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. 2022 Nov 15;19:51. doi: 10.1186/s12981-022-00475-y

Table 2.

Sensitivity, specificity, PPV and NPV of self-report, pharmacy refill and RTMM at viral load ≥ 20 copies/ml

Cut-off %
Adherence measure Viral load Sensitivity Specificity PPV NPV
 ≥ 20  < 20
Self-report
  < 80% 4 0 5.8 100 100 70.3
  ≥ 80% 65 154
Pharmacy refill
  < 80% 14 26 19.7 83.6 35.0 70.0
  ≥ 80% 57 133
RTMM
  < 80% 10 16 41.7 70.9 38.5 73.6
  ≥ 80% 14 39
Cut-off 85%
Viral load Sensitivity Specificity PPV NPV
 ≥ 20  < 20
Self-report
  < 85% 4 1 5.8 99.3 80.0 70.2
  ≥ 85% 65 153
Pharmacy refill
  < 85% 17 29 23.9 81.8 37.0 70.6
  ≥ 85% 54 130
RTMM
  < 85% 11 19 45.8 65.4 36.7 73.5
  ≥ 85% 13 36
Cut-off 90%
Viral load Sensitivity Specificity PPV NPV
 ≥ 20  < 20
Self-report
  < 90% 4 1 5.8 99.3 80.0 70.2
  ≥ 90% 65 153
Pharmacy refill
  < 90% 21 34 29.6 78.6 38.2 71.4
  ≥ 90% 50 125
RTMM
  < 90% 12 22 50.0 60.0 35.3 73.3
  ≥ 90% 12 33
Cut-off 95%
Viral load Sensitivity Specificity PPV NPV
 ≥ 20  < 20
Self-report
  < 95% 5 8 7.2 94.8 38.5 69.5
  ≥ 95% 64 146
Pharmacy refill
  < 95% 29 40 40.8 74.8 42.0 73.9
  ≥ 95% 42 119
RTMM
  < 95% 13 26 54.2 52.7 33.3 72.5
  ≥ 95% 11 29
Cut-off 100%
Viral load Sensitivity Specificity PPV NPV
 ≥ 20  < 20
Self-report
  < 100% 12 22 17.4 85.7 35.3 69.8
 100% 57 132
Pharmacy refill
  < 100% 35 62 49.3 61.0 36.1 72.9
 100% 36 97
RTMM
  < 100% 18 39 75.0 29.1 31.6 72.7
 100% 6 16

PPV positive predict value, NPV negative predict value, RTMM real time medication monitoring.