In a diagnostic test study the validity of three serodiagnostic test was compared in patients with liver echinococcosis
To determine the efficacy of immunoprecipitation (DD5), enzyme immunoanalysis (ELISA-IgG), and immunoelectrotransference or Western blot (WB) in patients with liver echinococcosis (LE) used separately, in parallel and in series. Diagnostic test study. DD5, ELISA-IgG, and WB were applied in 75 patien...
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Published in | Journal of clinical epidemiology Vol. 58; no. 4; pp. 401 - 406 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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Elsevier Inc
01.04.2005
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Abstract | To determine the efficacy of immunoprecipitation (DD5), enzyme immunoanalysis (ELISA-IgG), and immunoelectrotransference or Western blot (WB) in patients with liver echinococcosis (LE) used separately, in parallel and in series.
Diagnostic test study. DD5, ELISA-IgG, and WB were applied in 75 patients with LE and 75 with cholelithiasis. Surgery was considered a reference standard. The sample size was calculated assuming a 99% confidence interval (99% CI), expected sensitivity (S) of 90% and a worst result of 80%; expected specificity (SP) of 95% and a worst result of 85%. S, SP, and predictive values (PPV and NPV) were calculated.
The best S was verified with ELISA-IgG and WB (82.7%) and the best SP with DD5 (94.7%). DD5 presented a better PPV (92.9%) and WB a better NPV (83.5%). When applying the tests in parallel, the best S was obtained from the combination of DD5 and WB (82.7%); and the best SP, PPV and NPV with ELISA-IgG and WB (88.0%, 87.3%, and 83.5%, respectively).
DD5 appears as the most specific test and as having greater PPV; ELISA-IgG and WB are more sensitive. The combined use of these tests does not improve diagnosis validity. |
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AbstractList | To determine the efficacy of immunoprecipitation (DD5), enzyme immunoanalysis (ELISA-IgG), and immunoelectrotransference or Western blot (WB) in patients with liver echinococcosis (LE) used separately, in parallel and in series. Diagnostic test study. DD5, ELISA-IgG, and WB were applied in 75 patients with LE and 75 with cholelithiasis. Surgery was considered a reference standard. The sample size was calculated assuming a 99% confidence interval (99% CI), expected sensitivity (S) of 90% and a worst result of 80%; expected specificity (SP) of 95% and a worst result of 85%. S, SP, and predictive values (PPV and NPV) were calculated. The best S was verified with ELISA-IgG and WB (82.7%) and the best SP with DD5 (94.7%). DD5 presented a better PPV (92.9%) and WB a better NPV (83.5%). When applying the tests in parallel, the best S was obtained from the combination of DD5 and WB (82.7%); and the best SP, PPV and NPV with ELISA-IgG and WB (88.0%, 87.3%, and 83.5%, respectively). DD5 appears as the most specific test and as having greater PPV; ELISA-IgG and WB are more sensitive. The combined use of these tests does not improve diagnosis validity. BACKGROUND AND OBJECTIVETo determine the efficacy of immunoprecipitation (DD5), enzyme immunoanalysis (ELISA-IgG), and immunoelectrotransference or Western blot (WB) in patients with liver echinococcosis (LE) used separately, in parallel and in series.METHODSDiagnostic test study. DD5, ELISA-IgG, and WB were applied in 75 patients with LE and 75 with cholelithiasis. Surgery was considered a reference standard. The sample size was calculated assuming a 99% confidence interval (99% CI), expected sensitivity (S) of 90% and a worst result of 80%; expected specificity (SP) of 95% and a worst result of 85%. S, SP, and predictive values (PPV and NPV) were calculated.RESULTSThe best S was verified with ELISA-IgG and WB (82.7%) and the best SP with DD5 (94.7%). DD5 presented a better PPV (92.9%) and WB a better NPV (83.5%). When applying the tests in parallel, the best S was obtained from the combination of DD5 and WB (82.7%); and the best SP, PPV and NPV with ELISA-IgG and WB (88.0%, 87.3%, and 83.5%, respectively).CONCLUSIONSDD5 appears as the most specific test and as having greater PPV; ELISA-IgG and WB are more sensitive. The combined use of these tests does not improve diagnosis validity. To determine the efficacy of immunoprecipitation (DD5), enzyme immunoanalysis (ELISA-IgG), and immunoelectrotransference or Western blot (WB) in patients with liver echinococcosis (LE) used separately, in parallel and in series. Diagnostic test study. DD5, ELISA-IgG, and WB were applied in 75 patients with LE and 75 with cholelithiasis. Surgery was considered a reference standard. The sample size was calculated assuming a 99% confidence interval (99% CI), expected sensitivity (S) of 90% and a worst result of 80%; expected specificity (SP) of 95% and a worst result of 85%. S, SP, and predictive values (PPV and NPV) were calculated. The best S was verified with ELISA-IgG and WB (82.7%) and the best SP with DD5 (94.7%). DD5 presented a better PPV (92.9%) and WB a better NPV (83.5%). When applying the tests in parallel, the best S was obtained from the combination of DD5 and WB (82.7%); and the best SP, PPV and NPV with ELISA-IgG and WB (88.0%, 87.3%, and 83.5%, respectively). DD5 appears as the most specific test and as having greater PPV; ELISA-IgG and WB are more sensitive. The combined use of these tests does not improve diagnosis validity. |
Author | Bustos, Luis Sanhueza, Antonio Muñoz, Sergio Cuadra, Álvaro Vial, Manuel Manterola, Carlos Fonseca, Flery |
Author_xml | – sequence: 1 givenname: Carlos surname: Manterola fullname: Manterola, Carlos email: cmantero@ufro.cl organization: Department of Surgery, Hospital Regional de Temuco, Faculty of Medicine, Universidad de La Frontera, Casilla 54-D, Temuco, Chile – sequence: 2 givenname: Álvaro surname: Cuadra fullname: Cuadra, Álvaro organization: Department of Surgery, Hospital Regional de Temuco, Faculty of Medicine, Universidad de La Frontera, Casilla 54-D, Temuco, Chile – sequence: 3 givenname: Sergio surname: Muñoz fullname: Muñoz, Sergio organization: Training, Investigation and Evidence Based Health Management (CIGES), Faculty of Medicine, Universidad de La Frontera, Temuco, Chile – sequence: 4 givenname: Antonio surname: Sanhueza fullname: Sanhueza, Antonio organization: Training, Investigation and Evidence Based Health Management (CIGES), Faculty of Medicine, Universidad de La Frontera, Temuco, Chile – sequence: 5 givenname: Luis surname: Bustos fullname: Bustos, Luis organization: Training, Investigation and Evidence Based Health Management (CIGES), Faculty of Medicine, Universidad de La Frontera, Temuco, Chile – sequence: 6 givenname: Manuel surname: Vial fullname: Vial, Manuel organization: Department of Surgery, Hospital Regional de Temuco, Faculty of Medicine, Universidad de La Frontera, Casilla 54-D, Temuco, Chile – sequence: 7 givenname: Flery surname: Fonseca fullname: Fonseca, Flery organization: Department of Preclinical Sciences, Faculty of Medicine, Universidad de La Frontera, Temuco, Chile |
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Keywords | Serologic tests Helminth Sensitivity Specificity Immunoglobulin G Classification Antibodies hepatic Diagnosis Comparative study Blood Echinococcosis Liver Serology Cestoda Immunoprecipitation reaction Immunoblotting assay Echinococciasis Public health Echinococcus granulosus Human Antibody Plathelmintha Parasitosis Helminthiasis Cestode disease Infection Helmintha Digestive diseases Technique Invertebrata ELISA assay |
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Snippet | To determine the efficacy of immunoprecipitation (DD5), enzyme immunoanalysis (ELISA-IgG), and immunoelectrotransference or Western blot (WB) in patients with... BACKGROUND AND OBJECTIVETo determine the efficacy of immunoprecipitation (DD5), enzyme immunoanalysis (ELISA-IgG), and immunoelectrotransference or Western... |
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SubjectTerms | Abdomen Adolescent Adult Aged Antibodies Bile Ducts - pathology Biological and medical sciences Blood Blotting, Western - methods Classification Comparative study Cysts Diagnosis Diseases caused by cestodes Echinococcoses Echinococcosis Echinococcosis, Hepatic - diagnosis Echinococcosis, Hepatic - immunology Echinococcosis, Hepatic - pathology Enzyme-Linked Immunosorbent Assay - methods Enzymes Epidemiology Female Helminth Helminthic diseases hepatic Humans Immunoglobulin G Immunoglobulin G - blood Immunoprecipitation - methods Infectious diseases Liver Male Medical sciences Middle Aged Molecular weight Parasitic diseases Sensitivity Sensitivity and Specificity Serologic Tests Specificity Validity |
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Title | In a diagnostic test study the validity of three serodiagnostic test was compared in patients with liver echinococcosis |
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