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Fig 1.

Flow chart illustrating the systematic literature search and study selection process.

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Table 1.

Summary of eligible studies.

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Table 2.

Quality assessment of eligible studies by QUADAS-2.

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Table 3.

Diagnostic characteristics reported by eligible studies.

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Table 4.

Overall diagnostic accuracy of blood and pleural fluid NT-proBNP for heart failure.

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Fig 2.

Forest plot of the estimates of sensitivity and specificity for pleural fluid N-terminal pro-brain natriuretic peptide in the diagnosis of heart failure.

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Fig 3.

Summary receiver operating characteristic curves for overall diagnostic accuracy of pleural fluid N-terminal pro-brain natriuretic peptide.

Each study in the meta-analysis is represented by a solid circle.

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Fig 4.

Funnel plot for the assessment of publication bias.

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