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Fig 1.

Flowchart of the 2-step study selection.

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Fig 2.

Pooled sensitivity, specificity and diagnostic odds ratio of any DR.

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Fig 3.

Summary receiver operating characteristic (SROC) curve.

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Fig 4.

Positive and negative predictive values of DR for patients with diabetes type 1: (TP) true positive, (TN) true negative, (FP) false positive, (FN) false negative, (ppv) positive predictive value, (npv) negative predictive value.

ppv = TP/(TP+FP) = 73% of all positively tested diabetes patients, 73% have a true DR and 27% do not. npv = TN/(TN+FN) = 95% of all negatively tested diabetes patients, 95% are truly negative and 5% are not.

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Fig 5.

Positive and negative predictive values of DR for patients with diabetes type 2: (TP) true positive, (TN) true negative, (FP) false positive, (FN) false negative, (ppv) positive predictive value, (npv) negative predictive value.

ppv = TP/(TP+FP) = 49% of all positively tested diabetes patients, 49% have a true DR and 51% do not. npv = TN/(TN+FN) = 98% of all negatively tested diabetes patients, 98% are truly negative for DR, while 2% are not.

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Fig 6.

Funnel plot to assess publication bias.

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