Table 1: Overall accuracy of HSG diagnosis compared to hysteroscopy and/or laparoscopy (gold standard).

HSG True positive True negative False positive False negative Sensitivity Specificity PPV NPV Accuracy *P value
Congenital anomaly 29 142 13 7 81 (78-91) 92 (88-97) 69 (58-77) 95 (81-97) 90 (78-92) 0.07
Uterine cavity filling defect 81 107 4 6 93 (88-97) 96 (79-96) 95 (86-95) 95 (84-99) 95 (81-97) < 0.03
Uterine adhesion 8 78 8 18 31 (28-37) 91 (88-96) 50 (41-57) 81 (78-81) 71 (68-71) 0.13
Hydrosalpinxes 39 74 3 4 91 (81-91) 96 (93-99) 93 (79-93) 95 (78-99) 94 (90-94) < 0.05
Proximal tubal obstruction 38 69 5 3 93 (90-94) 93 (85-97) 88 (80-99) 96 (92-99) 93 (88-96) < 0.03
distal tubal obstruction 24 91 2 9 73 (67-77) 90 (88-94) 92 (76-97) 91 (90-99) 91 (89-98) < 0.01
Peri tubal adhesions 12 86 12 7 63 (48-69) 88 (83-88) 50 (48-57) 92 (88-97) 84 (78-93 0.09
Pelvic adhesions 26 53 5 23 53 (39-77) 91 (78-91) 84 (68-90) 70 (51-82) 74 (68-87) 0.22

Complete Readings, Hysteroscopy N = 200, Laparoscopy N = 128.

Note: Sensitivity, Specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV), and Accuracy data are percentages. All numbers in parentheses are 95% CIs.

*Statistical significance was tested by McNemar's test.