Table 4:
Performance of Alternate Screening Criteria by Self-Reported Race and Ethnicity
| Screening Criteria and Population group | Sensitivity, % (95% CI) | Specificity, % (95% CI) | Positive predictive value, % (95% CI) | Negative predictive value, % (95% CI) |
|---|---|---|---|---|
| Lowering Age Cutoff | ||||
| Age 30-70 years + BMI ≥25kg/m2 | ||||
| Total population | 64.0 (60.8-67.1) | 61.7 (58.3-65.0) | 59.5 (55.9-63.0) | 66.1 (62.3-69.8) |
| Asian | 50.7 (40.8-60.5) | 72.2 (63.5-79.4) | 62.8 (55.7-69.4) | 61.2 (53.9-68.1) |
| Black | 68.2 (62.6-73.3) | 59.4 (53.1-65.5) | 63.4 (58.1-68.4) | 64.4 (58.3-70.2) |
| Hispanic | 68.6 (60.9-75.4) | 54.6 (48.4-60.7) | 54.1 (48.7-59.5) | 69.1 (62.1-75.2) |
| White | 63.4 (59.2-67.5) | 62.9 (56.3-69.0) | 59.7 (54.0-65.1) | 66.5 (61.2-71.3) |
| P-valuea | 0.02 | 0.04 | 0.14 | 0.63 |
| Age 18-70 years + BMI ≥25kg/m2 | ||||
| Total population | 72.5 (69.4-75.4) | 45.1 (40.9-49.3) | 53.7 (49.8-57.5) | 65.1 (60.7-69.3) |
| Asian | 58.4 (49.4-67.0) | 59.8 (51.5-67.6) | 57.4 (49.9-64.5) | 60.8 (52.5-68.5) |
| Black | 77.6 (71.4-82.8) | 33.1 (27.3-39.6) | 54.5 (49.2-59.6) | 59.0 (51.7-65.9) |
| Hispanic | 83.4 (76.4-88.7) | 31.5 (25.2-38.6) | 48.8 (44.7-52.8) | 70.9 (60.7-79.4) |
| White | 70.1 (66.3-73.5) | 49.4 (43.5-55.4) | 54.6 (49.2-59.9) | 65.5 (60.0-70.7) |
| P-valuea | <0.001 | <0.001 | 0.17 | 0.39 |
| Lowering BMI Cutoff | ||||
| Age 35-70 years + BMI ≥23kg/m2 | ||||
| Total population | 63.8 (60.2-67.2) | 60.8 (56.6-64.9) | 58.8 (55.8-61.8) | 65.7 (61.0-70.0) |
| Asian | 57.3 (46.6-67.3) | 69.6 (61.3-76.8) | 63.5 (55.4-71.0) | 63.7 (55.4-71.3) |
| Black | 66.7 (61.8-71.2) | 65.4 (58.9-71.4) | 66.5 (60.9-71.7) | 65.6 (60.3-70.5) |
| Hispanic | 66.8 (59.3-73.5) | 60.7 (55.7-65.5) | 57.0 (51.6-62.3) | 70.1 (63.7-75.7) |
| White | 64.3 (59.3-69.0) | 58.5 (51.7-65.1) | 57.3 (52.5-62.0) | 65.4 (58.8-71.4) |
| P-valuea | 0.16 | 0.10 | 0.12 | 0.47 |
| Age 35-70 years + Any BMI | ||||
| Total population | 67.8 (63.8-71.6) | 52.1 (47.2-57.0) | 55.4 (52.8-58.1) | 64.8 (59.2-70.1) |
| Asian | 70.1 (62.0-77.2) | 53.8 (42.6-64.5) | 58.4 (49.0-67.2) | 66.0 (55.3-75.3) |
| Black | 70.4 (65.8-74.6) | 59.8 (51.4-67.7) | 64.4 (58.3-70.0) | 66.2 (60.2-71.8) |
| Hispanic | 68.4 (61.2-74.9) | 56.2 (50.1-62.1) | 54.9 (49.4-60.4) | 69.5 (62.9-75.3) |
| White | 67.6 (61.9-72.8) | 48.9 (41.6-56.2) | 53.5 (49.6-57.3) | 63.5 (55.1-71.2) |
| P-valuea | 0.67 | 0.09 | 0.09 | 0.60 |
BMI = Body mass index
a
P-values for racial and ethnic differences in performance characteristics of the USPSTF screening criteria were determined using Chi-square tests. Boldface indicates statistical significance.