Performance of Covid-19 antigen rapid diagnostic tests for self-testing compared with antigen testing by professionals and molecular tests: A systematic review and meta-analysis [Research Data] (doi:10.11588/data/P9JEPG)

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Part 2: Study Description
Part 3: Data Files Description
Part 4: Variable Description
Part 5: Other Study-Related Materials
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Document Description

Citation

Title:

Performance of Covid-19 antigen rapid diagnostic tests for self-testing compared with antigen testing by professionals and molecular tests: A systematic review and meta-analysis [Research Data]

Identification Number:

doi:10.11588/data/P9JEPG

Distributor:

heiDATA

Date of Distribution:

2022-12-02

Version:

4

Bibliographic Citation:

Katzenschlager, Stephan; Brümmer, Lukas E.; Schmitz, Stephani; Tolle, Hannah; Manten, Katharina; Gaeddert, Mary; Erdmann, Christian; Lindner, Andreas; Tobian, Frank; Grilli, Maurizio; Pollock, Nira R.; Mace, Aurélien; Erkosar, Berra; Carmona, Sergio; Ongarello, Stefano; Johnson, Cheryl C.; Sacks, Jilian A.; Denkinger, Claudia M.; Yerlikaya, Seda, 2022, "Performance of Covid-19 antigen rapid diagnostic tests for self-testing compared with antigen testing by professionals and molecular tests: A systematic review and meta-analysis [Research Data]", https://doi.org/10.11588/data/P9JEPG, heiDATA, V4, UNF:6:RY3iu11KOsyU6jlqoBsj2A== [fileUNF]

Study Description

Citation

Title:

Performance of Covid-19 antigen rapid diagnostic tests for self-testing compared with antigen testing by professionals and molecular tests: A systematic review and meta-analysis [Research Data]

Identification Number:

doi:10.11588/data/P9JEPG

Authoring Entity:

Katzenschlager, Stephan (Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany)

Brümmer, Lukas E. (Division of Infectious Disease and Tropical Medicine, Center for Infectious Diseases, Heidelberg University Hospital, Heidelberg, Germany)

Schmitz, Stephani (Department of Developmental Biology, Erasmus Medical Center, Rotterdam, Netherlands)

Tolle, Hannah (Division of Infectious Disease and Tropical Medicine, Center for Infectious Diseases, Heidelberg University Hospital, Heidelberg, Germany)

Manten, Katharina (Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany)

Gaeddert, Mary (Division of Infectious Disease and Tropical Medicine, Center for Infectious Diseases, Heidelberg University Hospital, Heidelberg, Germany)

Erdmann, Christian (FH Muenster University of Applied Sciences, Muenster, Germany)

Lindner, Andreas (Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Hum-boldt- Universität zu Berlin, and Berlin Institute of Health; Institute of Tropical Medicine and International Health, Berlin, Germany)

Tobian, Frank (Division of Infectious Disease and Tropical Medicine, Center for Infectious Diseases, Heidelberg University Hospital, Heidelberg, Germany)

Grilli, Maurizio (Library, University Medical Center Mannheim, Mannheim, Germany)

Pollock, Nira R. (Department of Laboratory Medicine, Boston Children’s Hospital, Boston, Massachusetts, United States of America)

Mace, Aurélien (FIND, Geneva, Switzerland)

Erkosar, Berra (FIND, Geneva, Switzerland)

Carmona, Sergio (FIND, Geneva, Switzerland)

Ongarello, Stefano (FIND, Geneva, Switzerland)

Johnson, Cheryl C. (Global HIV, Hepatitis and STIs Programmes, World Health Organization, Geneva, Switzer-land)

Sacks, Jilian A. (Department of Epidemic and Pandemic Preparedness and Prevention, World Health Organi-zation, Geneva, Switzerland)

Denkinger, Claudia M. (Division of Infectious Disease and Tropical Medicine, Center for Infectious Diseases, Heidelberg University Hospital, Heidelberg, Germany)

Yerlikaya, Seda (Division of Infectious Disease and Tropical Medicine, Center for Infectious Diseases, Heidelberg University Hospital, Heidelberg, Germany)

Distributor:

heiDATA

Access Authority:

Katzenschlager, Stephan

Holdings Information:

https://doi.org/10.11588/data/P9JEPG

Study Scope

Keywords:

Medicine, Health and Life Sciences, SARS-CoV-2, Ag-RDT, antigen testing, systematic review, self testing

Abstract:

Objectives Self-testing is an effective tool to bridge the testing gap for a number of infectious diseas-es; however, its performance using SARS-CoV-2 antigen-detection rapid diagnostic tests (Ag-RDTs) has not been systematically reviewed. We evaluated the accuracy of COVID-19 self-testing and/or self-sampling using Ag-RDTs to inform WHO guideline development. Methods: We searched multiple databases for articles evaluating the accuracy of COVID-19 self-testing or self-sampling through November 19th, 2021. Cohen’s kappa was estimated to as-sess concordance between self-testing/self-sampling and solely professional-use Ag-RDT results. Meta-analysis was performed to obtain pooled performance estimates compared to molecular testing. The QUADAS-2 and GRADE tools were used to evaluate quality and cer-tainty of evidence. Results: Of 12,946 publications, 19 were eligible; two reported on self-testing, while 17 studies as-sessed self-sampling only. Risk of bias was low (28.1%). Overall concordance with profes-sional-use Ag-RDTs (n=5) was high (kappa 0.92 [95% confidence interval (CI) 0.89 to 0.95]). Overall pooled sensitivity of Ag-RDT testing using self-testing/self-sampling was 72.0% (95% CI 62.4 to 80.0). Conclusion: COVID-19 self-testing/self-sampling exhibits reasonable performance and high concordance with professional-use Ag-RDTs. This suggest that self-sampling, at a minimum, can be offered as part of COVID-19 testing strategies, despite high heterogeneity among studies and the paucity of data.

Methodology and Processing

Sources Statement

Data Access

Other Study Description Materials

File Description--f16132

File: Self-collection Antigen Test Systematic Review 2023-11-10.tab

  • Number of cases: 148

  • No. of variables per record: 7

  • Type of File: text/tab-separated-values

Notes:

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Variable Description

List of Variables:

Variables

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Summary Statistics: Valid 45.0; Min. 2020.0; Mean 2020.0; Max. 2020.0; StDev 0.0

Variable Format: numeric

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Title

f16132 Location:

Variable Format: character

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TypeofPublication

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f16132 Location:

Variable Format: character

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Summary Statistics: Valid 0.0; Min. NaN; Mean NaN; Max. NaN; StDev NaN

Variable Format: numeric

Notes: UNF:6:BnPX7YFa/T9jQSEb4E01KA==

Other Study-Related Materials

Label:

Self-collection Antigen Test Systematic Review 2023-08-10.xlsx

Notes:

application/vnd.openxmlformats-officedocument.spreadsheetml.sheet