TABLE 2.

Validity estimates for CRC screening according to recommendations

Screening test	Sensitivity	Specificity	Concordance	Report to records ratio
	Estimate (95% CI)	Estimate (95% CI)	Estimate (95% CI)	Estimate (95% CI)
Any test
Overall	0.85 (0.81–0.89)	0.69 (0.63–0.75)	0.76 (0.71–0.81)	1.25 (1.10–1.40)
White	0.93 (0.88–0.98)	0.65 (0.55–0.75)	0.79 (0.71–0.87)	1.30 (1.07–1.53)
AA	0.83 (0.75–0.91)	0.72 (0.63–0.81)	0.77 (0.68–0.86)	1.18 (0.93–1.42)
Hispanic	0.77 (0.68–0.86)	0.70 (0.61–0.79)	0.73 (0.64–0.82)	1.26 (0.94–1.57)
FOBT
Overall	0.70 (0.65–0.75)	0.89 (0.85–0.93)	0.87 (0.83–0.91)	1.67 (1.12–2.21)
White	0.89 (0.82–0.96)	0.91 (0.85–0.97)	0.91 (0.85–0.97)	1.67 (0.87–2.47)
AA	0.78 (0.69–0.87)	0.86 (0.79–0.93)	0.86 (0.79–0.93)	2.00 (0.88–3.12)
Hispanic	0.44 (0.34–0.54)	0.90 (0.84–0.96)	0.86 (0.79–0.93)	1.33 (0.42–2.24)
COL
Overall	0.89 (0.85–0.93)	0.86 (0.82–0.90)	0.87 (0.83–0.91)	1.16 (1.03–1.30)
White	1.0a	0.82 (0.74–0.90)	0.89 (0.82–0.96)	1.30 (1.09–1.52)
AA	0.81 (0.73–0.89)	0.93 (0.88–0.98)	0.89 (0.83–0.95)	0.94 (0.75–1.13)
Hispanic	0.86 (0.79–0.93)	0.83 (0.75–0.91)	0.84 (0.77–0.91)	1.25 (0.95–1.55)
FS
Overall	0.50 (0.44–0.56)	0.91 (0.88–0.94)	0.87 (0.83–0.91)	1.55 (0.90–2.19)
White	0.50 (0.40–0.60)	0.91 (0.85–0.97)	0.88 (0.81–0.95)	1.38 (0.42–2.33)
AA	0.60 (0.50–0.70)	0.89 (0.83–0.95)	0.86 (0.79–0.93)	1.50 (0.63–2.37)
Hispanic	0.25 (0.16–0.34)	0.92 (0.86–0.98)	0.89 (0.83–0.95)	2.0a
DCBE
Overall	0.45 (0.39–0.51)	0.83 (0.79–0.87)	0.81 (0.76–0.86)	4.55 (1.83–7.26)
White	0.67 (0.57–0.77)	0.77 (0.68–0.86)	0.76 (0.67–0.85)	7.33a
AA	0.50 (0.40–0.60)	0.85 (0.78–0.92)	0.83 (0.75–0.91)	3.75 (0.05–7.45)
Hispanic	0.25 (0.16–0.34)	0.86 (0.79–0.93)	0.84 (0.77–0.91)	3.25a

^aConfidence interval not calculated because of small cell sizes.

AA, African American; COL, colonoscopy; DCBE, double contrast barium enema; FOBT, fecal occult blood testing; FS, flexible sigmoidoscopy.