Table 2 The diagnostic efficiency of CEA, CA72-4, CA19-9, and TrxR in discriminating GC patients with various pathological TNM stages from healthy controls.

From: Plasma activity of Thioredoxin Reductase as a Novel Biomarker in Gastric Cancer

Tumor markers

GC patients before clinical intervention

AUC (95%CI)

SEN%

SPE%

PPV%

NPV%

PLR

NLR

GCs stage I vs. healthy controls

TrxR

0.948 (0.900–0.995)

80.00

97.69

97.20

83.01

34.67

4.88

CEA

0.518 (0.363–0.673)

32.00

93.85

83.87

57.98

5.20

1.38

CA72-4

0.613 (0.491–0.735)

28.00

93.85

81.98

56.59

4.55

1.30

CA19-9

0.493 (0.375–0.612)

84.00

26.15

53.22

62.04

1.14

1.63

GCs stage II vs. healthy controls

TrxR

0.955 (0.914–0.997)

84.62

97.69

97.35

86.39

36.67

6.35

CEA

0.653 (0.530–0.775)

48.72

99.23

98.45

65.93

63.33

1.94

CA72-4

0.605 (0.508–0.703)

79.49

43.08

58.27

67.74

1.40

2.10

CA19-9

0.593 (0.494–0.693)

89.74

34.62

57.85

77.14

1.37

3.38

GCs stage III vs. healthy controls

TrxR

0.971 (0.946–0.997)

89.13

96.15

95.86

89.94

23.17

8.85

CEA

0.923 (0.862–0.984)

84.78

100.00

100.00

86.79

6.57

CA72–4

0.816 (0.740–0.891)

63.04

93.85

91.11

71.15

10.24

2.54

CA19-9

0.721 (0.633–0.810)

41.30

100.00

100.00

63.01

1.70

GCs stage IV vs. healthy controls

TrxR

0.974 (0.942–1.000)

90.48

97.69

97.51

91.12

39.21

10.26

CEA

0.912 (0.834–0.990)

76.19

100.00

100.00

80.77

4.20

CA72-4

0.842 (0.741–0.944)

66.67

93.85

91.55

73.79

10.83

2.82

CA19-9

0.814 (0.711–0.916)

53.68

100.00

100.00

67.74

2.10

  1. Abbreviations: SEN: sensitivity; SPE: specificity; PPV: positive predictive value; NPV: negative predictive value; PLR: positive likelihood ratio; NLR: negative likelihood ratio.