns that the target condition as defined by the reference standard does not match the question? | High | ||
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? | Yes | ||
Did all participants receive a reference standard? | Yes | ||
Were results presented per patient? | Yes | ||
Could the patient flow have introduced bias? | Low risk |