Table 2. Indicators of test performance for detecting advanced neoplasms according to test cut-off.
Indicator of test performance |
Cut-off for test positivity (μg Hb/g feces) |
||||||
---|---|---|---|---|---|---|---|
5 | 9 | 10 | 17a | 20 | 25 | 50 | |
Positivity rate | |||||||
N | 782/1822 | 287/1822 | 253/1822 | 159/1822 | 138/1822 | 116/1822 | 79/1822 |
% | 42.9 | 15.8 | 13.9 | 8.7 | 7.6 | 6.4 | 4.3 |
95% CI | 40.7–45.2 | 14.2–17.5 | 12.4–15.5 | 7.5–10.1 | 6.4–8.9 | 5.3–7.6 | 3.5–5.4 |
Sensitivity | |||||||
N | 137/207 | 101/207 | 93/207 | 74/207 | 71/207 | 66/207 | 43/207 |
% | 66.2 | 48.8 | 44.9 | 35.7 | 34.3 | 31.9 | 20.8 |
95% CI | 59.5–72.3 | 42.1–55.6 | 38.3–51.7 | 29.5–42.5 | 28.2–41.0 | 25.9–38.5 | 15.8–26.8 |
Specificity | |||||||
N | 970/1615 | 1429/1615 | 1455/1615 | 1530/1615 | 1548/1615 | 1565/1615 | 1579/1615 |
% | 60.1 | 88.5 | 90.1 | 94.7 | 95.9 | 96.9 | 97.8 |
95% CI | 57.7–62.4 | 86.8–89.9 | 88.5–91.5 | 93.5–95.7 | 94.8–96.7 | 95.9–97.6 | 96.9–98.4 |
Positive predictive value | |||||||
N | 137/782 | 101/287 | 93/253 | 74/159 | 71/138 | 66/116 | 43/79 |
% | 17.5 | 35.2 | 36.8 | 46.5 | 51.4 | 56.9 | 54.4 |
95% CI | 15.0–20.3 | 29.9–40.9 | 31.1–42.9 | 39.0–54.3 | 43.2–59.6 | 47.8–65.5 | 43.5–65.0 |
Number needed to scope to detect one advanced neoplasm | |||||||
N | 5.7 | 2.8 | 2.7 | 2.2 | 1.9 | 1.8 | 1.8 |
95% CI | 4.9–6.7 | 2.4–3.3 | 2.3–3.2 | 1.8–2.6 | 1.7–2.3 | 1.5–2.1 | 1.5–2.3 |
CI, confidence interval; Hb, hemoglobin.
cut-off recommended by the manufacturer
.