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. 2020 May 8;19(1):62–70. doi: 10.5217/ir.2019.09156

Table 4.

Comparison of the Diagnostic Accuracy for Detecting UC and for Severe Endoscopic UC Using Biomarkers

Parameter WBC (/μL)
NLR
PLR
ESR (mm/hr)
CRP (mg/dL)
FC (µg/g)
Estimate Lower Upper Estimate Lower Upper Estimate Lower Upper Estimate Lower Upper Estimate Lower Upper Estimate Lower Upper
Control vs. UC - - -
Cutoff 6,000 2.26 179.8 34 0.2
Sensitivity 0.729 0.582 0.847 0.542 0.392 0.686 0.354 0.222 0.505 0.617 0.464 0.755 0.574 0.422 0.717
Specificity 0.740 0.640 0.824 0.906 0.829 0.956 0.906 0.829 0.956 0.865 0.780 0.926 0.833 0.744 0.902
Positive predictive value 0.583 0.467 0.743 0.743 0.592 0.842 0.654 0.487 0.779 0.690 0.553 0.810 0.628 0.495 0.760
Negative predictive value 0.845 0.738 0.900 0.798 0.683 0.899 0.737 0.593 0.864 0.822 0.712 0.900 0.800 0.684 0.880
Positive likelihood ratio 2.800 1.917 4.089 5.778 2.944 11.339 3.778 1.821 7.838 4.556 2.620 7.924 3.447 2.069 5.743
Negative likelihood ratio 0.366 0.227 0.591 0.506 0.369 0.692 0.713 0.572 0.887 0.443 0.306 0.642 0.511 0.362 0.720
AUC 0.793 0.713 0.874 0.774 0.690 0.859 0.654 0.556 0.753 0.767 0.677 0.856 0.696 0.596 0.796
Mild to moderate vs. severe
Cutoff 7,300 3.44 175.9 41 0.8 453
Sensitivity 0.636 0.308 0.81 0.636 0.308 0.891 0.909 0.587 0.998 0.909 0.587 0.998 0.727 0.390 0.940 0.818 0.482 0.977
Specificity 0.649 0.475 0.798 0.811 0.648 0.920 0.784 0.618 0.902 0.667 0.490 0.814 0.861 0.705 0.953 0.730 0.559 0.862
Positive predictive value 0.350 0.209 0.751 0.500 0.301 0.823 0.556 0.358 0.982 0.455 0.286 0.973 0.615 0.381 0.904 0.474 0.297 0.895
Negative predictive value 0.857 0.604 0.928 0.882 0.656 0.953 0.967 0.805 0.987 0.960 0.773 0.981 0.912 0.713 0.971 0.931 0.736 0.969
Positive likelihood ratio 1.811 0.969 3.385 3.364 1.507 7.507 4.205 2.214 7.984 2.727 1.657 4.489 5.236 2.150 12.754 3.027 1.664 5.507
Negative likelihood ratio 0.561 0.248 1.269 0.448 0.202 0.995 0.116 0.018 0.757 0.136 0.021 0.896 0.317 0.120 0.839 0.249 0.070 0.886
AUC 0.566 0.339 0.794 0.714 0.539 0.888 0.897 0.802 0.992 0.769 0.623 0.915 0.854 0.741 0.966 0.813 0.655 0.972

UC, ulcerative colitis; WBC, white blood cell; NLR, neutrophil to lymphocyte ratio; PLR, platelet to lymphocyte ratio; ESR, erythrocyte sedimentation rate; CRP, C-reactive protein; FC, fecal calprotectin; AUC, area under the curve.