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. 2018 Sep 25;56(10):e00832-18. doi: 10.1128/JCM.00832-18

TABLE 2.

Population-specific determination of sensitivity and specificity of the SHC test performance compared to TR assays only or with a laboratory test panel consensus that includes both TR and NTR assays

Populationa Assay results
Sensitivity (95% CI)
Specificity (95% CI)
Treponemal onlyb
Test panel consensusc
Treponemal only Test panel consensusc Treponemal only Test panel consensusc
SHC TR+ TR− TR+/NTR+ TR−/NTR−
Age (yrs)
    11–20 + 181 4 141 4 0.896 (0.845, 0.934) 0.972 (0.931, 0.992) 0.927 (0.824, 0.980) 0.922 (0.811, 0.978)
21 51 4 47
    21–30 + 134 3 103 3 0.843 (0.777, 0.896) 0.963 (0.907, 0.990) 0.880 (0.688, 0.975) 0.875 (0.676, 0.973)
25 22 4 21
    ≤31 + 191 34 166 33 0.917 (0.877, 0.947) 0.946 (0.910, 0.971) 0.933 (0.908, 0.953) 0.934 (0.909, 0.954)
18 474 9 468
Sex
    Female + 182 10 119 10 0.831 (0.775, 0.878) 0.937 (0.880, 0.972) 0.926 (0.868, 0.964) 0.924 (0.865, 0.963)
37 125 8 122
    Male + 301 1 269 0 0.907 (0.870, 0.936) 0.968 (0.939, 0.985) 0.900 (0.555, 0.997) 1.000 (0.478, 1.000)
31 9 9 5
Pregnancy status
    Nonpregnant + 46 0 42 0 0.780 (0.653, 0.877) 0.875 (0.749, 0.953) 1.000 (0.478, 1.000) 1.000 (0.292, 1.000)
13 5 6 3
    Pregnant + 96 10 39 10 0.814 (0.731, 0.879) 0.951 (0.835, 0.994) 0.923 (0.863, 0.962) 0.922 (0.862, 0.962)
22 120 2 119
HIV positive + 18 4 3 4 0.667 (0.460, 0.835) 0.600 (0.147, 0.947) 0.923 (0.815, 0.973) 0.922 (0.811, 0.978)
9 48 2 47
a

A total of 1,406 sample results were stratified based on age, sex, pregnancy, and HIV status. Populations may overlap across categories. For a given category, not all information was available for the remaining categories.

b

TR assays include TP-PA, EIA, and CIA platforms.

c

Test panel consensus refers to results that were either reactive by both treponemal and nontreponemal (RPR) tests or nonreactive by both treponemal and nontreponemal tests; discordant treponemal and nontreponemal results were excluded from analysis.