TABLE 4.
AMH performance characteristics according to age groups
Age group (years) | No. of PCOS cases | Controls (n) | AUCROC (95% CI) | Condition | Cutoff value | Youden's J | Sensitivity (95% CI) | Specificity (95% CI) | PPV (95% CI) | NPV (95% CI) |
---|---|---|---|---|---|---|---|---|---|---|
12–20 | 87 | Healthy (42) | 0.741 (0.641–0.840) | At 95% sensitivity | 1.76 | 0.359 | 0.954 (0.888–0.982) | 0.405 (0.270–0.555) | 0.769 (0.720–0.811) | 0.810 (0.604–0.922) |
Maximum Youden's J | 4.12 | 0.437 | 0.770 (0.671–0.846) | 0.667 (0.516–0.790) | 0.827 (0.755–0.882) | 0.583 (0.474–0.685) | ||||
At 95% specificity | 10.59 | 0.125 | 0.172 (0.107–0.265) | 0.952 (0.842–0.987) | 0.882 (0.642–0.969) | 0.357 (0.331–0.385) | ||||
Benign (115) | 0.679 (0.606–0.753) | At 95% sensitivity | 1.85 | 0.215 | 0.954 (0.888–0.982) | 0.261 (0.189–0.348) | 0.494 (0.465–0.524) | 0.882 (0.733–0.953) | ||
Maximum Youden's J | 3.96 | 0.297 | 0.793 (0.696–0.865) | 0.504 (0.414–0.594) | 0.548 (0.494–0.600) | 0.763 (0.673–0.835) | ||||
At 95% specificity | 11.38 | 0.106 | 0.149 (0.089–0.239) | 0.957 (0.902–0.981) | 0.722 (0.491–0.875) | 0.598 (0.574–0.621) | ||||
All (157) | 0.696 (0.630–0.762) | At 95% sensitivity | 1.85 | 0.253 | 0.954 (0.888–0.982) | 0.299 (0.233–0.375) | 0.430 (0.403–0.458) | 0.922 (0.814–0.969) | ||
Maximum Youden's J | 4.16 | 0.324 | 0.770 (0.671–0.846) | 0.554 (0.476–0.630) | 0.489 (0.437–0.541) | 0.813 (0.743–0.868) | ||||
At 95% specificity | 11.38 | 0.105 | 0.149 (0.089–0.239) | 0.955 (0.911–0.978) | 0.650 (0.435–0.818) | 0.670 (0.648–0.690) | ||||
21–34 | 308 | Healthy (161) | 0.785 (0.740–0.830) | At 95% sensitivity | 2.40 | 0.330 | 0.951 (0.921–0.970) | 0.379 (0.308–0.456) | 0.746 (0.721–0.768) | 0.803 (0.705–0.874) |
Maximum Youden's J | 5.67 | 0.462 | 0.692 (0.638–0.741) | 0.770 (0.699–0.828) | 0.852 (0.811–0.885) | 0.566 (0.520–0.612) | ||||
At 95% specificity | 11.30 | 0.178 | 0.227 (0.184–0.277) | 0.950 (0.905–0.975) | 0.897 (0.812–0.947) | 0.391 (0.375–0.408) | ||||
Benign (331) | 0.719 (0.680–0.758) | At 95% sensitivity | 2.40 | 0.238 | 0.951 (0.921–0.970) | 0.287 (0.241–0.338) | 0.554 (0.536–0.572) | 0.864 (0.790–0.914) | ||
Maximum Youden's J | 5.69 | 0.356 | 0.692 (0.638–0.741) | 0.665 (0.612–0.713) | 0.657 (0.618–0.694) | 0.698 (0.658–0.736) | ||||
At 95% specificity | 14.03 | 0.098 | 0.146 (0.111–0.190) | 0.952 (0.923–0.970) | 0.738 (0.619–0.830) | 0.545 (0.532–0.558) | ||||
All (492) | 0.740 (0.706–0.775) | At 95% sensitivity | 2.40 | 0.268 | 0.951 (0.921–0.970) | 0.317 (0.278–0.359) | 0.466 (0.450–0.482) | 0.912 (0.862–0.945) | ||
Maximum Youden's J | 5.69 | 0.391 | 0.692 (0.638–0.741) | 0.699 (0.657–0.738) | 0.590 (0.552–0.627) | 0.784 (0.752 0.812) | ||||
At 95% specificity | 13.28 | 0.114 | 0.162 (0.125–0.208) | 0.951 (0.928–0.967) | 0.676 (0.567–0.768) | 0.645 (0.632–0.657) | ||||
35–46 | 45 | Healthy (126) | 0.789 (0.704–0.874) | At 95% sensitivity | 0.07 | 0.154 | 0.956 (0.852–0.988) | 0.198 (0.138–0.277) | 0.299 (0.277–0.322) | 0.926 (0.755–0.981) |
Maximum Youden's J | 1.90 | 0.508 | 0.778 (0.637–0.875) | 0.730 (0.647–0.800) | 0.507 (0.426–0.588) | 0.902 (0.841–0.941) | ||||
At 95% specificity | 5.21 | 0.397 | 0.444 (0.309–0.588) | 0.952 (0.900–0.978) | 0.769 (0.588–0.886) | 0.828 (0.787–0.862) | ||||
Benign (286) | 0.778 (0.698–0.858) | At 95% sensitivity | 0.07 | 0.158 | 0.956 (0.852–0.988) | 0.203 (0.160–0.253) | 0.159 (0.148–0.170) | 0.967 (0.880–0.991) | ||
Maximum Youden's J | 3.55 | 0.471 | 0.600 (0.455–0.730) | 0.871 (0.827–0.905) | 0.422 (0.332–0.517) | 0.933 (0.906–0.952) | ||||
At 95% specificity | 5.93 | 0.284 | 0.333 (0.214–0.479) | 0.951 (0.920–0.971) | 0.517 (0.357–0.674) | 0.901 (0.880–0.918) | ||||
All (412) | 0.782 (0.702–0.861) | At 95% sensitivity | 0.07 | 0.157 | 0.956 (0.852–0.988) | 0.201 (0.166–0.243) | 0.116 (0.108–0.124) | 0.976 (0.914–0.994) | ||
Maximum Youden's J | 3.55 | 0.467 | 0.600 (0.455–0.730) | 0.867 (0.830–0.896) | 0.329 (0.258–0.409) | 0.952 (0.933–0.966) | ||||
At 95% specificity | 5.65 | 0.329 | 0.378 (0.251–0.524) | 0.951 (0.926–0.968) | 0.459 (0.325–0.600) | 0.933 (0.918–0.946) |
Abbreviations: AMH, anti‐Müllerian hormone; CI, confidence interval; NPV, negative predictive value; PPV, positive predictive value.