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Table 3 Diagnostic validity of self-reported methods to detect non adherent patients with the prescribed treatment.

From: Is it possible to diagnose the therapeutic adherence of patients with COPD in clinical practice? A cohort study

 

VISIT 1

VISIT 2

VISIT 3

Non adherence (reference method)

31.9%

20%

16%

Morisky-Green Test

   

Non adherence

39.2%

32.4%

30.9%

Sensitivity

53.33% (38.76-68)

66.66%(46.66-86.66)

33.33%(10.3-56.3)

Specificity

67.34% (58.06-76.62)

76.19% (67-85.3)

69.62%(59.6-79.6)

Positive Predictive Value

42.86%

41.17%

17.24%

Negative Predictive Value

75.86%

90.14%

84.61%

Positive Likelihood Ratio

1.66

2.79

1.09

Negative Likelihood Ratio

0.69

0.43

0.95

Batalla Test

   

Non adherence

53.1%

38.1%

35.1%

Sensitivity

68.88%(55.36-82.4)

71.43%(52.1-90)

46.66%(21.6-71.66)

Specificity

55.1%(45.3-64.9)

70.23%(60.5-80)

67.09%(57.09-77.09)

Positive Predictive Value

40.79%

37.5%

21.21%

Negative Predictive Value

85.07%

90.77%

86.88%

Positive Likelihood Ratio

1.53

2.38

1.41

Negative Likelihood Ratio

0.56

0.4

0.79

MGT-BT 1- (non.adherent at least by one of two methods)

   

Non adherence

71.3%

56.2%

57.4%

Sensitivity

84.44%(74-95)

90.47%(78.47-100)

66.66%(56.66-76.66)

Specificity

34.69%(25.3-44.1)

52.38%(42.38-62.38)

44.3%(34.3-54.3)

Positive Predictive Value

37.25%

32.2%

18.51%

Negative Predictive Value

82.92%

95.6%

87.5%

Positive Likelihood Ratio

1.29

1.89

1.19

Negative Likelihood Ratio

0.45

0.18

0.75

MGT-BT 2- (non-adherent by the two methods)

   

Non adherence

21%

14.3%

8.5%

Sensitivity

37.77%(23.6-52)

47.62%(26.6-68.6)

13.3%(0-30)

Specificity

86.73%(80-93.4)

94.04% (89-99)

92.49%(86.6-98.2)

Positive Predictive Value

56.66%

66.66%

25%

Negative Predictive Value

82.52%

87.77%

84.88%

Positive Likelihood Ratio

2.84

7.98

1.77

Negative Likelihood Ratio

0.71

0.55

0.93

  1. Morinsky-Green Test : MGT; Batalla Test:BT; Sensitivity : S ; Specificity : E ; Positive Probability Ratio: PPR.