Page 304 - 16Neonatal Jaundice_compressed
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Appendix H: Evidence tables


              Bibliographic details   Study type &   Patient characteristics   Test, Reference Standard,   Results                Reviewers Comments
                                Evidence level                            Threshold for a positive test
                                             black = 4%                   Reference standard: Laboratory   By nurses
                                             Asian = 7%                   TSB levels within 30 min. Mean of   Area = 0.73
                                             Other = 2%                   two samples used for analysis.   By primary investigator
                                                                                                   Area = 0.70
                                             Exclusion: jaundice above zone 3 of   For diagnostic accuracy:   κ = 0.48
                                             Kramer scale within 48 hours, positive   Area under ROC curve calculated
                                             DCT,                         for detecting TSB > 190
                                                   th
                                             BW < 10  centile for GA,                              Comparison 2:
                                             any sign or symptom of illness,
                                             phototherapy already started                          Correlation of JM-102 with lab TSB levels
                                                                                                   (Pearson correlation coefficient, n = 107
                                                                                                   observations)
                                                                                                    2
                                                                                                   R  = 0.76, P < 0.01
                                                                                                   Difference to TSB: 56 ± 28 micromol/litre


                                                                                                   Diagnostic accuracy for detecting TSB
                                                                                                   > 190 micromol/litre (Area underROC
                                                                                                   curve, N = Not reported)
                                                                                                   Area = 0.96

                                                                                                   Comparison 3:

                                                                                                   At forehead
                                                                                                   Correlation of BiliChek with lab TSB levels
                                                                                                   (Pearson correlation coefficient, n = 107
                                                                                                   observations)
                                                                                                    2
                                                                                                   R  = 0.45, P < 0.01
                                                                                                   Difference to TSB: -8 ± 33 micromol/litre

                                                                                                   Diagnostic accuracy for detecting TSB
                                                                                                   > 190 micromol/litre (Area underROC
                                                                                                   curve, N = Not reported)
                                                                                                   Area = 0.88

                                                                                                   At sternum
                                                                                                   Correlation of BiliChek with lab TSB levels
                                                                                                   (Pearson correlation coefficient, n = 107
                                                                                                   observations)
                                                                                                    2
                                                                                                   R  = 0.59, P < 0.01
                                                                                                   Difference to TSB: 10 ± 31 micromol/litre


                                                                                                   Diagnostic accuracy for detecting TSB
                                                                                                   > 190 micromol/litre (Area underROC


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