Research Article

Diagnosis of Genital Tuberculosis in Infertile Women by Using the Composite Reference Standard

Table 1

Performance of the Imaging methods for the diagnosis of FGTB: sensitivity, specificity, and kappa agreement in comparison with composite reference standards.

USGCRSHSGCRS
12/62TB group ()Non-TB group (n =54)16/43TB group ()Non-TB group ()

Positive ()66Positive ()511
Negative ()248Negative ()126
Sensitivity80.00%, (95% CI: 44.39% to 97.48%)Sensitivity85.71% (95% CI: 42.13% to 99.64%)
Specificity88.89%, (95% CI: 77.37% to 95.81%)Specificity70.27% (95% CI: 53.02% to 87.13%)
PPV57.14%, (95% CI: 37.10% to 75.09%)PPV35.29%, (95% CI: 23.39% to 49.26%)
NPV96.00%, (95% CI: 87.81% to 98.77%)NPV96.30%, (95% CI: 80.71% to 99.38%)
Kappa value (95% CI)AgreementLevel of agreementKappa value (95% CI)AgreementLevel of agreement
0.52 (0.24 to 0.81)72.74%Moderate0.31 (0.053 to 0.57)59.22%Fair

PPV: positive predictive value; NPV: negative predictive value; TB group: TB-suspected patients; PCR: polymerase chain reaction; CRS: composite reference standard. For patients with suspicion of FGTB, diagnosis of TB was given if any two of culture/histopathology/radiological findings were positive.