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Fig 1.

The PRISMA flowchart of systematic selection‌‌.

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Table 1.

Basic characteristics of studies included.

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Fig 2.

Random-effects bivariate diagnostic meta-analysis of sensitivity and specificity of the Modified Evan’s Blue Dye Test compared to the Fiberoscopic Evaluation of Swallowing in the diagnosis of aspiration.

Abbreviations: Crosses around dots represent confidence intervals in both dimensions. The confidence region of 2D 95% is marked with blue dashed line.

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Fig 3.

Forest plot of the negative predictive value of the Modified Evan’s Blue Dye Test compared to the Fiberoscopic Evaluation of Swallowing in the diagnosis of aspiration.

Abbreviations: TP: true positive; FP: false positive; TN: true negative, FN: false negative; n: number of samples; CI: confidence interval.

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Fig 3 Expand

Fig 4.

Forest plot of the positive predictive value of the Modified Evan’s Blue Dye Test compared to the Fiberoscopic Evaluation of Swallowing in the diagnosis of aspiration.

Abbreviations: TP: true positive; FP: false positive; TN: true negative, FN: false negative; n: number of samples; CI: confidence interval.

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Fig 5.

Linegraph of the dynamics of positive and negative predictive in relation to changing prevalences.

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Table 2.

Summary of risk of bias and applicability concerns assessed by review authors for each domain in the included‌‌ studies.

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Table 2 Expand