Cochrane · systematic review · CD009527

Adding rapid diagnostic tests to community‐based programmes for treating malaria

Allen, EN, Wiyeh, ABeriliy, McCaul, M · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

Infectious Diseases2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 3 · 42.9%Moderate 2 · 28.6%High 1 · 14.3%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Malaria rapid diagnostic test (mRDT) compared to clinical diagnosis in community‐based malaria programmes

Population: people with suspected malaria
5 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
Malaria rapid diagnostic test (mRDT) vs clinical diagnosis
no estimate extracted7678 participantsVery low
Downgraded: imprecision
Antimalarial prescribing to microscopy‐ or PCR‐negative people
Malaria rapid diagnostic test (mRDT) vs clinical diagnosis
RR 0.17 [0.07, 0.4]7877 participantsModerate
Downgraded: imprecision, inconsistency
Composite appropriate treatment
Malaria rapid diagnostic test (mRDT) vs clinical diagnosis
RR 3.04 [2.46, 3.74]9332 participantsHigh
Number of people receiving an antimalarial
Malaria rapid diagnostic test (mRDT) vs clinical diagnosis
RR 0.21 [0.14, 0.34]4729 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Antibiotic prescribing to microscopy‐ or PCR‐negative people
Malaria rapid diagnostic test (mRDT) vs clinical diagnosis
RR 2.02 [1.21, 3.37]5179 participantsModerate
Downgraded: imprecision

Malaria rapid diagnostic test (mRDT) in community‐based care versus health facility care for people with suspected malaria

Population: people with suspected malaria
2 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality and malaria mortality
Malaria rapid diagnostic test (mRDT) in community‐based care vs health facility care
no estimate extracted9428 participantsLow
Downgraded: risk of bias, imprecision
Hospitalizations
Malaria rapid diagnostic test (mRDT) in community‐based care vs health facility care
no estimate extracted9428 participantsLow
Downgraded: risk of bias, imprecision