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DOI: 10.3310/hta17010 Health Technology Assessment 2013 Vol. 17 No. 1Study TP FP FN TN Sensitivity Specificity Sensitivity SpecificityChristenson 2001 61 29 58 6 131 0.82 (0.68 to 0.92) 0.69 (0.62 to 0.75)Collinson 2006 48 18 322 19 179 0.54 (0.37 to 0.69) 0.36 (0.32 to 0.40)Hjortshoj 2010 68 32 36 5 34 0.85 (0.72 to 0.94) 0.48 (0.37 to 0.60)Keating 2006 70 35 203 7 32 0.82 (0.69 to 0.92) 0.14 (0.10 to 0.19)Pooled effect 0.78 (0.50 to 0.93) 0.40 (0.12 to 0.75)Predictive effect 0.77 (0.19 to 0.98) 0.39 (0.02 to 0.95)0 0.2 0.4 0.6 0.8 1.00 0.2 0.4 0.6 0.8 1.0FIGURE 20 Meta-<strong>analysis</strong> <strong>of</strong> studies <strong>of</strong> IMA.© Queen’s Printer <strong>and</strong> Controller <strong>of</strong> HMSO 2013. This work was produced by Goodacre et al. under the terms <strong>of</strong> a commissioning contract issued by the Secretary <strong>of</strong> Statefor Health. This issue may be freely reproduced for the purposes <strong>of</strong> private research <strong>and</strong> study <strong>and</strong> extracts (or indeed, the full report) may be included in pr<strong>of</strong>essional journalsprovided that suitable acknowledgement is made <strong>and</strong> the reproduction is not associated with any form <strong>of</strong> advertising. Applications for commercial reproduction should beaddressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials <strong>and</strong> Studies Coordinating Centre, Alpha House, University <strong>of</strong> Southampton SciencePark, Southampton SO16 7NS, UK.45

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