Skip to main content

Table 2 Diagnostic performances of criteria in the ACR/EULAR 2016 score

From: Unstimulated whole saliva flow for diagnosis of primary Sjögren’s syndrome: time to revisit the threshold?

 

Schirmer ≤ 5 mm/5 min

UWS ≤ 0.1 mL/min

Anti-SSA antibodies

Focus score ≥ 1/4 mm2

Whole population (n = 185)

 Se (%)

89.2 [81.1–94.7]

43.0 [32.8–53.7]

37.6 [27.8–48.3]

91.4 [83.8–96.2]

 Sp (%)

29.3 [20.3–39.8]

73.9 [63.7–82.5]

100 [96.1–100]

91.3 [83.6–96.2]

 PPV (%)

56.1 [47.7–64.2]

62.5 [49.5–74.3]

100 [90.0–100]

91.4 [83.8–96.2]

 NPV (%)

73.0 [55.9–86.2]

56.2 [46.9–65.2]

61.3 [53.0–69.2]

91.3 [83.6–96.2]

Men (n = 38)

 Se (%)

100 [79.4–100]

56.3 [29.9–80.2]

25.0 [7.3–52.4]

87.5 [61.7–98.4]

 Sp (%)

22.7 [7.8–45.4]

90.9 [70.8–98.9]

100 [84.6–100]

95.5 [77.2–99.9]

 PPV (%)

48.5 [30.8–66.5]

81.8 [48.2–97.7]

100 [39.8–100]

93.3 [68.1–99.8]

 NPV (%)

100 [47.8–100]

74.1 [53.7–88.9]

64.7 [46.5–80.3]

91.3 [72.0–98.9]

Women < 50 (n = 42)

 Se (%)

68.8 [41.3–89.0]

50.0 [54.7–75.3]

56.3 [29.9–80.2]

93.8 [69.8–99.8]

 Sp (%)

46.2 [26.6–66.6]

80.8 [60.6–93.4]

100 [86.8–100]

92.3 [74.9–99.1]

 PPV (%)

44.0 [24.4–65.1]

61.5 [31.6–86.1]

100 [66.4–100]

88.2 [63.6–98.5]

 NPV (%)

70.6 [44.0–89.7]

72.4 [52.8–87.3]

78.8 [61.1–91.0]

96.0 [79.6–99.9]

Women ≥ 50 (n = 105)

 Se (%)

91.8 [81.9–97.3]

37.7 [25.6–51.0]

36.1 [24.2–49.4]

91.8 [81.9–97.3]

 Sp (%)

22.7 [11.5–37.8]

61.4 [45.5–75.6]

100 [92.0–100]

88.6 [75.4–96.2]

 PPV (%)

62.2 [51.4–72.2]

57.5 [40.9–73.0]

100 [84.6–100]

91.8 [81.9–97.3]

 NPV (%)

66.7 [38.4–88.2]

41.5 [29.4–54.4]

53.0 [41.7–64.1]

88.6 [75.4–96.2]

  1. UWS unstimulated whole saliva flow rate, Se sensitivity, Sp specificity, PPV positive predictive value, NPV negative predictive value