Id |
Subject |
Object |
Predicate |
Lexical cue |
T268 |
0-48 |
Sentence |
denotes |
Criteria for considering studies for this review |
T269 |
50-66 |
Sentence |
denotes |
Types of studies |
T270 |
67-295 |
Sentence |
denotes |
We kept the eligibility criteria purposely broad to include all patient groups and all variations of a test at this initial stage of reviewing the evidence (that is, if the patient population was unclear, we included the study). |
T271 |
296-424 |
Sentence |
denotes |
We included studies of all designs that produce estimates of test accuracy or provide data from which estimates can be computed. |
T272 |
425-644 |
Sentence |
denotes |
We included both single‐gate (studies that recruit from a patient pathway before disease status has been ascertained) and multi‐gate (where people with and without the target condition are recruited separately) designs. |
T273 |
645-747 |
Sentence |
denotes |
This means that we included studies that were cross‐sectional or diagnostic case‐control type studies. |
T274 |
748-905 |
Sentence |
denotes |
When interpreting the results, we made sure that the limitations of different study designs were carefully considered, using quality assessment and analysis. |
T275 |
907-919 |
Sentence |
denotes |
Participants |
T276 |
920-1054 |
Sentence |
denotes |
Studies recruiting people presenting to primary care or outpatient hospital settings with suspicion of COVID‐19 disease were eligible. |
T277 |
1055-1233 |
Sentence |
denotes |
For the initial version of this review, we included studies that recruited symptomatic people either known to have SARS‐CoV‐2 infection or known not to have SARS‐CoV‐2 infection. |
T278 |
1234-1300 |
Sentence |
denotes |
Studies had to have a sample size of a minimum of 10 participants. |
T279 |
1302-1313 |
Sentence |
denotes |
Index tests |
T280 |
1314-1348 |
Sentence |
denotes |
All signs and symptoms, including: |
T281 |
1349-1421 |
Sentence |
denotes |
signs such as oxygen saturation, measured by oximetry or blood pressure; |
T282 |
1422-1463 |
Sentence |
denotes |
classic symptoms, such as fever or cough. |
T283 |
1464-1646 |
Sentence |
denotes |
We included combinations of signs and symptoms, but not when they were combined with laboratory, imaging, or other types of index tests as these will be covered in the other reviews. |
T284 |
1648-1665 |
Sentence |
denotes |
Target conditions |
T285 |
1666-1721 |
Sentence |
denotes |
To be eligible studies had to identify at least one of: |
T286 |
1722-1756 |
Sentence |
denotes |
mild or moderate COVID‐19 disease; |
T287 |
1757-1776 |
Sentence |
denotes |
COVID‐19 pneumonia. |
T288 |
1777-1947 |
Sentence |
denotes |
Asymptomatic infection with SARS‐CoV‐2 infection is out of scope for this review, considering it is by definition not possible to detect this based on signs and symptoms. |
T289 |
1949-1968 |
Sentence |
denotes |
Reference standards |
T290 |
1969-2038 |
Sentence |
denotes |
We anticipated that studies would use a range of reference standards. |
T291 |
2039-2238 |
Sentence |
denotes |
Although RT‐PCR is considered the best available test, due to rapidly evolving knowledge about the target conditions, multiple reference standards on their own as well as in combination have emerged. |
T292 |
2239-2281 |
Sentence |
denotes |
We expected to encounter cases defined by: |
T293 |
2282-2295 |
Sentence |
denotes |
RT‐PCR alone; |
T294 |
2296-2361 |
Sentence |
denotes |
RT‐PCR, clinical expertise, and imaging (for example, CT thorax); |
T295 |
2362-2423 |
Sentence |
denotes |
repeated RT‐PCR several days apart or from different samples; |
T296 |
2424-2518 |
Sentence |
denotes |
plaque reduction neutralisation test (PRNT) or enzyme‐linked immunosorbent assay(ELISA) tests; |
T297 |
2519-2568 |
Sentence |
denotes |
information available at a subsequent time point; |
T298 |
2569-2645 |
Sentence |
denotes |
World Health Organization (WHO) and other case definitions (see Appendix 1). |
T299 |
2646-2727 |
Sentence |
denotes |
This list is not exhaustive, and we recorded all reference standards encountered. |
T300 |
2728-2919 |
Sentence |
denotes |
With a group of methodological and clinical experts, we are producing a ranking of reference standards according to their ability to correctly classify participants using a consensus process. |
T301 |
2920-3033 |
Sentence |
denotes |
We will use the ranking for informing the assessment of methodological quality in the next update of this review. |