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. 2019 Jul 5;36(9):2402–2413. doi: 10.1007/s12325-019-01010-8

Table 4.

Clinical performance of CA125, ROMA and MIA2G—all evaluable subjects by menopausal status

CA125 ROMA MIA2G
Pre Post Pre Post Pre Post
(N = 506) (N = 487) (N = 506) (N = 487) (N = 506) (N = 487)
Sensitivity, % 50.7 79.7 78.1 79.7 90.4 91.3
 n/N 37/73 137/172 57/73 137/172 66/73 157/172
 95% CI 39.5–61.8 73.0–85.0 67.3–86.0 73.0–85.0 81.5–95.3 86.1–94.6
Specificity, % 95.8 81.3 76.2 82.5 70 59.4
 n/N 415/433 256/315 330/433 260/315 303/433 187/315
 95% CI 93.5–97.4 76.6–85.2 72.0–80.0 78.0–86.3 65.5–74.1 53.9–64.6
Positive likelihood ratio 12.193 4.253 3.282 4.562 3.011 2.246
 95% CI 7.353–20.217 3.338–5.418 2.666–4.041 3.547–5.868 2.561–3.541 1.950–2.587
Negative likelihood ratio 0.515 0.25 0.288 0.247 0.137 0.147
 95% CI 0.407–0.650 0.185–0.338 0.186–0.445 0.183–0.333 0.068–0.278 0.090–0.240
Pre-test odds of ovarian malignancy 0.17–1 0.55–1 0.17–1 0.55–1 0.17–1 0.55–1
Post-test odds of ovarian malignancy with high risk score 2.06–1 2.32–1 0.55–1 2.49–1 0.51–1 1.23–1
Post test odds of no ovarian malignancy with low risk score 11.53–1 7.31–1 20.63–1 7.43–1 43.29–1 12.47–1
Positive test rate (as overall %) 10.9 40.2 31.6 39.4 38.7 58.5
False positive rate (as overall %) 3.6 12.1 20.4 11.3 25.7 26.3
False negative rate (as overall %) 7.1 7.2 3.2 7.2 1.4 3.1

CA125 high-risk cutoff: premenopausal subjects > 200 U/ml, postmenopausal subjects > 35 U/ml; ROMA high-risk cutoff: premenopausal subjects ≥ 11.4, postmenopausal subjects ≥ 29.9