Table 3.
Subgroup | No. of Estimatesa | No. of Lesions | No. of Malignant Melanoma | Sensitivity (%) (95% CI) | Specificity (%) (95% CI) | sROC Area (95% CI) | |
---|---|---|---|---|---|---|---|
All studies | Naked eye | 29 | 23,930 | 2,140 | 79 (72–85) | 83 (76–88) | 0.88 (0.85–0.91) |
Dermoscopy | 79 | 33,749 | 5,031 | 86 (83–89) | 81 (76–86) | 0.91 (0.88–0.93) | |
All studies | Nonexperts | 20 | 22,580 | 1,630 | 82 (73–89) | 73 (60–83) | 0.85 (0.82–0.88) |
Experts | 65 | 29,767 | 3,812 | 84 (79–87) | 85 (80–89) | 0.91 (0.88–0.93) | |
All studies | Primary care | 10 | 19,152 | 867 | 80 (65–89) | 71 (52–85) | 0.83 (0.79–0.86) |
Secondary care | 87 | 36,673 | 5,480 | 85 (82–88) | 82 (77–87) | 0.91 (0.88–0.93) | |
Nonexperts | Naked eye | 9 | 16,304 | 1,045 | 78 (60–90) | 74 (54–88) | 0.83 (0.80–0.86) |
Dermoscopy | 11 | 6,279 | 585 | 83 (76–89) | 72 (55–84) | 0.86 (0.83–0.89) | |
Experts | Naked eye | 16 | 7,115 | 922 | 79 (70–86) | 86 (79–91) | 0.90 (0.87–0.92) |
Dermoscopy | 49 | 22,652 | 2,890 | 85 (79–89) | 85 (77–90) | 0.91 (0.89–0.94) | |
Primary care | Naked eye | 6 | 14,822 | 595 | 78 (52–92) | 74 (43–91) | 0.83 (0.80–0.86) |
Dermoscopy | 4 | 4,330 | 272 | 82 (74–87) | 66 (57–74) | 0.83 (0.79–0.86) | |
Secondary care | Naked eye | 19 | 8,597 | 1,372 | 79 (71–86) | 85 (78–90) | 0.89 (0.86–0.91) |
Dermoscopy | 68 | 28,076 | 4,108 | 87 (83–90) | 82 (75–87) | 0.91 (0.88–0.93) |
The number of estimates exceeds the number of studies because multiple estimates are made using dermoscopy with alternative diagnostic algorithms.
CI = confidence interval; sROC = summary receiver operating characteristic.