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Table 3 Performance of various screening strategies

From: Prevalence of gestational diabetes mellitus based on various screening strategies in western Kenya: a prospective comparison of point of care diagnostic methods

 

Sensitivity

TP/(TP + FN)

95% CI

Specificity

TN/(TN + FP)

95% CI

Negative Predictive Value

TN/(TN + FN)

Negative likelihood ratio

Point estimate

95% CI

Positive Predictive Value

TP/(TP + FP)

Positive likelihood ratio

Point estimate

95% CI

Venous 75 g OGTTa

1

18/(18 + 0)

(0.82–1)

1

598/(598 + 0)

(0.99–1)

1

598/(598 + 0)

n/a

1 (18/18 + 0)

n/a

POC RBG ≥ 7 mmol/L (126.0 mg/dL)

0.17

3/(3 + 15)

(0.06–0.39)

0.97

581/(581 + 17)

(0. 95–98)

0.97

581/(581 + 15)

0.86

(0.70–1.1)

0.15

3/(3 + 17)

5.86

(1.89–18.23)

POC 1 h 50 g ≥ 7.8 mmol/L (140.4 mg/dL)

0.44

8/(8 + 10)

(0.25–0.66)

0.79

470/(470 + 128)

(0.75–0.82)

0.98

470/(470 + 10)

0.71

(0.47–1.07)

0.06

8/(8 + 128)

2.08

(1.21–3.56)

POC 1 h 50 g ≥ 7.2 mmol/L (129.6 mg/dL)

0.56

10/(10 + 8)

(0.34–0.75)

0.64

382/(382 + 216)

(0.60–0.67)

0.98

382/(382 + 8)

0.70

(0.41–1.17)

0.04

10/(10 + 216)

1.54

(1.00–2.36)

Venous FBG ≥ 5.1 (91.8 mg/dL)

0.78

14/(14 + 4)

(0.55–0.91)

1

598/(598 + 0)

(.99–1)

0.99

598/(598 + 4)

n/a

1

14/(14 + 0)

0.22

(0.09–0.53)

POC FBG ≥ 5.1 mmol/L (91.8 mg/dL)

0.33

6/(6 + 12)

(0.16–0.56)

0.95

567/(567 + 31)

(0.93–0.96)

0.98

567/(567 + 12)

0.70

(0.51–0.98)

0.16

6/(6 + 31)

6.43

(3.08–13.45)

POC 75 g OGTT

0.56

10/(10 + 8)

(0.34–0.75)

0.91

542/(542 + 56)

(0.88–0.93)

0.99

542/(542 + 8)

0.49

(0.29–0.82)

0.15

10/(10 + 56)

5.93

(3.66–9.61)

POC HbA1c ≥ 6.5%

0.22

4/(4 + 14)

(0.09–0.45)

0.99

592/(592 + 6)

(0.98–0.99)

0.98

592/(592 + 14)

0.79 (0.61–1.01)

0.4

4/(4 + 6)

22.15 (6.84–71.72)

Venous HbA1c ≥ 6.5%

0.11

2/(2 + 16)

(0.03–0.33)

0.99

591/(591 + 7)

(0.98–0.99)

0.97

591/(591 + 16)

0.90

(0.76–1.06)

0.22

2/(2 + 7)

9.49

(2.12–42.54)

  1. TP true positives, FN false negatives, TN true negatives, FP false positives, HbAIc glycated hemoglobin, OGTT oral glucose tolerance test, POC point of care, RBG random blood glucose, FBG fasting blood glucose
  2. aAll results were compared to the venous 75 g oral glucose tolerance test to demonstrate diagnostic accuracy