Table 2. Performance of biochemical iron markers to identify children with deficiency of bone marrow iron stores or insufficient erythroblast iron incorporation.
Bone marrow iron deficiency | Insufficient erythroblast iron incorporation | |||||||||||||||
Iron marker | AUCROC | p value | Sensitivity (%) | 95% CI | Specificity (%) | 95% CI | AUCROC | p value | Sensitivity (%) | 95% CI | Specificity (%) | 95% CI | ||||
Hepcidin (nmol/L) | 0.598 | 0.07 | 66.7 | 50,5 | 80,4 | 49.5 | 39,2 | 59,8 | 0.591 | 0.1 | 54.2 | 39,2 | 68,6 | 61.8 | 49,2 | 73,3 |
Ferritin (ug/l) | 0.855 | <00001 | 41.7 | 22,2 | 63,3 | 98.1 | 87,7 | 99,7 | 0.524 | 0.8 | 48.0 | 28,7 | 68,0 | 54.1 | 36,9 | 70,5 |
sTfR (ug/ml) | 0.823 | <00001 | 92.5 | 79,6 | 98,4 | 35.5 | 25,8 | 46,1 | 0.634 | 0.02 | 58.7 | 43,2 | 73,0 | 57.6 | 44,8 | 69,7 |
sTfR-F index | 0.815 | <00001 | 75.0 | 53,3 | 90,2 | 73.5 | 58,9 | 85,0 | 0.577 | 0.3 | 96.2 | 80,3 | 99,4 | 13.9 | 4,7 | 29,5 |
MCHC (g/dl) | 0.727 | <00001 | 61.5 | 46,5 | 80,2 | 68.4 | 57,9 | 78,9 | 0.447 | 0.4 | 45.0 | 29,3 | 61,5 | 50.9 | 37,1 | 64,6 |
MCV (fl) | 0.489 | 0.9 | 22.9 | 10,5 | 40,1 | 90.1 | 81,5 | 95,6 | 0.676 | 0.003 | 70.0 | 53,5 | 83,4 | 58.9 | 45,0 | 71,9 |
Deficiency of bone marrow iron stores was defined as a bone marrow iron score of 0 or 1; CRP: C-Reactive Protein; HIV: Human Immunodeficiency Virus; MCHC: mean cell hemoglobin concentration; MCV mean corpuscular volume; sTfR: soluble transferrin receptor; sTfR-F index: sTfR-log ferritin index. Insufficient erythroblast iron incorporation: defined as <30% iron deficient erythroblasts. AUC area under the curve; ROC: receiver operating characteristics.