12. Accuracy of dermoscopy before versus after dermoscopy training (all image‐based).
| Test | Studies |
Lesions (cases) |
DOR (95% CI) |
Specificity at 80% sensitivity (95% CI) % |
Sensitivity at 80% specificity (95% CI) % |
RDOR (95% CI) |
P‐value (LR) |
| Detection of invasive melanoma or atypical intraepidermal melanocytic variants | |||||||
| Before training | 4 | 245 (65) |
6.3 (1.68 to 23.5) |
62% (27 to 88) |
60% (30 to 84) |
1.4 (0.38 to 5.3) |
< 0.001 |
| After training | 4 | 245 (65) |
8.9 (2.4 to 33.3) |
69% (40 to 88) |
69% (33 to 91) |
||
| Change with training (95% CI) |
‐ | ‐ | ‐ | +8% (‐24 to +40) |
+8% (‐19 to +36) |
‐ | ‐ |
| Detection of invasive melanoma | |||||||
| Before training | 2 | 150 (75) |
5.2 (0.95 to 28.7) |
50% (9 to 91) |
60% (25 to 87) |
3.2 (0.94 to 10.6) |
0.051 |
| After training | 2 | 150 (75) |
16.4 (2.6 to 103) |
80% (32 to 97) |
80% (47 to 95) |
||
| Change with training (95% CI) |
‐ | ‐ | ‐ | +29% (‐24 to +82) |
+20% (‐5 to +45) |
‐ | ‐ |
| CI: confidence interval; DOR: diagnostic odds ratio; LR: likelihood ratio test; RDOR: relative diagnostic odds ratio | |||||||