Table 2.
Variation in agreement between National Comprehensive Cancer Network (NCCN) and Assess Your Risk (AYR) by race, ethnicity, and age group.
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AYR compared with NCCN criteria only | |||||||||||||||
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Totala, n (%) | True positive, n | True negative, n | Sensitivity (%) | Specificity, (%) | PPVb (%) | NPVc (%) | P valued | ||||||||
| Overall | 117,595 (100) | 72,072 | 40,880 | 100.00 | 89.80 | 93.95 | 100.00 | <.001 | ||||||||
| Race and ethnicity | ||||||||||||||||
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White | 82,128 (69.83) | 52,078 | 26,994 | 100.00 | 89.83 | 94.46 | 100.00 | <.001 | |||||||
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African American | 3886 (3.3) | 2125 | 1608 | 100.00 | 91.31 | 93.28 | 100.00 | <.001 | |||||||
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Asian | 3187 (2.71) | 1311 | 1612 | 100.00 | 85.93 | 83.24 | 100.00 | <.001 | |||||||
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Other | 17,614 (14.97) | 10,803 | 6086 | 100.00 | 89.36 | 93.71 | 100.00 | <.001 | |||||||
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Ashkenazi Jewish | 584 (0.49) | 373 | 187 | 100.00 | 88.63 | 93.95 | 100.00 | <.001 | |||||||
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Hispanic or Latina | 10,196 (8.67) | 5382 | 4393 | 100.00 | 91.25 | 92.75 | 100.00 | <.001 | |||||||
| Age group (years) | ||||||||||||||||
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18-29 | 65,352 (55.57) | 41,126 | 21,936 | 100.00 | 90.55 | 94.73 | 100.00 | <.001 | |||||||
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30-39 | 28,541 (24.27) | 17,475 | 9694 | 100.00 | 87.60 | 92.72 | 100.00 | <.001 | |||||||
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40-49 | 1590 (1.35) | 9170 | 5736 | 100.00 | 89.35 | 93.06 | 100.00 | <.001 | |||||||
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50-64 | 7167 (6.09) | 3832 | 3068 | 100.00 | 91.99 | 93.49 | 100.00 | <.001 | |||||||
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≥65 | 945 (0.8) | 469 | 446 | 100.00 | 93.70 | 93.99 | 100.00 | <.001 | |||||||
aSample size excluded women with a history of genetic testing in the high risk category (n=6342), no personal history of cancer (n=7056), or unknown family history (n=19,138). These categories were not mutually exclusive, and 26,062 were excluded from the analysis.
bPPV: positive predictive value.
cNPV: negative predictive value.
dP value was calculated using McNemar test.