TABLE 4.
Prediction of spontaneous preterm birth (<37 weeks of gestation) by customized CL percentile and CL
| Gestational age at measurement |
Screening method | Sensitivity | Specificity | +LR | −LR | PPV | NNE |
|---|---|---|---|---|---|---|---|
| 20–23 6/7 | CL<15 mm | 0.24 (0.20–0.28) | 0.99 (0.98–0.99) | 17.40 (12.70–23.80) | 0.77 (0.73–0.81) | 0.70 (0.63–0.77) | 1.40 |
| CL<25 mm | 0.35 (0.31–0.40) | 0.95 (0.94–0.96) | 7.20 (60–8.70) | 0.68 (0.64–0.73) | 0.50 (0.44–0.55) | 2.00 | |
| Customized CL of <10th percentile | 0.45 (0.41–0.50) | 0.93 (0.93–0.94) | 6.90 (5.90–8.10) | 0.59 (0.54–0.64) | 0.49 (0.44–0.53) | 2.00 | |
| 24–27 6/7 | CL<15 mm | 0.20 (0.16–0.24) | 0.98 (0.97–0.98) | 8.50 (6.50–11.10) | 0.82 (0.79–0.86) | 0.53 (0.4–0.6) | 1.90 |
| CL<25 mm | 0.36 (0.31–0.40) | 0.92 (0.91–0.93) | 4.60 (3.90–5.40) | 0.70 (0.65–0.75) | 0.38 (0.33–0.42) | 2.60 | |
| Customized CL of <10th percentile | 0.46 (0.42–0.51) | 0.93 (0.92–0.93) | 6.20 (5.30–7.20) | 0.58 (0.54–0.63) | 0.45 (0.41–0.49) | 2.20 | |
| 28–31 6/7 | CL<15 mm | 0.21 (0.17–0.25) | 0.97 (0.96–0.97) | 6.80 (5.30–8.70) | 0.81 (0.78–0.85) | 0.45 (0.38–0.52) | 2.20 |
| CL<25 mm | 0.42 (0.37–0.46) | 0.89 (0.88–0.90) | 3.70 (3.20–4.30) | 0.66 (0.61–0.71) | 0.31 (0.27–0.35) | 3.20 | |
| Customized CL of <10th percentile | 0.45 (0.41–0.50) | 0.94 (0.94–0.95) | 8.00 (6.80–9.40) | 0.58 (0.53–0.63) | 0.49 (0.44–0.54) | 2.00 | |
| 32–35 6/7 | CL<15 mm | 0.19 (0.15–0.24) | 0.96 (0.95–0.96) | 4.50 (3.40–6.00) | 0.84 (0.80–0.89) | 0.27 (0.21–0.33) | 3.70 |
| CL<25 mm | 0.45 (0.39–0.51) | 0.84 (0.82–0.85) | 2.70 (2.40–3.20) | 0.66 (0.59–0.73) | 0.18 (0.15–0.21) | 5.60 | |
| Customized CL of <10th percentile | 0.39 (0.33–0.44) | 0.95 (0.95–0.96) | 8.50 (6.90–10.40) | 0.64 (0.59–0.70) | 0.41 (0.35–0.47) | 2.40 |
CL, cervical length; −LR, negative likelihood ratio; +LR, positive likelihood ratio; NNE, number needed to evaluate (1/PPV); PPV, positive predictive value.