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Table 2 Test performance as measured by positive and negative predictive value (PPV, NPV), sensitivity, specificity, positive FITs per cancer detected, and cancer miss rate per 10,000 negative tests. FIT alone and threshold-based approach to FIT-blood test pairs

From: Combining faecal immunochemical testing with blood test results for colorectal cancer risk stratification: a consecutive cohort of 16,604 patients presenting to primary care

Test criteria

PPV (95% CI)

NPV (95% CI)

Sensitivity (95% CI)

Specificity (95% CI)

Positive FITs to detect one cancer 

Cancer miss rate per 10,000 negative tests

FIT alone

FIT≥2 µg Hb/g

4.7% (4.0, 5.5)

100.0% (99.9, 100)

96.4% (91.9, 98.5)

83.5% (82.9, 84.1)

21

4

FIT≥10 µg Hb/g

8.4% (7.1, 9.9)

99.9% (99.9, 100)

92.1% (86.4, 95.5)

91.5% (91.1, 91.9)

12

7

FIT-Blood Test Pairs

FIT≥2 µg Hb/g AND

Low haemoglobina

5.1% (4.3, 6.2)

99.9% (99.8, 99.9)

89.1% (82.2, 93.5)

83.4% (82.7, 84.0)

17

44

High plateletsb

5.8% (4.6, 7.3)

99.6% (99.4, 99.7)

51.1% (42.9, 59.2)

93.0% (92.6, 93.4)

11

77

High white cellsc

8.7% (5.2, 14.4)

92.8% (91.5, 93.9)

9.4% (5.5, 15.3)

92.3% (91.0, 93.4)

29

80

Low mean cell haemoglobind

3.4% (1.7, 6.6)

99.2% (99.1, 99.3)

5.8% (2.9, 10.9)

98.6% (98.4, 98.8)

12

57

Low mean cell volumee

8.0% (6.1, 10.5)

99.4% (99.3, 99.5)

33.8% (26.5, 42.0)

96.7% (96.4, 97.0)

 

66

Any abnormal FBC

15.9% (11.4, 21.8)

99.3% (99.2, 99.4)

21.6% (15.6, 29.1)

99.0% (98.9, 99.2)

19

40

Low serum ferritinf

5.4% (4.3, 6.7)

99.6% (99.5, 99.7)

56.8% (48.5, 64.8)

91.6% (91.1, 92.0)

10

63

High serum ferriting

10.0% (7.3, 13.6)

99.4% (99.2, 99.5)

40.0% (30.5, 50.3)

96.3% (95.9, 96.7)

33

99

High C-reactive proteinh

3.0% (1.0, 8.5)

99.0% (98.8, 99.2)

3.3% (1.1, 9.3)

98.9% (98.7, 99.1)

18

59

FIT≥10 µg Hb/g AND

Low haemoglobina

5.6% (4.0, 7.8)

99.4% (99.3, 99.5)

31.0% (22.8, 40.6)

95.7% (95.3, 96.0)

10

44

High plateletsb

10.3% (8.2, 12.8)

99.6% (99.4, 99.7)

49.6% (41.5, 57.8)

96.4% (96.1, 96.6)

8

77

High white cellsc

12.2% (7.1, 20.2)

99.2% (99.1, 99.4)

8.6% (5.0, 14.5)

99.5% (99.4, 99.6)

17

80

Low mean cell haemoglobind

5.8% (2.9, 10.9)

99.2% (99.1, 99.3)

5.8% (2.9, 10.9)

99.2% (99.1, 99.3)

7

58

Low mean cell volumee

13.5% (10.3, 17.6)

99.4% (99.3, 99.5)

32.4% (25.2, 40.5)

98.3% (98.0, 98.4)

4

67

Any abnormal FBC

23.3% (16.7, 31.7)

99.3% (99.2, 99.4)

20.1% (14.3, 27.6)

99.4% (99.3, 99.5)

10

39

Low serum ferritinf

9.6% (7.7, 11.8)

99.6% (99.5, 99.7)

55.4% (47.1, 63.4)

95.6% (95.3, 95.9)

6

62

High serum ferriting

17.0% (12.5, 22.6)

99.4% (99.2, 99.5)

40.0% (30.5, 50.3)

98.0% (97.7, 98.3)

15

98

High C-reactive proteinh

6.5% (2.2, 17.5)

99.0% (98.8, 99.2)

3.3% (1.1, 9.3)

99.5% (99.3, 99.6)

13

62

  1. Note: Serum ferritin and c-reactive protein tests were only conducted for a subset of patients (n = 8,923 and 12,202 respectively)
  2. CI Confidence interval
  3. a <130 g/L in men and <120 g/L in women
  4. b >400 μL/L
  5. c >11,000/mL
  6. d <27.4 pg/cell
  7. e <80 fL
  8. f <20 ng/mL
  9. g ≥350 ng/mL
  10. h >10 mg/L