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Table 4 Summary estimates of sensitivity and specificity using a bivariate random effects model (105)

From: Predicting acute uncomplicated urinary tract infection in women: a systematic review of the diagnostic accuracy of symptoms and signs

SYMPTOM

No. of studies

No. of Patient

Sensitivity

(95% CI)

Variance Logit (sensitivity)

Specificity

(95% CI)

Variance Logit (specificity)

Dysuria a

7

1584

0.78

(0.68-0.86)

0.42

0.36

(0.26-0.48)

0.37

Frequency

6

1333

0.90

(0.85-0.94)

0.22

0.17

(0.11-026)

0.38

Fever d

4

742

0.10

(0.04-0.23)

0.82

0.89

(0.75-0.95)

0.79

Lower abdominal pain f

4

784

0.40

(0.21-0.62)

0.74

0.64

(0.41-0.82)

0.83

Urgency g

4

1039

0.75

(0.69-0.80)

0.05

0.36

(0.27-0.46)

0.14

  1. a One study reported dysuria as painful voiding (Medina-Bombardo 2003)
  2. d One study reported fever as pyrexica (Lawson 1973
  3. f Different definitions were used: 'Suprapubic pain' (Hummer-Pradier 2005), Suprapubic pressure' (Baerheim), 'abdominal pain' (Fahey 2003)
  4. g One study reported urgency as urgency/frequency (Hummers-Pradier 2005)