Table 3 The performance characteristics of the iFOBT, OC-Sensor, at different cutoff levels

From: Cutoff value determines the performance of a semi-quantitative immunochemical faecal occult blood test in a colorectal cancer screening programme

 

Cutoff values (ng ml−1)

 

50

75

100

125

150

175

200

225

Positives adherent to colonoscopy a (N)

428

336

280

248

234

215

198

187

Colonoscopy rateb (%)

7.0%

5.5%

4.5%

4.0%

3.8%

3.5%

3.2%

3.0%

Number of lesions (n)

        

 Colorectal cancer

28

27

24

24

24

24

24

23

 CRC+advanced adenomas

189

163

145

136

131

121

113

109

Detection ratec (%)

 Colorectal cancer

0.45%

0.44%

0.39%

0.39%

0.39%

0.39%

0.39%

0.37%

 Confidence interval (95% CI)

0.3–0.6%

0.3–0.6%

0.2–0.6%

0.2–0.6%

0.2–0.6%

0.2–0.6%

0.2–0.6%

0.2–0.5%

 CRC+advanced adenomas

3.1%

2.6%

2.4%

2.2%

2.1%

2.0%

1.8%

1.8%

 Confidence interval (95% CI)

2.6–3.5%

2.3–3.1%

2–2.7%

1.8–2.6%

1.8–2.5%

1.6–2.3%

1.5–2.2%

1.4–2.1%

Number Needed To Scope d (N/n)

        

 Colorectal cancer

15.3

12.4

11.7

10.3

9.8

9.0

8.3

8.1

 Confidence interval (95% CI)

11.3–23.8

9.1–19.5

8.4–18.9

7.5–16.7

7.1–15.7

6.5–14.4

6–13.2

5.9–13.2

 CRC+advanced adenomas

2.3

2.1

1.9

1.8

1.8

1.8

1.8

1.7

 Confidence interval (95% CI)

2.6–2.5

1.9–2.3

1.7–2.2

1.6–2.1

1.6–2

1.6–2

1.6–2

1.5–2

Specificity e

 CRC+advanced adenomas

96.0%

97.1%

97.8%

98.1

98.3

98.4

98.6

98.7

 Confidence interval (95% CI)

95.5–96.5%

96.7–97.5%

97.4–98.1%

97.8–98.5%

98.0–98.6%

98.1–98.8%

98.3–98.9%

98.4–99.0%

CRC miss ratef (%)

N.A.

3.6%

14.3%

14.3%

14.3%

14.3%

14.3%

17.9%

 Confidence interval (95% CI)

N.A.

−3.3–10.4%

1.3–27.2%

1.3–27.2%

1.3–27.2%

1.3–27.2%

1.3–27.2%

3.7–32%

  1. Abbreviations: CI, confidence interval; CRC, colorectal cancer; iFOBT, immunochemical faecal occult blood test.
  2. aPostives adherent to colonoscopy=patients with a positive iFOBT who underwent a colonoscopy.
  3. bColonoscopy rate=percentage of participants with a positive iFOBT who underwent a colonoscopy.
  4. cDetection rate=percentage of participants with lesions of reference.
  5. dNumber Needed To Scope=the number of patients to find one extra patient with lesions of reference.
  6. eSpecificity was calculated under the rare disease assumption (Brecht and Robra, 1987).
  7. fCRC miss rate=the percentage of the colorectal cancer patients at that cutoff relative to the colorectal cancer patients at the minimal 50 ng ml−1 cutoff.