Diagnostic method | Number of studies | Sensitivity (95% CI) | Specificity (95% CI) | PLR (95% CI) | NLR (95% CI) | DOR (95% CI) | SROC (SE) |
---|---|---|---|---|---|---|---|
CRP | 4 | 0.67 (0.54–0.78) | 0.79 (0.74–0.83) | 2.99 (2.01–4.45) | 0.49 (0.26–0.92) | 7.55 (3.58–15.94) | 0.7969 (0.0428) |
Synovial fluid PCR | 4 | 0.79 (0.67–0.87) | 0.91 (0.88–0.93) | 12.05 (2.83–51.30) | 0.20 (0.05–0.89) | 93.69 (5.10–1721.56) | 0.9613 (0.0427) |
ESR | 3 | 0.80 (0.67–0.90) | 0.68 (0.63–0.73) | 2.58 (2.10–3.16) | 3.30 (0.17–0.52) | 10.16 (4.72–21.85) | 0.8284 (0.0391) |
Synovial fluid PCR | 3 | 0.93 (0.81–0.99) | 0.93 (0.90–0.96) | 29.92 (0.53–1678.60) | 0.12 (0.01–0.93) | 291.64 (12.63–6735.22) | 0.9838 (0.0205) |
Synovial fluid culture | 9 | 0.70 (0.65–0.75) | 0.98 (0.96–0.99) | 27.26 (16.94–43.85) | 0.28 (0.20–0.40) | 115.11 (61.80–214.41) | 0.9668 (0.0079) |
Synovial fluid PCR | 10 | 0.69 (0.64–0.74) | 0.91 (0.89–0.93) | 8.21 (4.56–14.77) | 0.34 (0.25–0.46) | 32.23 (13.94–74.50) | 0.9173 (0.0239) |
Tissue culture | 5 | 0.70 (0.63–0.75) | 0.92 (0.89–0.95) | 13.10 (5.51–31.10) | 0.30 (0.16–0.54) | 41.53 (22.40–76.97) | 0.9305 (0.0152) |
Synovial fluid PCR | 6 | 0.67 (0.61–0.72) | 0.88 (0.85–0.91) | 5.45 (3.42–8.68) | 0.35 (0.26–0.48) | 16.93 (10.65–26.90) | 0.8740 (0.0187) |
Histology | 2 | 0.75 (0.63–0.85) | 1.00 (0.96–1.00) | 66.59 (9.47–468.05) | 0.22 (0.07–0.69) | 325.27 (24.60–4300.37) | NA |
Synovial fluid PCR | 2 | 0.64 (0.53–0.74) | 0.81 (0.73–0.87) | 4.17 (2.28–7.62) | 0.29 (0.06–1.29) | 14.20 (6.17–32.66) | NA |
Sonicate fluid culture | 3 | 0.75 (0.67–0.82) | 0.96 (0.90–0.99) | 11.97 (2.89–49.52) | 0.26 (0.13–0.53) | 50.95 (9.26–280.39) | 0.9397 (0.0371) |
Synovial fluid PCR | 4 | 0.65 (0.59–0.71) | 0.90 (0.86–0.93) | 6.06 (4.29–8.57) | 0.37 (0.26–0.53) | 15.37 (9.49–24.87) | 0.8662 (0.0203) |