Table 2.
Comparison of the Performance of the PEB and ST Rules at Various Positivity Thresholds by Using Blood Samples Collected From Case Participants (n = 44)
Screening-Rule Threshold |
Actual Specificity (%) | No. of Cases Detected by Either the PEB or ST Rule That Were Detected Earlier, Later, or at the Same Screen by the PEB Rule Compared With the ST Rule |
Difference in Years Between PEB- and ST-Positive Screens or Clinical Diagnosis Among Discordant Cases* |
Average CA125 Value at Time of First Positive-PEB Screen | ||||||
---|---|---|---|---|---|---|---|---|---|---|
ST CA125 (U/mL) | PEB z Score | Earlier | Same | Later | Mean | Median | Max | Min | ||
35 | 2.8 | 99.1 | 9† | 23 | 0 | 0.9 | 0.93 | 1.29 | 0.12 | 20.1 |
30 | 2.23 | 98.2 | 12† | 23 | 0 | 0.93 | 0.93 | 2.1 | 0.12 | 18.9 |
25 | 1.69 | 95.8 | 16† | 19 | 0 | 1.06 | 1.09 | 2.1 | 0.12 | 17.4 |
20 | 1.25 | 90.4 | 15† | 22 | 1 | 1.59 | 1.31 | 3.42 | −0.08‡ | 16 |
Abbreviations: Max, maximum; Min, minimum; PEB, parametric empirical Bayes; ST, single threshold.
Discordant case was defined as a case identified earlier in time or missed by one of the decision rules.
All tests were significant(McNemar test). P values from top to bottom were < .008, < .001, < .001, and < .002, respectively
Negative value reflects a case when the ST rule turned positive before to PEB.