Table 2.
Performance of V66.7 Code for Identifying Receipt of Palliative Care Consultation for All Patients and Across Subgroups
| Sensitivity, % | Specificity, % | AUC | PPV, % | NPV, % | LR+ | LR− | |
|---|---|---|---|---|---|---|---|
| All patients | 49.87 | 99.14 | 0.75 | 54.01 | 98.99 | 58.1 | 0.51 |
| Died in hospital | |||||||
| Yes | 53.91 | 75.06 | 0.64 | 43.95 | 81.78 | 2.16 | 0.61 |
| No | 47.92 | 99.59 | 0.74 | 61.72 | 99.28 | 116.34 | 0.52 |
| Admitted to ICU | |||||||
| Yes | 42.56 | 97.31 | 0.70 | 55.54 | 95.54 | 15.80 | 0.59 |
| No | 55.40 | 99.37 | 0.77 | 53.16 | 99.42 | 87.71 | 0.45 |
| Charlson comorbidity index | |||||||
| 0 | 27.16 | 99.80 | 0.63 | 48.15 | 99.50 | 133.69 | 0.73 |
| 1–2 | 49.80 | 99.08 | 0.74 | 48.14 | 99.13 | 53.90 | 0.51 |
| ≥3 | 56.41 | 97.79 | 0.77 | 57.59 | 97.68 | 25.53 | 0.45 |
| Nonmetastatic cancer | |||||||
| Yes | 61.88 | 97.09 | 0.79 | 60.39 | 97.26 | 21.27 | 0.39 |
| No | 44.12 | 99.35 | 0.72 | 50.42 | 99.16 | 67.66 | 0.56 |
| Metastatic cancer | |||||||
| Yes | 66.28 | 94.13 | 0.80 | 66.67 | 94.03 | 11.29 | 0.36 |
| No | 44.08 | 99.30 | 0.72 | 49.06 | 99.14 | 65.57 | 0.56 |
| CHF | |||||||
| Yes | 44.58 | 98.30 | 0.71 | 50.59 | 97.84 | 26.19 | 0.56 |
| No | 52.05 | 99.29 | 0.76 | 55.32 | 99.19 | 73.40 | 0.48 |
| COPD | |||||||
| Yes | 61.28 | 97.59 | 0.79 | 50.97 | 98.41 | 25.45 | 0.40 |
| No | 32.53 | 99.80 | 0.66 | 65.15 | 99.23 | 163.59 | 0.68 |
| Moderate to severe liver disease | |||||||
| Yes | 61.11 | 96.33 | 0.79 | 59.23 | 96.59 | 16.64 | 0.40 |
| No | 49.12 | 99.18 | 0.74 | 53.61 | 99.02 | 60.14 | 0.51 |
| Dementia | |||||||
| Yes | 76.32 | 95.72 | 0.86 | 39.73 | 99.09 | 17.81 | 0.25 |
| No | 49.36 | 99.18 | 0.74 | 54.60 | 98.99 | 60.02 | 0.51 |
| Discharged to a facility | |||||||
| Yes | 41.42 | 98.87 | 0.70 | 54.24 | 98.12 | 36.73 | 0.59 |
| No | 51.42 | 99.17 | 0.75 | 53.98 | 99.08 | 61.99 | 0.49 |
AUC, area under the curve; CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease; LR+, positive likelihood ratio; LR−, negative likelihood ratio; NPV, negative predictive value; PPV, positive predictive value.