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. 2016 Sep;138(3):e20153036. doi: 10.1542/peds.2015-3036

TABLE 7.

Performance of M-CHAT and M-CHAT/F Screens Predicting ASD or Suspected ASD Diagnosis and/or Developmental Delay Diagnosis

Variable Na Ratio (95% CI) z Test, P TOST
z1 P z2 P
PPVb .01 .74 <.001
 M-CHAT 98 0.77 (0.68–0.85)
 PCP M-CHAT/F 98 0.90 (0.84–0.96)
PPVc .90 .01 .008
 PCP M-CHAT/F 98 0.90 (0.84–0.96)
 AC M-CHAT/F 97 0.89 (0.83–0.96)
Sensitivityc .77 .13 .05
 PCP M-CHAT/F 98 0.48 (0.38–0.58)
 AC M-CHAT/F 97 0.46 (0.36–0.56)
Specificityc .99 .03 .03
 PCP M-CHAT/F 98 0.83 (0.75–0.90)
 AC M-CHAT/F 97 0.83 (0.75–0.90)
Accuracyc .84 .12 .05
 PCP M-CHAT/F 98 0.56 (0.46–0.66)
 AC M-CHAT/F 97 0.55 (0.45–0.65)

Predictions include suspected ASD/new phenotype. Developmental Delay Positive was defined as >1.5 SDs below the mean on ≥2 Mullen scales or >2 SDs below the mean on ≥1 Mullen scale. Comparisons were made with 2-tailed z test and TOST, Δ = 0.1 unit of proportion. Only patients with a positive screen on the M-CHAT are included in this sample. CI, confidence interval.

a

One patient did not have a complete AC M-CHAT/F (Fig 1).

b

Trivial difference.

c

Equivalence.