CRUCIANI, Mario, P Lewis WHITE, Rosemary A BARNES, Juergen LOEFFLER, J Peter DONNELLY, Thomas R ROGERS, Werner J HEINZ, Adilia WARRIS, Charles Oliver MORTON, Martina LENGEROVÁ, Lena KLINGSPOR, Boualem SENDID and Deborah E A LOCKHART. 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. Journal of Fungi. St. Alban-Anlage: MDPI, 2023, vol. 9, No 10, p. 1-15. ISSN 2309-608X. Available from: https://dx.doi.org/10.3390/jof9100967.
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Basic information
Original name 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
Authors CRUCIANI, Mario (guarantor), 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 Czech Republic, belonging to the institution), Lena KLINGSPOR, Boualem SENDID and Deborah E A LOCKHART.
Edition Journal of Fungi, St. Alban-Anlage, MDPI, 2023, 2309-608X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 10612 Mycology
Country of publisher Switzerland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 4.700 in 2022
RIV identification code RIV/00216224:14740/23:00133294
Organization unit Central European Institute of Technology
Doi http://dx.doi.org/10.3390/jof9100967
UT WoS 001099510500001
Keywords in English systematic review; meta-analysis; umbrella review; Aspergillus fumigatus; invasive aspergillosis; diagnosis; polymerase chain reaction (PCR)
Tags rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Eva Dubská, učo 77638. Changed: 2/3/2024 15:03.
Abstract
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.
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