Comparison of Rapid Antigen Tests' Performance Between Delta and Omicron Variants of SARS-CoV-2

This article has been Reviewed by the following groups

Read the full article See related articles

Abstract

No abstract available

Article activity feed

  1. SciScore for 10.1101/2022.02.27.22271090: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    EthicsConsent: Participants provided electronic consent to participate in the study through the app, and individuals under 18 years were required to assent and provide written parental consent.
    IRB: The study protocol for the main study was approved by the Institutional Review Board at UMass Chan Medical School and externally by Western Institutional Review Board.
    Field Sample Permit: This assay is a real-time RT-PCR assay based on the Roche cobas SARS-CoV-2 assay and EUA-authorized for use with specimens collected with the Quest Diagnostics Collection Kit for COVID-19.
    Sex as a biological variablenot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.

    Table 2: Resources

    Software and Algorithms
    SentencesResources
    All RT-PCR tests were performed at a single CLIA-certified laboratory (Quest Labs, Marlborough, MA) using the Quest Diagnostics RC SARS-CoV-2 assay.
    Quest
    suggested: (QUEST, RRID:SCR_005210)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    However, these limitations are non-differential and unlikely to bias the comparison of Ag-RDT performance between Delta and Omicron variants. Furthermore, the data collected from this study illustrates performance of Ag-RDT self-collected at home, which is a different setting than proctored or on-site administration of Ag-RDT with guidance from trained individuals or when tests are performed by health care professionals. Early epidemiologic studies have shown decreased and delayed sensitivity of Ag-RDT in detecting the Omicron variant in comparison to saliva RT-PCR testing. Notably, in a pre-print, Adamson et al. reported that among 28 people with a positive saliva RT-PCR test with suspected Omicron variant infection and CT value < 29, none tested positive on nasal Ag-RDT within 24 hours.10 Additionally, they reported a median lag of 3 days from saliva RT-PCR positivity to a positive Ag-RDT from nasal swab. By contrast, among the infections where initial nasal RT-PCR+ CT value was lower than 30, our study found that Ag-RDT was positive within 48 hours in 33 out of the 34 instances. In the sole case where Ag-RDT+ was not recorded within 24 hours of the initial RT-PCR+ with a CT value < 30, a subsequent Ag-RDT was not performed. We also found a sensitivity of 87.2% with Ag-RDT performed on same-day as RT-PCR+ with CT count < 30 among individuals infected with the Omicron variant, which is similar to a separate report that evaluated similar performance among predominantly sympto...

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    Results from scite Reference Check: We found no unreliable references.


    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.