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. 2015 Oct 26;16(6):1188–1196. doi: 10.3348/kjr.2015.16.6.1188

Table 1. Comparison of Meta-Analysis of Therapeutic/Interventional Studies and Diagnostic Test Accuracy Studies.

Therapeutic/Interventional Study Diagnostic Test Accuracy Study
Number of outcome variables Single outcome Pair of outcomes, sensitivity and specificity, which generally inversely correlated
Analysis of heterogeneity between studies Chi-square test (Cochrane Q statistic): p < 0.1 generally indicates significant heterogeneity
Higgins' I2 statistic: rough guide to interpretation is as follows (10);
 0% to 25%, might not be important
 25% to 50%, may represent low heterogeneity
 50% to 75%, may represent moderate heterogeneity
 75% to 100%, high heterogeneity
Cochrane Q or Higgins' I2 statistics alone may not be informative as they do not consider threshold effect
Visual evaluation of coupled forest plot or SROC plot to find threshold effect
Spearman correlation analysis between sensitivity and false positive rate: r ≥ 0.6 generally indicates considerable threshold effect (12)
Meta-analytic summary Summary point and its 95% CI obtained with
 Fixed-effects model: when study heterogeneity does not exist
 Random-effects model: when existence of study heterogeneity is suspected
Summary point
 Summary sensitivity and specificity and their 95% CIs obtained with bivariate model: recommended
Summary plot (SROC curve)
 Moses-Littenberg model: not recommended
 HSROC curve: recommended

CI = confidence interval, HSROC = hierarchical summary receiver operating characteristic, SROC = summary receiver operating characteristic