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Westwood M, Ramaekers B, Lang S, et al. ImmunoCAP® ISAC and Microtest for multiplex allergen testing in people with difficult to manage allergic disease: a systematic review and cost analysis. Southampton (UK): NIHR Journals Library; 2016 Sep. (Health Technology Assessment, No. 20.67.)

Cover of ImmunoCAP® ISAC and Microtest for multiplex allergen testing in people with difficult to manage allergic disease: a systematic review and cost analysis

ImmunoCAP® ISAC and Microtest for multiplex allergen testing in people with difficult to manage allergic disease: a systematic review and cost analysis.

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Glossary

Allergen

A substance that causes an allergic reaction.

Antibody

A large Y-shaped protein, also known as an immunoglobulin, which is used by the immune system to identify pathogens.

Cost-effectiveness analysis

An economic analysis that converts effects into health terms and describes the costs for additional health gain.

Cross-immunoreactive

An antibody which can interact or bind with more than one antigen.

Cross-sensitisation

The process of producing a specific IgE antibody from one of several homologous allergens.

False negative

Incorrect negative test result – number of diseased persons with a negative test result.

False positive

Incorrect positive test result – number of non-diseased persons with a positive test result.

Homologous allergens

Allergen molecules with very similar molecular structures.

Immunoglobulin E

A type of antibody that is found in mammals and which mediates allergic responses.

Immunoreactive

Interaction between an allergen and an antibody.

Index test

The test whose performance is being evaluated.

Meta-analysis

Statistical techniques used to combine the results of two or more studies and obtain a combined estimate of effect.

Opportunity costs

The cost of forgone outcomes that could have been achieved through alternative investments.

Publication bias

Bias arising from the preferential publication of studies with statistically significant results.

Quality-adjusted life-year

A measure of health gain, used in economic evaluations, in which survival duration is weighted or adjusted by the patient’s quality of life during the survival period.

Quality of life

An individual’s emotional, social and physical well-being and their ability to perform the ordinary tasks of living.

Receiver operating characteristic curve

A graph that illustrates the trade-offs between sensitivity and specificity which result from varying the diagnostic threshold.

Reference standard

The best currently available method for diagnosing the target condition. The index test is compared against this to allow calculation of estimates of accuracy.

Sensitisation

The process of producing a specific immunoglobulin E antibody from exposure to a specific allergen.

Sensitivity

Proportion of people with the target disorder who have a positive test result.

Specificity

Proportion of people without the target disorder who have a negative test result.

True negative

Correct negative test result – number of non-diseased persons with a negative test result.

True positive

Correct positive test result – number of diseased persons with a positive test result.

Copyright © Queen’s Printer and Controller of HMSO 2016. This work was produced by Westwood et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK384699

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