Skip to main content

Table 3 Summary estimates of diagnostic test accuracy by field strategy and variations by reference standard

From: Systematic review and meta-analysis of diagnostic accuracy of detection of any level of diabetic retinopathy using digital retinal imaging

Imaging strategy

Non-mydriatic

Mydriatic

Reference—7F ETDRSb

Reference—DF slit lamp examination

Reference—7F ETDRS

Reference—DF slit lamp examination

Sensitivity

(95% CI)

Specificity

(95% CI)

Sensitivity

(95% CI)

Specificity (95% CI)

Sensitivity (95% CI)

Specificity (95% CI)

Sensitivity (95% CI)

Specificity (95% CI)

Overall estimate

87%

96%

86%

91%

86%

96%

86%

87%

(85–89%)a (8)

(95–97) (6)

(85–88%) (10)

(91–92%) (10)

(84–89%) (5)

(95–97%) (5)

(85–87%) (12)

(86–88%) (12)

Field strategy

1F

1 field

79%

96%

78%

89%

77%

96%

80%

91%

(74–83%) (2)

(95–98%) (2)

(75–80%) (6)

(88–90%) (6)

(70–82%) (1)

(95–99%) (1)

(78–83%) (6)

(90–92%) (5)

2F

2 field

90%

96%

92%

93%

83%

95%

86%

75%

(86–93%) (2)

(94–98%) (2)

(90–93%) (2)

(92–94%) (2)

(80–87%) (2)

(93–97%) (2)

(84–88%) (4)

(74–77%) (4)

> 2F

> 2 field

88%

95%

90%

94%

91%

93%

93%

95%

(85–91%) (4)

(93–97%) (4)

(83–96%) (2)

(92–96%) (2)

(88–94%) (2)

(90–96%) (2)

(90–95%) (2)

(93–97%) (2)

  1. DF dilated fundoscopy, CI confidence intervals
  2. aNumber of studies included in each estimate in meta
  3. b7F ETDRS—early treatment diabetic retinopathy study seven-field strategy