Table 4 Screening characteristics of cytological diagnosis and p53 staining of capsule sponge specimens for diagnosis of ESD in the asymptomatic population in Golestan Province, Iran

From: Pilot study of cytological testing for oesophageal squamous cell dysplasia in a high-risk area in Northern Iran

 

Endoscopic examination

Cytological examination

ESD (all types)

High-grade ESD

ASC

Sensitivity (95% CI)

50% (29–71%)

100% (51–100%)

Specificity (95% CI)

99% (96–99%)

97% (94–98%)

PPV (95% CI)

69% (39–90%)

31% (10–61%)

NPV (95% CI)

97% (94–98%)

100% (98–100%)

Accuracy (95% CI)

96% (93–98%)

97% (94–99%)

ASC or ASCUS

Sensitivity (95% CI)

61% (39–80%)

100% (51–100%)

Specificity (95% CI)

92% (88–94%)

90% (86–93%)

PPV (95% CI)

31% (17–79%)

11% (4–28%)

NPV (95% CI)

97% (94–99%)

100% (98–100%)

Accuracy (95% CI)

90% (86–93%)

90% (86–93%)

P53 positivity

Sensitivity (95% CI)

22% (9–45%)

100% (51–100%)

Specificity (95% CI)

89% (85–92%)

89% (85–92%)

PPV (95% CI)

11% (4–28%)

11% (4–28%)

NPV (95% CI)

95% (91–97%)

100% (98–100%)

Accuracy (95% CI)

85% (80–89%)

89% (85–93%)

ASC and P53 positivity

Sensitivity (95% CI)

22% (9–45%)

100% (51–100%)

Specificity (95% CI)

100% (99–100%)

100% (99–100%)

PPV (95% CI)

100% (51–100%)

100% (51–100%)

NPV (95% CI)

95% (92–97%)

100% (99–100%)

Accuracy (95% CI)

95% (92–97%)

100% (99–100%)

  1. Abbreviations: ASC=atypical squamous cells; ASCUS=atypical squamous cells of uncertain significance; CI=confidence interval; ESD=oesophageal squamous dysplasia; NPV=negative predictive value; PPV=positive predictive value.