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Strong correlation between serum aspergillus galactomannan index and outcome of aspergillosis in patients with hematological cancer: clinical and research implications Miceli MH; Grazziutti ML; Woods G; Zhao W; Kocoglu MH; Barlogie B; Anaissie EClin Infect Dis 2008[May]; 46 (9): 1412-22BACKGROUND: Galactomannan is an Aspergillus-specific polysaccharide released during aspergillosis and is detected by the quantitative serum galactomannan index (GMI) test. Preclinical and preliminary clinical reports have suggested a good correlation between GMI and aspergillosis outcome. METHODS: We reviewed the literature to assess the strength of correlation between GMI and aspergillosis outcome using the kappa correlation coefficient. We included 27 studies that enrolled patients with hematological cancer and proven or probable aspergillosis and that used sequential GMI testing. We examined the 3 following outcomes: survival (survival vs. death), global outcome (survival vs. death [including autopsy findings]), and autopsy outcome (autopsy findings only). RESULTS: Overall, 257 patients fulfilled criteria for proven or probable aspergillosis and were eligible for outcome evaluation. Correlation between GMI (within |Aspergillosis/blood/complications/*pathology[MESH]|Aspergillus/drug effects/*metabolism[MESH]|Galactose/analogs & derivatives[MESH]|Hematologic Neoplasms/*complications[MESH]|Humans[MESH]|Mannans/*blood[MESH]|Meta-Analysis as Topic[MESH]|Prognosis[MESH]|Survival Analysis[MESH]|Treatment Outcome[MESH] |
