Table 3.
Diagnostic performance of 24-hr UFC measured by the six methods
24-hr UFC | AUC | 95% CI for AUC | Sensitivity (%) | Specificity (%) | Cut-off (nmol/24 hrs) |
---|---|---|---|---|---|
LC-MS/MS | 0.972* | 0.948–0.987 | 93.2 | 95.4 | 154.8 |
Abbott-D | 0.975† | 0.952–0.989 | 93.2 | 95.9 | 225.2 |
Beckman-D | 0.877‡ | 0.837–0.911 | 76.1 | 94.6 | 1,321.5 |
Siemens-D | 0.948§ | 0.918–0.969 | 81.8 | 97.1 | 945.2 |
Beckman-E | 0.955 | 0.927–0.975 | 92.0 | 93.0 | 244.0 |
Siemens-E | 0.966 | 0.940–0.983 | 90.9 | 95.9 | 326.9 |
*P=0.0006 vs. Beckman-D; P=0.0027 vs. Siemens-D.
†P=0.0004 vs. Beckman-D; P=0.0020 vs. Siemens-D.
‡P=0.0094 vs. Beckman-E; P=0.0014 vs. Siemens-E; P=0.0109 vs. Siemens-D.
§P=0.0073 vs. Siemens-E.
Abbreviations: UFC, urinary free cortisol; AUC, area under the ROC curve; CI, confidence interval; D, direct assay; E, extraction assay.