Table 2.
Performance of AUDIT-C and biochemical markers for detecting alcohol use disorder
| Alcohol use disorder***** | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Men (N = 58) | Women (N = 30) | |||||||||||
| AUC (95% CI) |
SEN (95% CI) |
SPC (95% CI) |
LR+ | LR− | Accuracy (95% CI) |
AUC (95% CI) |
SEN (95% CI) |
SPC (95% CI) |
LR+ | LR− | Accuracy (95% CI) |
|
| AST* |
0.83 (0.74; 0.90) |
87.9 (76.7; 95.0) |
63.2 (46.0; 78.2) |
2.39 | 0.19 |
0.77 (0.67; 0.85) |
0.82 (0.73; 0.88) |
76.7 (87.7; 90.1) |
80.5 (69.9; 88.7) |
3.94 | 0.29 |
0.79 (0.70; 0.86) |
| GGT* |
0.85 (0.76; 0.91) |
87.9 (76.7; 95.0) |
63.2 (46.0; 78.2) |
2.39 | 0.19 |
0.77 (0.67; 0.85) |
0.81 (0.72; 0.88) |
70.0 (50.6; 85.3) |
83.1 (72.9; 90.7) |
4.15 | 0.36 |
0.79 (0.71; 0.87) |
| CDT** |
0.83 (0.74; 0.90) |
81.0 (68.6; 90.1) |
71.1 (54.1; 84.6) |
2.80 | 0.27 |
0.76 (0.66; 0.84) |
0.80 (0.71; 0.87) |
70.0 (50.6; 85.3) |
84.4 (74.4; 91.7) |
4.49 | 0.36 |
0.79 (0.71; 0.87) |
| GGT–CDT*** |
0.86 (0.77; 0.92) |
79.3 (66.6; 88.8) |
76.3 (59.8; 88.6) |
3.35 | 0.27 |
0.77 (0.67; 0.85) |
0.86 (0.77; 0.92) |
66.7 (47.2; 82.7) |
93.5 (85.5; 97.9) |
10.27 | 0.36 |
0.79 (0.71; 0.87) |
| AUDIT-C**** |
0.97 (0.91;0.99) |
96.5 (88.1;99.6) |
89.5 (75.2;97.1) |
9.17 | 0.04 |
0.94 (0.87;0.98) |
0.89 (0.81;0.94) |
76.7 (57.7;90.1) |
90.9 (82.2;96.3) |
8.43 | 0.26 |
0.87 (0.79;0.93) |
*Cutoff points for AST and GGT are 40 U/L
**Cutoff point for CDT – “all” group is 1.0%, “men” group is 1.0%, and “women” group is 0.8%
***Cutoff point for GGT–CDT – “all” group is 2.9308, “men” group is 3.0737, and “women” group is 2.2183
****Cutoff point for AUDIT-C – “all” group is score 4, “men” group is score 4, and “women” group is score 8. (The cutoff point was determined by ROC analyses in the sample)
*****Alcohol use disorder (alcohol abuse or alcohol dependence in DSM-IV-TR)/reference population (not meet the substance use disorder criteria in DSM-IV-TR)
AST = aspartic acid transaminase; AUC = area under the curve; AUDIT-C = Alcohol Use Disorder Identification Test Consumption; CDT = carbohydrate-deficient transferrin; GGT = gamma-glutamyltransferase; LR = likelihood ratios; SEN = sensitivity; SPC = specificity