Table 5.
Subgroup analyses of sensitivity and specificity of RW-ROP* from Trained Readers Grading – Single Session Per Eye Analysis**
# of eyes RW-ROP present from diagnostic examination | # of eyes RW-ROP positive from image grading | Sensitivity (95% CI) | # of eyes RW-ROP absent from diagnostic examination | # of eyes RW-ROP negative from image grading | Specificity (95% CI) | |
---|---|---|---|---|---|---|
Birth weight | ||||||
≤750 g (n=655) | 317 | 264 | 83.3% (77.9–87.6%) | 338 | 274 | 81.1% (75.7–85.5%) |
>750, ≤900 g (n=353) | 74 | 62 | 83.8% (73.3–90.7%) | 279 | 243 | 87.1% (81.7–91.1%) |
>900 g (n=697) | 56 | 40 | 71.4% (55.5–83.4%) | 641 | 616 | 96.1% (94.0–97.5%) |
Gestation age | ||||||
≤ 24 weeks (n=186) | 128 | 106 | 82.8% (73.0–89.6%) | 58 | 47 | 81.0% (67.9–89.6%) |
>24, ≤ 26 weeks (n=528) | 214 | 183 | 85.5% (79.9–89.8%) | 314 | 253 | 80.6% (74.9–85.2%) |
>26 weeks (n=991) | 105 | 77 | 73.3% (62.1, 82.2%) | 886 | 833 | 94.0% (91.9–95.6%) |
Good/adequate quality in all 5 retinal images | ||||||
No (n=400) | 75 | 51 | 68.0% (56.0–78.0%) | 325 | 288 | 88.6% (84.2–91.9%) |
Yes (n=1305) | 372 | 315 | 84.7% (80.0–88.4%) | 933 | 845 | 90.6% (88.2–92.5%) |
95% CI = 95% confidence interval
RW-ROP = referral warranted retinopathy of prematurity defined as the presence of zone I ROP, stage 3 ROP or plus disease.
For infants with RW-ROP, the images from the session when diagnostic examination first identified findings consistent with RW-ROP were used. For infants without RW-ROP, a random image session was selected.