Table 4 Diagnostic utility of individual measures for detecting iron deficiency (ID)a/ID anemia (IDA)b, % (95% confidence interval)

From: Detection of iron deficiency in children with Down syndrome

  

Sensitivity

Specificity

PPV

NPV

ROC

Low Hgb

ID

0 (0–8)

98 (97–99)

0 (0)

95 (94–95)

0.49

IDA

100 (69–100)

99 (98–100)

56 (39–71)

100 (100)

1.00

Low MCV

ID

9 (2–21)

99 (97–99)

25 (10–50)

95 (95)

0.54

IDA

30 (7–65)

98 (97–99)

19 (7–41)

99 (99)

0.64

High RDW

ID

91 (79–98)

91 (89–93)

38 (32–44)

99 (99–100)

0.91

IDA

100 (69–100)

88 (86–90)

9 (8–11)

100 (100)

0.94

Low ferritin

ID

28 (16–44)

99 (97–99)

50 (33–67)

96 (95–97)

0.64

IDA

80 (44–97)

98 (97–99)

31 (20–44)

100 (99–100)

0.89

Low ferritin (normal CRP)

ID

50 (31–69)

99 (98–100)

79 (57–91)

97 (96–98)

0.75

IDA

75 (19–99)

97 (96–99)

16 (8–28)

100 (99–100)

0.86

Low TS

ID

93 (82–99)

86 (83–88)

27 (24–31)

100 (99–100)

0.90

IDA

80 (44–97)

82 (80–85)

5 (4–7)

100 (99–100)

0.81

Low TS (normal CRP)

ID

90 (73–98)

87 (84–89)

26 (22–31)

99 (98–100)

0.88

IDA

100 (40–100)

84 (80–86)

4 (3–5)

100 (100)

0.92

  1. CRP c-reactive protein, Hgb  hemoglobin, MCV   mean corpuscular volume, NPV  negative predictive value; PPV  positive predictive value, RDW   red cell distribution width, ROC   receiver operating characteristic, TS transferrin saturation.
  2. aID = two abnormal biochemical markers of iron (low ferritin and low TS), or one abnormal biochemical marker plus elevated RDW.
  3. bIDA  =  ID plus a low hemoglobin concentration.