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Performance of SARS-CoV-2 antigen-detection rapid diagnostic tests for COVID-19 self-testing and self-sampling in comparison to molecular and professional-use antigen tests: A systematic review and meta-analysis

Unknown authors · 2023
hash_id: 929a2e261a5c75202b7fade2297c1ed870e7c477b56025078998b10fcf382994 · DOI: 10.21203/rs.3.rs-3263909/v1

Abstract Purpose Self-testing is an effective tool to bridge the testing gap for several infectious diseases; however, its performance in detecting SARS-CoV-2 using antigen-detection rapid diagnostic tests (Ag-RDTs) has not been systematically reviewed. To inform WHO guideline development, we evaluated the accuracy of COVID-19 self-testing and/or self-sampling using Ag-RDTs. Methods: We searched multiple databases for articles evaluating the accuracy of COVID-19 self-testing or self-sampling through November 7th, 2022. Cohen’s kappa was estimated to assess concordance between self-testing/self-sampling and fully professional-use Ag-RDT results. Bivariate meta-analysis was performed to obtain pooled performance estimates compared to molecular testing. The QUADAS-2 and GRADE tools were used to evaluate quality and certainty of evidence. Results: Among 43 studies included in the review, twelve reported on …

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