Table 2. Pooled estimates (meta-analysis) at various cut-offs for diagnostic accuracy of HbA1c (%) and FPG (mg/dL) for diabetes.
Threshold value used for diabetes | Number of studies | Number of cases (true positives & false negatives) & participants | Sensitivity (95% CI) | Specificity (95% CI) | Positive Likelihood ratio (95% CI) | Negative Likelihood ratio (95% CI) | |
---|---|---|---|---|---|---|---|
HbA1c (%) | 5.7 | 7 | 2506/29076 | 0.888 (0.830–0.927) | 0.657 (0.531–0.765) | 2.588 (1.878–3.566) | 0.171 (0.119–0.246) |
5.8 | 8 | 3127/36863 | 0.818 (0.749–0.871) | 0.781 (0.680–0.857) | 3.738 (2.587–5.401) | 0.233 (0.175–0.310) | |
5.9 | 7 | 2958/34866 | 0.770 (0.6874–0.837) | 0.834 (0.742–0.898) | 4.644 (3.080–7.0022) | 0.276 (0.209–0.363) | |
6.0 | 10 | 3381/39115 | 0.757 (0.681–0.819) | 0.893 (0.843–0.929) | 7.084 (4.896–10.254-) | 0.272 (0.208–0.356) | |
6.1 | 7 | 2543/27679 | 0.726 (0.596–0.826) | 0.932 (0.873–0.964) | 10.605 (6.166–18.240) | 0.294 (0.199–0.436) | |
6.2 | 4 | 2118/23217 | 0.655 (0.538–0.7554) | 0.935 (0.872–0.968) | 10.042 (5.672–17.781) | 0.370 (0.279–0.490) | |
6.3 | 6 | 1710/17151 | 0.654 (0.574–0.727) | 0.945 (0.902–0.970) | 11.960 (6.940–20.610) | 0.366 (0.297–0.450) | |
6.4 | 5 | 2059/21670 | 0.624 (0.527–0.712) | 0.950 (0.904–0.975) | 12.589 (7.079–22.387) | 0.396 (0.317–0.494) | |
6.5 | 17 | 5132/64928 | 0.502 (0.417–0.588) | 0.973 (0.953–0.984) | 18.328 (11.067–30.353) | 0.512(0.432–0.605) | |
FPG (mg/dL) | 126 | 10 | 3438/45917 | 0.594 (0.466–0.710) | 0.988 (0.965–0.996) | 47.825 (19.104–119.729) | 0.411 (0.305–0.555) |
* Estimates are rounded off to nearest number or three decimal places.