Table 4.
Proportion of women with Low Bone Mass meeting NOF thresholds for treatment (high-risk)a, and performance characteristicsb of NOF treatment thresholds overall, and based on prior history of fracture
NOF high-risk; No Fracture | NOF high-risk; Did Fracture | NOF low-risk; No Fracture | NOF low-risk; Did Fracture | |||||
---|---|---|---|---|---|---|---|---|
FP, % | TP, % | TN, % | FN, % | Sensitivityc | Specificityd | PPVe | NPVf | |
Whole Cohort | ||||||||
Hip Fracture | 45 | 4 | 50 | 1 | 0.81 | 0.53 | 0.09 | 0.98 |
MOF Fracture | 39 | 11 | 46 | 5 | 0.67 | 0.54 | 0.22 | 0.90 |
No Prior Fracture | ||||||||
Hip Fracture | 35 | 3 | 61 | 1 | 0.74 | 0.64 | 0.08 | 0.98 |
MOF Fracture | 31 | 7 | 56 | 6 | 0.55 | 0.65 | 0.19 | 0.91 |
Prior Fracture | ||||||||
Hip Fracture | 65 | 7 | 27 | 1 | 0.88 | 0.30 | 0.09 | 0.97 |
MOF Fracture | 54 | 18 | 24 | 4 | 0.82 | 0.31 | 0.25 | 0.86 |
NOF high-risk is low bone mass (T score between −1.0 and −2.5 by femoral neck or spine BMD, n=4,464) and 10 year FRAX (including BMD) probability of fracture of ≥3% for hip or ≥20% for major osteoporotic fracture (MOF).(7)
FP=false positive; TP=true positive; TN=true negative; FN=false negative. For presentation, we rounded group percentages to whole numbers (thus the group total may not be exactly 100%). PPV=positive predictive value; NPV=negative predictive value.(14,15)
Sensitivity, or true positive rate = TP/(TP+FN)
Specificity, or true negative rate = TN/(TN+FP)
PPV = TP/(TP+FP)
NPV = TN/(TN+FN)