Table 4.
Reliability measures of endoscopic and histological investigations for the diagnosis of acute gastro-intestinal-graft versus host disease (GI-GVHD)
Sensitivity | Specificity | PPV | NPV | K | Concordance | |
---|---|---|---|---|---|---|
Esophagus-gastro-duodenoscopy | 1.0 (0.8–1.0) | 0.3 (0.1–0.5) | 0.4 (0.2–0.6) | 1.0 (0.8–1.0) | 0.24 | Low |
“Upper” histology | 0.6 (0.4–0.8) | 0.7 (0.6–0.9) | 0.6 (0.4–0.7) | 0.8 (0.6–0.9) | 0.42 | Moderate |
Rectum-sigmoidoscopy | 0.8 (0.5–0.9) | 1.0 (0.7–1.0) | 1.0 (0.8–1.0) | 0.5 (0.3–0.7) | 0.56 | Moderate |
“Intestinal” histology | 0.8 (0.6–0.9) | 1.0 (0.8–1.0) | 1.0 (0.8–1.0) | 0.6 (0.3–0.8) | 0.68 | Good |
(95% CI); K di Cohen: <0.01 = null; 0.01–0.20 = poor; 0.21–0.40 = minor; 0.41–0.60 = moderate; 0.61–0.80 = high; 0.81–1.00 = excellent. PPV, positive predictive value; NPV, negative predictive value.