Table 3.
Consequences of pooled sensitivity and specificity of faecal calprotectin for patient outcome
Test result | No per 100 patients (prevalence of IBD) | Presumed influence on patient outcome | Importance* | |
---|---|---|---|---|
Adults (32%) | Children and teenagers (61%) | |||
True positive | 30 | 56 | Benefit from shorter delay and early treatment | 8 |
True negative | 65 | 30 | Benefit from reassurance and avoidance of unnecessary invasive procedure | 8 |
False positive | 3 | 9 | Detriment from exposure to invasive procedure; may benefit from endoscopy for correct diagnosis | 7 |
False negative | 2 | 5 | Detriment from delayed diagnosis | 9 |
Complications | — | — | Not reliably reported | 5 |
Cost | — | — | No data available | 3 |
IBD=inflammatory bowel disease.
*GRADE recommends classifying patient important outcomes on a 9 point scale: 7-9: critical for decision making; 4-6: important but not critical for decision making; and 1-3: of lower importance to patients.109