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. 2018 Apr 10;68(670):e311–e322. doi: 10.3399/bjgp18X695801

Table 2.

Cumulative positive predictive values (PPVs) across all cancer sitesa

Sex Age group, years

≥40 ≥50 ≥60 ≥70 ≥80 ≥90 40–49 50–59 60–69 70–79 80–89 ≥90 40–59 60–79 ≥80
Lowest LRs from SR Female 1.6 2.2 3.0 3.9 4.4 4.0 0.2 0.8 1.9 3.5 4.6 4.0 0.7 2.5 4.4
Combined 5.2 7.2 10.0 12.7 13.5 13.9 0.4 2.2 7.2 12.2 13.5 13.9 1.2 9.2 13.5
Male 5.4 7.5 10.5 13.7 15.0 16.1 0.4 2.2 7.5 13.0 14.9 16.1 1.3 9.6 15.0

Highest LRs from SR Female 3.6 5.0 6.7 8.7 9.9 8.4 0.5 1.7 4.2 7.8 10.5 8.4 1.3 5.7 9.9
Combined 7.3 10.1 14.0 18.1 19.6 19.1 0.7 3.2 9.8 17.0 19.9 19.1 1.8 12.6 19.6
Male 7.3 10.1 14.2 18.8 21.3 22.3 0.6 3.1 9.8 17.5 21.1 22.3 1.8 12.8 21.3
a

Shading: PPV 1–1.9% (yellow) and 2–2.9% (amber): NICE suggests GPs consider primary care testing.≥3% (red): NICE recommends referral for specialist review or definitive investigation if the investigation is available to the GP. The combined analysis includes: colorectal, gastro-oesophageal, lung, multiple myeloma, non-Hodgkin’s lymphoma, ovarian, pancreatic, prostate, and renal tract cancer. Prostate cancer is removed from the female analysis, and ovarian from the male. No shading: <1%, no testing needed. LR = likelihood ratio. NICE = National Institute for Health and Care Excellence. SR = systematic review.