Table 2. Summary of widely used CRC risk prediction tools in China.
Reference | Year | Outcome | Scoring items / scoring principles | Discriminatory power |
Abbreviations: ACN=advanced colorectal neoplasm; AUC=area under the curve; BMI=body mass index; CN=colorectal neoplasia; CRC=colorectal cancer; DM=diabetes mellitus; iFOBT=immunochemical fecal occult blood test. | ||||
Yeoh et al. (2011) (10) | 2004 | ACN | Age, years (<50: 0; 50–69: 2; ≥70: 3)
Gender (male: 1; female: 0) Family history of CRC in a first-degree relative (no: 0; yes: 1) History of smoking (never-smoker: 0; current or past smoker: 1) |
0.66 (0.62–0.70) in derivation set;
0.64 (0.60–0.68) in validation set |
Cai et al. (2012) (11) | 2006–2008 | ACN | Age, years (40–49: 0; 50–59: 1; 60–69: 2; >69: 3)
Sex (male: 2; female: 0) Smoking (0–20 pack-years: 0; >20 pack-years: 2) DM (no: 0; yes: 1) Green vegetables (occasional: 1; regular: 0) Pickled food (occasional: 0; regular: 2) Fried food (occasional: 0; regular: 1) White meat (occasional: 2; regular: 0) |
Sensitivity: 82.8% in derivation set;
80.3% in validation set; Specificity: 50.8% in derivation set; 51.2% in validation set; AUC: 0.74 (0.70–0.78) in derivation set; 0.74 (0.70–0.78) in validation set |
Wong et al. (2014) (12) | 2008–2012 | CN | Age, years (50–55: 0; 56–70: 1)
Sex (male: 2; female: 0) Family history of CRC in a first-degree relative (no: 0; yes: 1) History of smoking (no-smoker: 0; current or past smoker: 1) BMI (<25 kg/m2: 0; ≥25 kg/m2: 1) DM (no: 0; yes: 1) |
0.62 (0.61–0.63) in derivation set;
0.62 (0.61–0.63) in validation set |
Ye et al. (2017) (13) | 2007–2014 | CRC | Age is defined as ≥ 40 years and ≤ 74 years and have one or more of the following items:
1) history of intestinal polyps; 2) history of cancer; 3) family history of CRC in first-degree relatives; 4) 2 or more of the following items: (a) chronic diarrhea; (b) chronic constipation; (c) stressful life events that caused psychiatric trauma in the last two decades (e.g., divorce, death of relatives); (d) mucous and bloody stool; (e) history of appendicitis or appendectomy; (f) history of chronic cholecystitis or cholecystectomy |
Sensitivity: 24.51% (19.61%–30.16%)
Specificity: 89.78% (89.59%–89.97%) |
Sung et al. (2018) (14) | 2008–2012 | ACN | Age, years (50–54: 0; 55–64: 1; 65–70: 2)
Sex (male: 2; female: 0) Family history of CRC in a first-degree relative (no: 0; yes: 1) History of smoking (never-smoker: 0; current or past smoker: 1) BMI (<23 kg/m2: 0; ≥23 kg/m2: 1) |
0.65 (0.61–0.69) in validation set |