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. 2019 Nov 7;71(9):2326–2333. doi: 10.1093/cid/ciz1096

Table 2.

Cross-Validated Efficiency, Defined as the Rate of Positive Predictions (Proportion of the Population Flagged as High Risk) to Achieve a Fixed Sensitivity for Correct Classification of Seroconversions (Top); and Cross-Validated Sensitivity That Would Have Been Achieved When Fixing the Rate of Positive Predictions (Bottom)

Rate of Positive Predictions, %
Needed to meet a minimum sensitivity, % Risk Groupa Model-based Machine Learning
50 42 27 18
60 NA 39 26
70 NA 51 37
80 NA 63 48
Sensitivity Achieved, %
Limiting the rate of positive predictions, % Risk Groupb Model-based Machine Learning
20 8 40 52
30 8 55 65
40 8 68 74
45 58 68 78

Abbreviation: NA, not applicable.

aA strategy to target all persons with at least 1 known risk factor (score ≥ 1) would have offered intensified prevention to 42% of the population; a lower threshold (score ≥ 0) is NA.

bA strategy to target all persons with at least 2 known risk factors (score ≥ 2) would have achieved 8% sensitivity, while a strategy to target all persons with at least 1 known risk factor (score ≥ 1) would have achieved 58% sensitivity.