Table 3.
Meta-regression of covariates: urine processing and NAAT technology (n =7)*
| Parameter | Studies n | Sensitivity % (95%CI) |
P value | Specificity % (95%CI) |
P value |
|---|---|---|---|---|---|
| Sample | |||||
| Morning14–16 | 3 | 0.67 (0.38–0.95) | 0.20 | 0.95 (0.81–1.00) | 0.13 |
| Spot9,17,18 | 3 | 0.38 (0.13–0.64) | 0.95 (0.81–1.00) | ||
| Urine storage temperature† | |||||
| <−70°C14,15,17,18 | 4 | 0.71 (0.54–0.88) | 0.05 | 0.96 (0.86–1.00) | 0.10 |
| ⩾−70°C9,16,19 | 3 | 0.35 (0.17–0.53) | 0.93 (0.77–1.00) | ||
| Centrifuge speed, rpm | |||||
| <50009,14–18 | 6 | 0.61 (0.46–0.76) | 0.05 | 0.93 (0.82–1.00) | <0.001 |
| ⩾500019 | 1 | 0.19 (0.03–0.42) | 0.99 (0.96–1.00) | ||
| Supernatant | |||||
| Retained9,14,15,17,18 | 5 | 0.61 (0.36–0.87) | 0.57 | 0.92 (0.79–1.00) | 0.01 |
| Discarded16,19 | 2 | 0.47 (0.08–0.87) | 0.98 (0.93–1.00) | ||
| Gene targets† | |||||
| IS611014–17 | 4 | 0.70 (0.48–0.91) | 0.08 | 0.94 (0.84–1.00) | <0.001 |
| rpoB gene target9,19 | 2 | 0.33 (0.04–0.61) | 0.99 (0.96–1.00) |
Adjusting single covariates of urine processing in meta-regression in seven studies: Aceti,14 Kafwabulula,15 Torrea,16 Cannas,17 Gopinath,18 Lawn,19 Peter.9
Timing of collection of the urine sample and gene targets IS6110 or rpoB gene targets was documented/assessed in 6/7 studies.
NAAT =nucleic acid amplification test; CI =confidence interval; rpin =revolutions per minute; IS =insertion sequence.