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Table 3 Diagnostic utility measures for different ALP thresholds during the two-year follow up evolution

From: Biochemical algorithm to identify individuals with ALPL variants among subjects with persistent hypophosphatasaemia

ALP levels (IU/L)

S (%)

Sp (%)

PPV (%)

NPV (%)

+LR

−LR

Baseline

 < 20

10.0

97.3

80.0

50.0

3.70

0.92

 < 25

37.5

83.8

71.4

55.4

2.31

0.75

 < 30

72.5

64.9

69.0

68.6

2.07

0.42

 < 35

90.0

37.8

61.0

77.8

1.45

0.26

6-month visit

 < 20

18.2

96.4

85.7

50.0

5.06

0.85

 < 25

48.5

85.7

80.0

58.5

3.39

0.60

 < 30

78.8

50.0

65.0

66.7

1.58

0.42

 < 35

87.9

35.7

61.7

71.4

1.37

0.34

One-year visit

 < 20

17.9

100

100

51.5

0.82

 < 25

48.7

91.2

86.4

60.8

5.53

0.56

 < 30

76.9

61.8

69.8

70.0

2.01

0.37

 < 35

89.7

26.5

58.3

69.2

1.22

0.39

18-month visit

 < 20

14.7

96.3

83.3

47.3

3.97

0.89

 < 25

47.1

89.0

84.2

57.1

4.24

0.60

 < 30

82.4

55.6

70.0

71.4

1.86

0.32

 < 35

91.2

37.0

64.6

76.9

1.45

0.24

Two-year visit

 < 20

17.4

96.3

83.3

47.3

3.97

0.89

 < 25

41.2

92.6

87.5

55.6

5.57

0.63

 < 30

70.6

66.7

72.7

64.3

2.12

0.44

 < 35

91.2

44.4

67.4

80.0

1.64

0.20

  1. ALP alkaline phosphatase (IU/L), S sensitivity, Sp specificity, PPV positive predictive value, NPV negative predictive value, LR likelihood ratio