{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,12]],"date-time":"2026-11-12T11:30:11Z","timestamp":1794483011297,"version":"4.9.1"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,3,30]],"date-time":"2011-03-30T00:00:00Z","timestamp":1301443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p><jats:bold>Background and objective:\u2003<\/jats:bold> The diagnosis of tuberculous pleurisy by analysis of pleural fluid using standard diagnostic tools is difficult. Recently, T\u2010cell interferon\u2010\u03b3 release assays (IGRA) have been introduced for the diagnosis of tuberculous pleurisy. The aim of the present meta\u2010analysis was to establish the overall diagnostic accuracy of IGRA on both pleural fluid and peripheral blood, for diagnosing tuberculous pleurisy.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> A systematic review was performed of English language publications. Sensitivity, specificity and other measures of the accuracy of IGRA for the diagnosis tuberculous pleurisy using both pleural fluid and blood were pooled using a random\u2010effects model or a fixed\u2010effects model. Receiver operating characteristic curves were used to summarize overall test performance.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> Seven out of eight studies met the inclusion criteria. The summary estimates of sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, positive predictive value, negative predictive value and diagnostic odds ratio were, for pleural fluid: 0.75, 0.82, 3.49, 0.24, 0.85, 0.70 and 19.04, respectively; and for blood: 0.80, 0.72, 2.86, 0.28, 0.78, 0.74 and 11.06, respectively.<\/jats:p><jats:p><jats:bold>Conclusions:\u2003<\/jats:bold> As almost 20% of non\u2010tuberculosis patients would be erroneously treated for tuberculosis and 25% of patients with tuberculous pleurisy would be missed, pleural fluid IGRA are not useful for the clinical diagnosis of tuberculous pleurisy.<\/jats:p>","DOI":"10.1111\/j.1440-1843.2011.01941.x","type":"journal-article","created":{"date-parts":[[2011,2,8]],"date-time":"2011-02-08T07:01:26Z","timestamp":1297148486000},"page":"473-480","source":"Crossref","is-referenced-by-count":49,"title":["Diagnostic accuracy of T\u2010cell interferon\u2010\u03b3 release assays in tuberculous pleurisy: A meta\u2010analysis"],"prefix":"10.1111","volume":"16","author":[{"given":"QIONG","family":"ZHOU","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YI\u2010QIANG","family":"CHEN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SHOU\u2010MING","family":"QIN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"XIAO\u2010NAN","family":"TAO","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JIAN\u2010BAO","family":"XIN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HUAN\u2010ZHONG","family":"SHI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,3,30]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.150.6.1190"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.18.2017"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00408-009-9165-3"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00147507"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00063198-200007000-00002"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.4049\/jimmunol.142.4.1114"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00029330-200804010-00001"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/eji.200525977"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1053\/rmed.2001.1103"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.06-2273"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0b013e32832bcc4e"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.326.7379.41"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-3-25"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-2-9"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.4780121403"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(94)00099-C"},{"key":"e_1_2_6_18_2","first-page":"675","article-title":"Meta\u2010analyses of studies of the diagnostic accuracy of laboratory tests: a review of the concepts and methods","volume":"122","author":"Vamvakas EC","year":"1998","journal-title":"Arch. Pathol. Lab. Med."},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1086\/426139"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1086\/523591"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00067307"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-8-35"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1159\/000128575"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00005309"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2008.02655.x"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1080\/00365540802635197"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(04)01206-X"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-149-3-200808050-00241"},{"key":"e_1_2_6_30_2","doi-asserted-by":"publisher","DOI":"10.1159\/000135933"},{"key":"e_1_2_6_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(03)00177-X"},{"key":"e_1_2_6_32_2","doi-asserted-by":"publisher","DOI":"10.1002\/9780470693926.ch14"},{"key":"e_1_2_6_33_2","first-page":"121","volume-title":"Users' Guides to the Medical Literature. A Manual for Evidence\u2010Based Clinical Practice","author":"Jaeschke R","year":"2002"},{"key":"e_1_2_6_34_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1091"},{"key":"e_1_2_6_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(07)70086-5"},{"key":"e_1_2_6_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2007.12.007"},{"key":"e_1_2_6_37_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.116376"},{"key":"e_1_2_6_38_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200904-0557OC"},{"key":"e_1_2_6_39_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200912-1931OC"}],"container-title":["Respirology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1440-1843.2011.01941.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1440-1843.2011.01941.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T12:54:44Z","timestamp":1697288084000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1440-1843.2011.01941.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,3,30]]},"references-count":38,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,4]]}},"alternative-id":["10.1111\/j.1440-1843.2011.01941.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1440-1843.2011.01941.x","archive":["Portico"],"relation":{},"ISSN":["1323-7799","1440-1843"],"issn-type":[{"value":"1323-7799","type":"print"},{"value":"1440-1843","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3,30]]}}}