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About:
Saliva as a Candidate for COVID-19 Diagnostic Testing: A Meta-Analysis
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research paper
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Saliva as a Candidate for COVID-19 Diagnostic Testing: A Meta-Analysis
Creator
Czumbel, László
Farkas, Nelli
Gábor Varga,
Hegyi, Anita
Hegyi, Péter
Kiss, Szabolcs
Lohinai, Zsolt
Mandel, Iván
Nagy, Ákos
Steward, Martin
Szakács, Zsolt
Varga, Gábor
source
MedRxiv
abstract
Objectives: Our aim was to conduct a meta-analysis on the reliability and consistency of SARS-CoV-2 viral RNA detection in saliva specimens. Methods: We reported our meta-analysis according to the Cochrane Handbook. We searched the Cochrane Library, Embase, Pubmed, Scopus, Web of Science and clinical trial registries for eligible studies published between 1 January and 25 April 2020. The number of positive tests and total number of conducted tests were collected as raw data. The proportion of positive tests in the pooled data were calculated by score confidence interval estimation with the Freeman-Tukey transformation. Heterogeneity was assessed using the I2 measure and the Chi2 test. Results: The systematic search revealed 96 records after removal of duplicates. 26 records were included for qualitative analysis and 5 records for quantitative synthesis. We found 91% (95%CI = 80%-99%) sensitivity for saliva tests and 98% (95%CI 89%-100%) sensitivity for nasopharyngeal swab (NPS) tests in previously confirmed COVID-19 infected patients, with moderate heterogeneity among studies. Additionally, we identified 18 registered, ongoing clinical trials on saliva-based tests for detection of the virus. Conclusion: Saliva tests offer a promising alternative to NPS for COVID-19 diagnosis. However, further diagnostic accuracy studies are needed to improve their specificity and sensitivity.
has issue date
2020-05-27
(
xsd:dateTime
)
bibo:doi
10.1101/2020.05.26.20112565
has license
medrxiv
sha1sum (hex)
436eba972b937a9a8478024aa3c9f78371a696bb
schema:url
https://doi.org/10.1101/2020.05.26.20112565
resource representing a document's title
Saliva as a Candidate for COVID-19 Diagnostic Testing: A Meta-Analysis
resource representing a document's body
covid:436eba972b937a9a8478024aa3c9f78371a696bb#body_text
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schema:about
of
named entity 'OBJECTIVES'
covid:arg/436eba972b937a9a8478024aa3c9f78371a696bb
named entity 'meta-analysis'
named entity 'Saliva'
named entity 'COVID-19'
named entity 'preprint'
named entity 'infection'
named entity 'confounding factors'
named entity 'preprint'
named entity 'Case reports'
named entity 'confidence intervals'
named entity 'SARS-CoV-2'
named entity 'Open Science Framework'
named entity 'peer review'
named entity 'specificity and sensitivity'
named entity 'viral RNA'
named entity 'subgroup analyses'
named entity 'oral cavity'
named entity 'diagnostic test'
named entity 'April 2020'
named entity 'virus'
named entity 'meta-analysis'
named entity 'COVID-19'
named entity 'saliva'
named entity 'human DNA'
named entity 'medRxiv'
named entity 'Vijayakumar'
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named entity 'EUA'
named entity 'preprint'
named entity 'SARS'
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named entity 'COVID-19'
named entity 'Cochrane Library'
named entity 'nasopharyngeal swab'
named entity 'case report'
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