Table 2. Pooled results for accuracy of interferon-gamma assays to diagnose tuberculous pleurisy.
| Pleural effusion | Blood | |||||
|---|---|---|---|---|---|---|
| Total | ELISPOT | ELISA | Total | ELISPOT | ELISA | |
| Number of study | 17 | 7 | 10 | 14 | 6 | 8 |
| Sensitivity(95% CI) | 0.82(0.79–0.85) | 0.95(0.93–0.97) | 0.65(0.60–0.70) | 0.80(0.76–0.83) | 0.82(0.78–0.85) | 0.76(0.70–0.81) |
| Heterogeneity*(P) | 199.86(<0.001) | 7.93(0.24) | 67.65(<0.001) | 19.09(0.12) | 9.99(0.075) | 6.17(0.52) |
| Specificity(95% CI) | 0.87(0.84–0.9) | 0.84(0.78–0.89) | 0.89(0.85–0.93) | 0.70(0.65–0.75) | 0.77(0.69–0.83) | 0.64(0.57–0.71) |
| Heterogeneity(P) | 91.18(<0.001) | 50.63(<0.001) | 38.25(<0.001) | 28.52(0.008) | 12.57(0.028) | 9.34(0.23) |
| PLR(95% CI) | 4.94(2.60–9.39) | 5.62(1.65–19.14) | 4.6(2.16–9.82) | 2.48(1.95–3.17) | 3.21(2.09–4.94) | 2.00(1.63–2.45) |
| Heterogeneity(P) | 129.36(<0.001) | 94.35(<0.001) | 42.71(<0.001) | 26.57(0.014) | 12.18(0.03) | 6.13(0.525) |
| NLR(95% CI) | 0.22(0.13–0.38) | 0.08(0.04–0.16) | 0.41(0.27–0.62) | 0.30(0.24–0.37) | 0.22(0.16–0.31) | 0.38(0.30–0.50) |
| Heterogeneity(P) | 180.23(<0.001) | 12.33(0.06) | 48.66(<0.001) | 18.02(0.16) | 6.13(0.294) | 5.23(0.632) |
| PPV(95% CI) | 0.91(0.85–0.96) | 0.87(0.8–1.03) | 0.96(0.68–1.32) | 0.79(0.60–0.87) | 0.74(0.64–0.84) | 0.84(0.75–1.19) |
| Heterogeneity(P) | 132(<0.001) | 46.52(0.03) | 61.25(<0.001) | 4.27(0.09) | 6.79(1.22) | 5.76(0.46) |
| NPV(95% CI) | 0.79(0.71–0.85) | 0.75(0. 65–0.87) | 0.84(0.7–1.41) | 0.75(0.62–0.83) | 0.72(0.58–0.81) | 0.76(0.65–0.88) |
| Heterogeneity(P) | 157(<0.001) | 9.68(<0.001) | 16.9(<0.001) | 4.54(0.07) | 7.01(1.13) | 11.53(0.06) |
| DOR(95% CI) | 28.37(10.53–76.4) | 88.85(16.10–490.43) | 14.10(4.56–43.54) | 9.96(6.02–16.48) | 19.82(11.67–33.66) | 5.46(3.46–8.61) |
| Heterogeneity(P) | 81.01(<0.001) | 23.47(0.001) | 43.65(<0.001) | 24.44(0.03) | 4.93(0.43) | 6.38(0.496) |
| AUC(SEM) | 0.91(0.03) | 0.98(0.01) | 0.84(0.08) | 0.84(0.03) | 0.89(0.02) | 0.78(0.04) |
Notes.
Q value.
- AUC
- area under the curve
- DOR
- diagnostic odds ratio
- ELISPOT
- enzyme-linked immunosorbent spot
- ELISA
- enzyme-linked immunosorbent assay
- NLR
- negative likelihood ratio
- PLR
- positive likelihood ratio
- PPV
- positive predictive value
- NPV
- negative predictive value