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. 2004 Jun 2;4:4. doi: 10.1186/1471-2490-4-4

Table 1.

Results of subgroup analyses and accuracy of nitrites in urine dipsticks for the diagnosis of urinary tract infections or bacteriuria according to several predefined study characteristics (subgroups of studies without information about the study characteristic at issue are not shown) (no. of studies: 46)

Study characteristic N Sensitivity(95%CI) Specificity(95%CI) DOR(95%CI)
BLINDING#
 not 12 0.50 (0.43–0.59) 0.89 (0.75–1.00) 44 (19 – 139)
 dipstick 25 0.46 (0.38–0.56) 0.91 (0.85–0.96) 28 (27 – 30)
 both 8 0.55 (0.36–0.85) 0.96 (0.94–0.98) 99 (41 – 239)
DATA COLLECTION#
 prospective 42 0.48 (0.42–0.55) 0.91 (0.86–0.96) 34 (21 – 57)
 retrospective 1 0.37 (0.28–0.46) 1.00 (0.99–1.00) 701 (43 – 11565)
CUT-OFF CRITERION STANDARD*
 <1000 mcu/ml 5 0.62 (0.56–0.69) 0.92 (0.84–1.00) 32 (9 – 112)
 10.000–50.000 9 0.37 (0.28–0.48) 0.93 (0.88–0.98) 18 (6 – 51)
 ≥100.000 34 0.48 (0.40–0.57) 0.93 (0.87–0.98) 50 (29 – 84)
POPULATION#
 general 15 0.50 (0.44–0.58) 0.82 (0.71–0.95) 11 (6 – 21)
 children 10 0.50 (0.42–0.60) 0.92 (0.87–0.98) 34 (12 – 97)
 pregnant women 10 0.46 (0.38–0.56) 0.98 (0.79–1.00) 165 (73 – 372)
 elderly 3 0.71 (0.50–1.00) 0.96 (0.91–1.00) 108 (10 – 1165)
 urology 3 0.59 (0.53–0.66) 0.97 (0.94–1.00) 64 (19 – 216)
 surgery 3 0.54 (0.39–0.74) 0.96 (0.93–0.99) 34 (25 – 47)
SETTING#
 family physician 6 0.53 (0.44–0.65) 0.88 (0.81–0.96) 12 (7 – 21)
 outpatient 17 0.45 (0.37–0.56) 0.96 (0.92–0.99) 87 (38 – 198)
 emergency 4 0.56 (0.40–0.81) 0.94 (0.90–0.98) 34 (10 – 112)
 inpatient 16 0.58 (0.51–0.67) 0.85 (0.74–0.98) 23 (10 – 54)
LEVEL OF CARE
 community 2 0.18 (0.04–0.76) 0.99 (0.98–1.00) 78 (34 – 181)
 primary 12 0.49 (0.38–0.62) 0.85 (0.73–1.00) 22 (9 – 53)
 secondary 11 0.51 (0.40–0.66) 0.89 (0.78–1.00) 61 (15 – 247)
 tertiary 21 0.53 (0.46–0.60) 0.94 (0.93–0.96) 39 (22 – 69)

DOR: diagnostic odds ratio, #: DOR significantly different between subgroups, *: If different cut-off points were used within one study population, the results were included as different studies (N = 48).