Table 3.
Clinical consequences for decision rules with and without phi.
Rule | Overall | Confirmatory | Subsequent | ||||||
---|---|---|---|---|---|---|---|---|---|
Biopsies avoided# (n, 95% CI) | Reclassifications Missed# (n, 95% CI) | AUC | Biopsies avoided (n, 95% CI) | Reclassifications Missed (n, 95% CI) | AUC | Biopsies avoided (n, 95% CI) | Reclassifications Missed (n, 95% CI) | AUC | |
R1: clinical only | 123 (95 – 151) | 6 (2 – 11) | 0.720 | 51 (30 – 73) | 2 (0 – 5) | 0.724 | 193 (147 – 236) | 10 (3 – 18) | 0.693 |
R2: clinical then PHI | 246 (210 – 282) | 21 (14 – 28) | * | 187 (149 – 225) | 14 (6 – 24) | * | 303 (252 – 356) | 26 (15 – 37) | * |
R3: clinical + PHI (linear) |
177 (145 – 209) | 14 (8 – 20) | 0.727 | 97 (69 – 125) | 8 (2 – 16) | 0.745 | 255 (205 – 301) | 18 (10 – 28) | 0.681 |
R4: clinical or PHI | 189 (158 – 222) | 15 (9 – 22) | * | 133 (102 – 163) | 14 (6 – 24) | * | 245 (195 – 297) | 16 (8 – 26) | * |
The number of biopsies avoided, and reclassifications missed from a population of 1000 biopsies with an event rate of 21%, 26% and 15% for the overall, confirmatory, and subsequent biopsies respectively, which are estimated from the cohort of 821 biopsies from the validation set.
Unable to calculate due to multiple thresholds in rule.