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Table 2 Measures of MCH-challenge procedures computed for response characteristics of sGeff, FEV1 and FEF50

From: Diagnostic accuracy of methacholine challenge tests assessing airway hyperreactivity in asthmatic patients - a multifunctional approach

 

PD-40sGeff

PD-45sGeff

PD-50sGeff

PD-20FEV1

PD-20FEF50

N

484

484

484

484

484

PD-level not reached (%)

0 (0)

6 (1.2)

16 (3.3)

44 (9.1)

31 (6.4)

Diagnostic accuracy differentiating AHR from non-AHR in all patients but excluding patients not having reached PD-level

n (%)

484 (100)

478 (98.8)

468 (96.7)

440 (90.9)

453 (93.6)

Prevalence

69.6%

69.6%

69.6%

69.6%

69.6%

Sensitivity

93.2%

89.3%

82.8%

54.9%

71.5%

Specificity

35.4%

44.2%

52.4%

85.0%

55.1%

PPV

76.8%

78.6%

79.9%

89.4%

78.5%

NPV

69.3%

64.4%

57.0%

45.1%

45.8%

Diag. Odds Ratio (DOR) [33]

7.473

6.628

5.291

6.915

3.081

 95% CI of DOR

4.347–12.847

4.123–10.655

3.443–8.133

4.189–11.417

2.061–4.605

pos. LR

1.443

1.600

1.739

3.660

1.592

neg. LR

0.192

0.242

0.328

0.531

0.517

Diagnostic effectiveness

0.756

0.756

0.736

0.641

0.665

Cumulative percent-response in all patients (asthmatics and non-asthmatic subjects) at each provocation level n/n (%)

1st PD level (%)

161/484 (42.4)

126/484 (26.0)

94/484 (19.4)

94/484 (9.7)

99/484 (20.5)

2nd PD level (%)

362/484 (74.8)

326/484 (67.4)

296/484 (61.2)

217/484 (44.8)

280/484 (57.9)

3rd PD level (%)

415/484 (85.7)

395/484 (81.6)

376/484 (77.7)

270/484 (55.8)

344/484 (71.1)

No AHR detected

104/484 (21.5)

132/484 (27.3)

164/484 (33.9)

302/484 (62.4)

206/484 (42.6)

  1. PD provocation dose, PPV positive predictive value, NPV negative predictive value, LR likelihood ratio, DOR diagnostic odds ratio [33]