Ā | Diagnostic accuracy for SCD | Ā | Ā | ||||
---|---|---|---|---|---|---|---|
Ā | SCD (nā=ā141; 17.4Ā %) | No SCD (nā=ā669; 82.6Ā %) | Ā | Ā | |||
Diagnostic predictorb | Distribution in CEDAR study, %c | Sensitivity, % (95Ā % CI) | PPV, % (95Ā % CI) | Specificity, % (95Ā % CI) | NPV, % (95Ā % CI) | AUC (95Ā % CI) | Percent missing |
Patient history | |||||||
āMale sex | 45.1 | 48.2 (40.1ā56.4) | 18.6 (15.0ā22.9) | 55.6 (51.8ā59.3) | 83.6 (79.9ā86.7) | ā | 0.0 |
āAge in years, median (mināmax) | 61 (19ā92) | ā | ā | ā | ā | 0.602 (0.553ā0.652) | 0.0 |
āAbsence of abdominal pain | 19.3 | 33.0 (25.7ā41.1) | 29.7 (23.1ā37.3) | 83.5 (80.5ā86.1) | 85.5 (82.6ā88.0) | ā | 0.4 |
āDuration of abdominal pain in weeks, median (mināmax) | 90 (0ā10 years)d | ā | ā | ā | ā | 0.597 (0.543ā0.652)e | 7.4 |
āRectal blood loss | 43.6 | 66.0 (57.8ā73.3) | 26.3 (22.0ā31.1) | 61.1 (57.3ā64.7) | 89.5 (86.3ā92.0) | ā | 0.6 |
āRectal mucus | 38.0 | 51.3 (43.1ā59.5) | 23.5 (19.1ā28.6) | 64.9 (61.2ā68.4) | 86.3 (83.1ā89.1) | ā | 1.2 |
āWeight loss | 19.2 | 23.8 (17.4ā31.5) | 21.6 (15.8ā28.7) | 81.8 (78.7ā84.6) | 83.6 (80.5ā86.2) | ā | 0.7 |
āChange in bowel habit | 65.5 | 68.0 (58.6ā76.4) | 18.1 (14.9ā21.7) | 35.1 (31.4ā38.9) | 83.9 (78.8ā88.1) | ā | 12.3 |
āAbsence of abdominal bloating | 45.0 | 60.5 (52.1ā68.4) | 23.4 (19.3ā28.1) | 58.3 (54.5ā62.1) | 87.5 (84.1ā90.3) | ā | 4.2 |
āAbsence of fever | 89.0 | 89.2 (83.0ā93.4) | 17.4 (14.8ā20.4) | 11.0 (8.9ā13.6) | 82.9 (73.7ā89.4) | ā | 0.6 |
āAbsence of constipation | 42.1 | 50.0 (41.8ā58.2) | 20.7 (16.7ā25.3) | 59.6 (55.7ā63.3) | 85.0 (81.4ā87.9) | ā | 3.5 |
āDiarrhoea | 29.1 | 29.4 (22.4ā37.4) | 17.6 (13.2ā23.0) | 71.0 (67.4ā74.3) | 82.7 (79.3ā85.5) | ā | 1.6 |
āAbsence of family history of CRC | 81.7 | 84.3 (76.0ā90.6) | 17.9 (15.1ā21.1) | 18.8 (15.7ā22.3) | 85.0 (77.6ā90.7) | ā | 14.2 |
Physical examination | |||||||
āAbsence of palpable abdominal mass | 95.2 | 95.6 (89.5ā99.3) | 17.5 (14.9ā20.4) | 4.9 (3.4ā6.9) | 84.4 (67.3ā95.3) | ā | 14.8 |
āAbnormal digital rectal examination | 7.8 | 11.5 (6.6ā18.5) | 25.7 (14.5ā39.7) | 92.9 (89.8ā95.5) | 83.3 (80.4ā85.8) | ā | 17.7 |
Blood analyses | Ā | Ā | Ā | Ā | Ā | Ā | Ā |
āHb in g/dL, mean (SD) | 14.2 (1.3) | ā | ā | ā | ā | 0.556 (0.502ā0.610)f | 4.4 |
āAnaemia (āā<ā12 and āā<ā13Ā g/dL) | 5.5 | 9.9 (5.8ā16.0) | 31.0 (18.9ā46.1) | 95.4 (93.4ā96.8) | 83.4 (80.6ā85.9) | ā | 4.4 |
āCRP in mg/L, median (mināmax) | 2 (0ā20)d | ā | ā | ā | ā | 0.587 (0.535ā0.638) | 4.6 |
āElevated CRP (ā„10Ā mg/L) | 9.4 | 12.2 (7.5ā18.9) | 22.7 (14.5ā33.5) | 91.2 (88.8ā93.2) | 83.1 (80.2ā85.7) | ā | 4.6 |
Faecal tests | |||||||
āCalprotectin POC test in μg/g, median (mināmax) | 48 (30ā300) | ā | ā | ā | ā | 0.681 (0.629ā0.732) | 5.6 |
āPositive calprotectin POC test (>50 μg/gg) | 48.7 | 69.6 (61.4ā76.7) | 24.9 (20.8ā29.4) | 55.7 (51.8ā59.5) | 89.7 (86.4ā92.3) | ā | 5.6 |
āCalprotectin ELISA test in μg/g, median (mināmax) | 62 (8ā500)d | ā | ā | ā | ā | 0.661 (0.606ā0.716) | 8.6 |
āPositive calprotectin ELISA test (>50 μg/gg) | 56.6 | 71.4 (63.2ā78.5) | 21.9 (18.4ā26.0) | 46.5 (42.6ā50.4) | 88.5 (84.7ā91.5) | ā | 8.6 |
āPositive POC FIT (>6 μg Hb/gh) | 25.1 | 67.2 (58.9ā74.5) | 46.5 (39.6ā53.7) | 83.7 (80.5ā86.6) | 92.4 (89.9ā94.3) | ā | 6.2 |