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Fig 1.

The flow chart of retrieved studies in meta-analysis.

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Table 1.

Characteristics of the included studies into meta-analysis.

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Fig 2.

Funnel plot, using data from the 20 included studies in meta-analysis, with kappa displayed on the horizontal axis and S.E. (kappa) on the vertical axis; symmetrical plot shows the absence of publication bias.

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Fig 3.

The overall Kappa coefficient: Squares represent kappa from individual studies with 95% confidence intervals; size of square is proportional to the weight assigned to included studies in the meta-analysis.

The diamond represents the overall results and 95% confidence interval of the random effect of the meta-analysis.

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Fig 4.

Meta regression plot for effect of explanatory variables on variation of kappa estimate.

(A) Age. (B) Prevalence index. (B) Bias index.

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Fig 5.

The overall prevalence adjusted bias adjusted kappa coefficient: Squares represent kappa from individual studies with 95% confidence intervals; size of square is proportional to the weight assigned to included studies in the meta-analysis.

The diamond represents the overall results and 95% confidence interval of the random effect of the meta-analysis.

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Fig 5 Expand