Table 5. Diagnostic test performances of the CareStart G6PD RDT by gender, according to the cut-off values used to define G6PDd, Pailin, Cambodia, 2013.
Cut-off values | in % | <10% | <20% | <30% | <40% | <50% | <60% | ≥60% |
in UI/g Hg | <1.2 | <2.4 | <3.6 | <4.8 | <6.0 | <7.2 | ≥7.2 | |
Males | ||||||||
No. of samples classified as G6PD deficient according to the cut-off value | 48 | 57 | 59 | 59 | 59 | 59 | 392 | |
CareStart G6PD RDT | No. of males classified as deficient/intermediate | 48 | 57 | 59 | 59 | 59 | 59 | 5 |
No. of males classified as normal | 0 | 0 | 0 | 0 | 0 | 0 | 387 | |
Sensitivity (95% CI) | 100% (92.6–100%) | 100% (93.7–100%) | 100% (93.9–100%) | 100% (93.9–100%) | 100% (93.9–100%) | 100% (93.9–100%) | ||
Specificity (95% CI) | 96.0% (93.6–97.7%) | 98.2% (96.3–99.3%) | 98.7% (97.1–99.6%) | 98.7% (97.1–99.6%) | 98.7% (97.1–99.6%) | 98.7% (97.1–99.6%) | ||
Deficiency status Predictive Value - PPV (95% CI) | 75.0% (62.6–85.0%) | 89.1% (78.7–95.5%) | 92.2% (82.7–97.4%) | 92.2% (82.7–97.4%) | 92.2% (82.7–97.4%) | 92.2% (82.7–97.4%) | ||
Normal status Predictive Value - NPV (95% CI) | 100% (99.1–100%) | 100% (99.1–100%) | 100% (99.1–100%) | 100% (99.1–100%) | 100% (99.1–100%) | 100% (99.1–100%) | ||
Females | ||||||||
No. of samples classified as G6PD deficient according to the cut-off value (%) | 8 | 11 | 15 | 30 | 48 | 68 | 419 | |
CareStart G6PD RDT | No. of females classified as deficient/intermediate | 8 | 11 | 15 | 24 | 29 | 32 | 9 |
No. of females classified as normal | 0 | 0 | 0 | 6 | 19 | 36 | 410 | |
Sensitivity (95% CI) | 100% (63.1–100%) | 100% (71.5–100%) | 100% (78.2–100%) | 80.0% (61.4–92.3%) | 60.4% (45.3–74.2%) | 47.0% (34.6–59.6%) | ||
Specificity (95% CI) | 93.1% (90.4–95.2%) | 95.5% (93.2–97.2%) | 94.5% (92.0–96.4%) | 96.2% (96.5–99.2%) | 97.3% (95.3–98.6%) | 97.9% (95.9–99.0%) | ||
Deficiency status Predictive Value - PPV (95% CI) | 19.1% (8.8–34.9%) | 34.4% (18.6–53.2%) | 36.6% (22.1–53.1%) | 75.0% (56.6–88.5%) | 70.7% (54.5–83.9%) | 78.0% (62.4–89.4%) | ||
Normal status Predictive Value - NPV (95% CI) | 100% (99.2–100%) | 100% (99.2–100%) | 100% (99.2–100%) | 98.6% (97.1–99.5%) | 95.7% (93.4–97.4%) | 91.9% (89.0–94.3%) |