Table 3.
Specificity and positive predictive value (PPV) of the short high-dose cosyntropin test for the diagnosis of adrenal insufficiency (AI), according to serum cortisol cut-off concentrations (classic and sex-specific and assay-specific), and as a function of the suspected origin of the disease
Classic cut-off values | Sex-specific and assay-specific cut-off values | |||||||||||
Global | Clinical suspicion | Global | Clinical suspicion | |||||||||
Primary AI | Central AI | Primary AI | Central AI | |||||||||
Sampling time (min) | 30 | 60 | 30 | 60 | 30 | 60 | 30 | 60 | 30 | 60 | 30 | 60 |
Specificity (%) | 86 | 99 | 95 | 100 | 79 | 98 | 89 | 98 | 96 | 100 | 84 | 97 |
PPV (%) | 68 | 97 | 74 | 100 | 66 | 96 | 65 | 93 | 75 | 100 | 61 | 90 |