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Table 3 Subgroup analyses by impact of RT-PCR based assays on lower- and middle-income countries (LMICs) versus upper middle-income countries (UMICs). We will assess sources of data to these graders

From: Paediatric tuberculosis diagnosis using Mycobacterium tuberculosis real-time polymerase chain reaction assay: a systematic review and meta-analysis

Test property

Summary of measure test accuracya (95%)

Test of heterogeneity

Lower-MICs

(n = 8; b 2047)

AUC = 0.99

 

χ2

(d.f. = 7)

l2

p value

Sensitivity

65 (58–72)

44.28

84.20

< 0.001

Specificity

99 (99–99

10.46

33.10

0.1639

Positive likelihood ratio (PLR)

86.61 (46.72–160.53)

5.97

0.0

0.5432

Negative likelihood ratio (NLR)

0.367 0.233–0.578

29.54

76.30

< 0.001

Diagnostic odd ratio (DOR)

311.43 (106.76–908.51)

11.25

37.8

0.1280

Upper-MICs

(n = 12; b 3487)

AUC = 0.99

 

χ2

(d.f. = 11)

l2

p value

Sensitivity

68 (63–73)

197.71

94.40

< 0.001

Specificity

97 (96–98)

291.40

96.20

< 0.001

Positive likelihood ratio (PLR)

80.90 (10.31–634.9)

247.81

95.6

< 0.001

Negative likelihood ratio (NLR)

0.20 (0.09–0.42)

228.53

95.2

< 0.001

Diagnostic odd ratio (DOR)

522.72 (107.04–2552.8)

50.80

78.30

< 0.001

  1. aRandom effects model, χ2 chi-squared, d.f. degree of freedom, I2 I-squared, b number of specimens, n number of studies, CI confidence interval, AUC area under receiver operating characteristics curve, PTB pulmonary tuberculosis, EPTB extra-pulmonary tuberculosis