Table 6

Diabetic retinopathy grading agreement (by person) between clinical examination during survey and retinal photograph graded by retinal specialist

κ% Agreement (%)Sensitivity (%)Specificity (%)Positive predictive value (%)Negative predictive value (%)
Retinopathy grade0.5975
Maculopathy grade* 0.6385
None/background/sight-threatening DR 0.6177
Sight-threatening DR0.679080917095
Any retinopathy0.728783898588
Any maculopathy0.698882907394
Any retinopathy/maculopathy0.708584868188
  • * Exact retinopathy (R0, R1, R2, R3, R4) or maculopathy (M0, M1, M2) grade.

  • None: no diabetic retinopathy (R0); background: background retinopathy mild, observable, referable (R1–R3) and/or observable maculopathy (M1); sight-threatening diabetic retinopathy: proliferative diabetic retinopathy (R4) and/or referable maculopathy (M2).