J 2023

An Overview of Systematic Reviews of Polymerase Chain Reaction (PCR) for the Diagnosis of Invasive Aspergillosis in Immunocompromised People: A Report of the Fungal PCR Initiative (FPCRI)-An ISHAM Working Group

CRUCIANI, Mario, P Lewis WHITE, Rosemary A BARNES, Juergen LOEFFLER, J Peter DONNELLY et. al.

Základní údaje

Originální název

An Overview of Systematic Reviews of Polymerase Chain Reaction (PCR) for the Diagnosis of Invasive Aspergillosis in Immunocompromised People: A Report of the Fungal PCR Initiative (FPCRI)-An ISHAM Working Group

Autoři

CRUCIANI, Mario (garant), P Lewis WHITE, Rosemary A BARNES, Juergen LOEFFLER, J Peter DONNELLY, Thomas R ROGERS, Werner J HEINZ, Adilia WARRIS, Charles Oliver MORTON, Martina LENGEROVÁ (203 Česká republika, domácí), Lena KLINGSPOR, Boualem SENDID a Deborah E A LOCKHART

Vydání

Journal of Fungi, St. Alban-Anlage, MDPI, 2023, 2309-608X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

10612 Mycology

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 4.700 v roce 2022

Kód RIV

RIV/00216224:14740/23:00133294

Organizační jednotka

Středoevropský technologický institut

UT WoS

001099510500001

Klíčová slova anglicky

systematic review; meta-analysis; umbrella review; Aspergillus fumigatus; invasive aspergillosis; diagnosis; polymerase chain reaction (PCR)

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 2. 3. 2024 15:03, Mgr. Eva Dubská

Anotace

V originále

This overview of reviews (i.e., an umbrella review) is designed to reappraise the validity of systematic reviews (SRs) and meta-analyses related to the performance of Aspergillus PCR tests for the diagnosis of invasive aspergillosis in immunocompromised patients. The methodological quality of the SRs was assessed using the AMSTAR-2 checklist; the quality of the evidence (QOE) within each SR was appraised following the GRADE approach. Eight out of 12 SRs were evaluated for qualitative and quantitative assessment. Five SRs evaluated Aspergillus PCR on bronchoalveolar lavage fluid (BAL) and three on blood specimens. The eight SRs included 167 overlapping reports (59 evaluating PCR in blood specimens, and 108 in BAL), based on 107 individual primary studies (98 trials with a cohort design, and 19 with a case-control design). In BAL specimens, the mean sensitivity and specificity ranged from 0.57 to 0.91, and from 0.92 to 0.97, respectively (QOE: very low to low). In blood specimens (whole blood or serum), the mean sensitivity ranged from 0.57 to 0.84, and the mean specificity from 0.58 to 0.95 (QOE: low to moderate). Across studies, only a low proportion of AMSTAR-2 critical domains were unmet (1.8%), demonstrating a high quality of methodological assessment. Conclusions. Based on the overall methodological assessment of the reviews included, on average we can have high confidence in the quality of results generated by the SRs.