Table 3.
Chart review (reference standard) | Positive predictive value, % | Negative predictive value, % | Sensitivity, % |
Specificity, % |
Kappa coefficient (95% CI) | |||
Yes | No | Total | ||||||
Self-report of RA | ||||||||
Yes | 125 | 180 | 305 | 41.0 | 95.7 | 96.9 | 33.3 | 0.22 (0.17 to 0.28) |
No | 4 | 90 | 94 | |||||
Total | 129 | 270 | 399 | |||||
Self-report of RA+IRD questionnaire | ||||||||
1. Confirmation by a rheumatologist or an internal medicine specialist | ||||||||
Yes | 120 | 43 | 166 | 72.3 | 96.1 | 93 | 83 | 0.71 (0.65 to 078) |
No | 9 | 224 | 233 | |||||
Total | 129 | 270 | 399 | |||||
2. RA medication | ||||||||
Yes | 118 | 11 | 129 | 91.5 | 95.9 | 91.5 | 95.9 | 0.87 (0.82 to 0.93) |
No | 11 | 259 | 270 | |||||
Total | 129 | 270 | 399 | |||||
3. Positive RF and/or ACPA | ||||||||
Yes | 72 | 3 | 75 | 96.0 | 82.4 | 55.8 | 98.9 | 0.61 (0.53 to 0.70) |
No | 57 | 267 | 324 | |||||
Total | 129 | 270 | 399 | |||||
4. ACR criteria | ||||||||
Yes | 63 | 7 | 70 | 90.0 | 79.9 | 48.8 | 97.4 | 0.52 (0.43 to 0.61) |
No | 66 | 263 | 329 | |||||
Total | 129 | 270 | 399 | |||||
Any of these four definitions | ||||||||
Yes | 121 | 47 | 168 | 72.0 | 96.5 | 93.8 | 82.6 | 0.71 (0.64 to 0.78) |
No | 8 | 223 | 231 | |||||
Total | 129 | 270 | 399 | |||||
Self-report of RA+medication reimbursement database | ||||||||
Yes | 91 | 10 | 101 | 90.1 | 87.3 | 70.5 | 87.3 | 0.71 (0.63 to 0.78) |
No | 38 | 260 | 298 | |||||
Total | 129 | 270 | 399 | |||||
Self-report of RA+IRD questionnaire+medication reimbursement database | ||||||||
Yes | 86 | 2 | 88 | 97.7 | 86.2 | 66.7 | 99.3 | 0.72 (0.64 to 0.79) |
No | 43 | 268 | 311 | |||||
Total | 129 | 270 | 399 |
ACPA, anti-citrullinated protein autoantibody; ACR, American College of Rheumatology; IRD, inflammatory rheumatic disease; RA, rheumatoid arthritis; RF, rheumatoid factors.