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Table 7 Cutoff value, sensitivity, specificity, positive predictive value, and negative predictive value of pleural/serum IL-33 ratio in the prediction of tuberculous effusion

From: Diagnostic role of interleukin -33 in the differentiation of pleural effusions especially tuberculous and malignant effusions

Variable

Cutoff

Sens%

Spec%

PPV%

NPV%

Accuracy%

AUC

95%CI

P

Pleural/serum ratio

> 1.4

91.7%

100%

100%

96.5%

97.5%

0.94

0.85–1.0

< 0.001 (HS)

Pleural/serum ratio

< 0.9

83.3%

96.4%

90.9%

93.1%

92.5%

0.90

0.77–1.0

< 0.001 (HS)

  1. The cutoff value of pleural/serum IL-33 ratio for the diagnosis of tuberculous pleural effusion was > 1.4. Therefore patients with pleural/serum IL-33 ratio > 1.4 had a high probability of having a tuberculous pleural effusion. The value for the area under the corresponding ROC curve (AUC) was 0.94. The 95% confidence interval was 0.85–1.0; the corresponding sensitivity and specificity were 91.7 and 100% (P < 0.001). The cutoff value of pleural/serum IL-33 ratio for the diagnosis of malignant pleural effusion is < 0.9, therefore patients with pleural/serum IL-33 ratio < 0.9 has a high probability of having a malignant pleural effusion. The value for the area under the corresponding ROC curve (AUC) is 0.90. The 95% confidence interval was 0.77–1.0, the corresponding sensitivity and specificity were 83.3and 96.4% (P < 0.001)