Review Article

Minimally Invasive Methods for Staging in Lung Cancer: Systematic Review and Meta-Analysis

Table 4

Summary of finding using GRADE approach. (a) shows EBUS + EUS-B-FNA only; (b) shows pooled data from all included primary studies.
(a) EBUS + EUS pooled sensitivity: 0.87 (95% CI: 0.83 to 0.89) | pooled specificity: 0.99 (95% CI: 0.99 to 1.00)

Test result Number of results per 1000 patients tested (95% CI) Number of participants (studies) Quality of the evidence (GRADE)
Prevalence 40.2%

True positives
(patients with staging)
350 (334 to 358)609 (12) ⁢◯◯
LOW
False negatives
(patients incorrectly classified as not having staging)
52 (68 to 44)
True negatives
(patients without staging)
592 (592 to 598)906 (12) ⁢
MODERATE
False positives
(patients incorrectly classified as having staging)
6 (6 to 0)

(b) EBUS-EUS-B-FNA pooled sensitivity: 0.88 (95% CI: 0.83 to 0.91) | pooled specificity: 1.00 (95% CI: 0.99 to 1.00)

Test result Number of results per 1000 patients tested (95% CI)Number of participants (studies)Quality of the evidence (GRADE)
Prevalence 40.8%

True positives
(patients with staging)
359 (339 to 371)297 (6) ⁢
LOW
False negatives
(patients incorrectly classified as not having staging)
49 (69 to 37)
True negatives
(patients without staging)
592 (586 to 592)431 (6) ⁢
MODERATE
False positives
(patients incorrectly classified as having staging)
0 (6 to 0)

Low-quality studies.
Imprecision between different studies
Different standard reference.