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Table 1 Characteristics and Quality assessment of studies included in the review

From: Performance of point-of-care CD4 testing technologies in resource-constrained settings: a systematic review and meta-analysis

First author, year

Study population/Study setting

Study design/Sample size

Sample

Intervention

Comparison

Study qualitya

Rathunde, 2014 [37]

Adult HIV patients at specialized ambulatory facilities in academic tertiary care hospital in Curitiba, Brazil

Cross-sectional (N = 107)

Venous

Alere Pimaâ„¢ CD4 (Pima)

FACSCalibur

9

Galiwango, 2014 [49]

HIV infected patients (pre and experienced ART persons) at field clinics in Rakai, Uganda

Cross-sectional (N = 903)

Venous

Pima

FACSCalibur

10

van Rooyen, 2013 [15]

Known HIV-positive individuals older than 18 years in KwaZulu-Natal, South Africa (SA)

Prospective cohort (N = 671)

Capillary (Pima); venous (FACSCalibur)

Pima

FACSCalibur

Moderate

Myer, 2013 [45]

HIV infected pregnant women at a single large antenatal clinic in Cape Town, SA

Cross-sectional (N = 546)

Venous

Pima

Beckman-Coulter PLG technology

8

Mnyani, 2012 [51]

HIV infected pregnant women at first ANC visit to Chiawelo clinic in Johannesburg, SA

Cross-sectional (N = 305)

Capillary (Pima); venous (Ref. tests)

Pima

Beckman Coulter Flow Cytometer

10

Mwau, 2013 [53]

Patients attending 9 health facilities (for HIV treatment and care) offering CD4 count in Kenya

Cross-sectional (N = 1539)

Venous (Pima & reference methods); capillary (Pima)

Pima

FACSCount, Partec Cy-flow, GUAVA and FACSCalibur

8

Glencross, 2012 [22]

Adult HIV patients attending (1) Hospital based antenatal HCT clinic in Johannesburg-phase II (2) Two Primary health care HCT clinic in Limpopo province-phase IIIA; and (3) Inner-city primary health care clinic in Johannesburg, South Africa-phase IIIB

Cross-sectional (N = 91; N = 96; N = 139)

Venous and capillary

Pima

Simplified single platform (SP) PLG CD4

12

Thakar, 2012 [36]

HIV positive patients aged 18–60 attending 21 ART centers in different parts of India

Cross-sectional (N = 1790)

Venous and capillary

Pima

FACSCalibur; FACSCount; Partec CyFlow

12

Manabe, 2012 [46]

HIV infected patients at Adult Infectious Diseases Institute Clinic in Mulago Hospital, Kampala, Uganda

Cross-sectional (N = 206)

Venous and capillary

Pima

FACSCalibur

11

Jani, 2011 [39]

HIV infected individuals attending 2 primary health care ART clinics in Maputo, Mozambique

Cross-sectional (N = 697)

Capillary (Pima); venous (Ref. tests)

Pima

FACSCalibur

7

Diaw, 2011 [44]

Patients (adults & children; HIV +/−) presenting for HIV follow-up at three out-patient clinic & one lab in Dakar, Senegal

Cross-sectional (N = 300)

Venous (200 patients); capillary (finger/heel-prick) 100 patients

Pima

FACSCount

11

Mtapuri-Zinyowera, 2010 [50]

Newly diagnosed HIV positive patients at a VCT center in Harare, Zimbabwe

Cross-sectional (N = 165)

Capillary (Pima); venous (Ref. tests)

Pima

FACSCalibur

11

Wade, 2014 [40]

HIV infected patients presenting for routine CD4 testing at infectious disease clinic in Dar es Salam, Tanzania

Cross-sectional (N = 200)

Capillary (Pima); venous (Ref. tests)

Pima

FACSCalibur

11

Wade, 2013 [42]

(Anonymous) HIV infected patients attending normal CD4 test monitoring and HIV-negative donors from blood bank of Regional Hospital and two Healthcare Centers in Ziguinchor, Senegal

Cross-sectional (N = 128)

Venous

Pima

FACSCount

11

Gous, 2013 [52]

HIV infected patients > 18 years old visiting comprehensive care management and treatment clinic for ART initiation or monitoring at Tshwane District Hospital in Pretoria, SA

Cross-sectional (N = 300)

Capillary (Pima); venous (Ref. tests)

Pima

PLG CD4 FC 500

10

Malagun, 2014 [38]

HIV infected adults >18 year old attending one urban (Heduru HIV clinic at Port Moresby General Hospital, Port Moresby) and 2 rural (Asaro District Health Centre and Kainantu Rural Hospital) clinics in Papua New Guinea

Cross-sectional (N = 237)

Venous

Pima

FACSCount

11

Picken, 2014 [43]

HIV positive mother of children with CD4 count < 500 cells/μl and not on ART at Tygerberg hospital, Cape Town, SA

Cross-sectional (N = 52)

Capillary (Pima); venous (Ref. tests)

Pima

Beckman Coulter FC 500 MPL®

11

Mwau, 2014 [48]

HIV infected patients ≥ 18 years old at Comprehensive clinics of 2 health care facilities in Busia county of Western province, Kenya

Cross-sectional (N = 276)

Capillary (Pima); venous (Ref. tests)

MyT4 POC CD4

FACSCalibur and FACSCount

11

Gumbo, 2013 [41]

HIV infected adult patients attending Harare Central hospital opportunistic infection clinic, Zimbabwe

Cross-sectional (N = 104)

Venous

PointCare NOW

BD FACSCalibur

9

Bergeron, 2012 [47]

HIV infected adult patients; unknown HIV status; and HIV infected children aged 12–59 months attending: (1) the Instituto Nacional de Saude (INS) Maputo, Mozambique; (2) the Institute of Tropical Medicine of Antwerp (Belgium) in Tete, Mozambique; (3) Wits University, Johannesburg, SA

Cross-sectional (N = 472)

Venous

PointCare NOW

FACSCalibur and the EPICS- XL

8

Zeh, 2014 [35]

HIV infected patients in Western Kenya

Cross-sectional (N = 147)

Venous and capillary

Pima

FACSCalibur

-

Arnet N, 2013 [33]

HIV infected patients from 5 PMTCT and HIV treatment sites in Dar-es-Salaam, Tanzania

Cross-sectional (N = 1060)

Venous and capillary

Pima

FACSCalibur

-

  1. HCT HIV counseling and testing, ART Antiretroviral therapy, VCT Voluntary counseling and testing; PMTCT Prevention of mother to child transmission
  2. aStudy quality assessment using EPHPP tool (strong/moderate/weak), or QUADAS score (out of 14)