Table 2

Meta -analysis data on performance of select TP POCTs for syphilis

POCTSampleParametersAssuming imperfect reference standards (95% Crl)*
Alere DetermineSerumSensitivity90.04% (80.45, 95.21)
Specificity94.15% (89.26, 97.66)
Whole bloodSensitivity86.32% (77.26, 91.70)
Specificity95.85% (92.42, 97.74)
SD Syphilis 3.0SerumSensitivity87.06% (75.67, 94.50)
Specificity95.85% (89.89, 99.53)
Whole bloodSensitivity84.50% (78.81, 92.61)
Specificity97.95% (92.54, 99.33)
Syphicheck-WBSerumSensitivity74.48% (56.85, 88.44)
Specificity99.14% (96.37, 100.0)
Whole bloodSensitivity74.47% (63.94, 82.13)
Specificity99.58% (98.91, 99.96)
Visitect SyphilisSerumSensitivity85.13% (72.83, 92.57)
Specificity96.45% (91.92, 99.29)
Whole bloodSensitivity74.26% (53.62, 83.68)
Specificity99.43%, (98.22, 99.98)
  • Adapted from Jafari et al.17

  • *Adjustments were made for imperfect reference standards using the Bayesian hierarchical summary receiver operating characteristic curve method. The results are point estimates of sensitivity and specificity for each test, using serum and whole blood, around a 95% credible interval (as opposed to a CI).

  • Crl, credible interval; NA, not available; POCT, point-of-care testing; TP, treponemal.