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Table 5 Diagnostic performance of the tested markers in combination

From: Plasma fibrinogen: a sensitive biomarker for the screening of periprosthetic joint infection in patients undergoing re-revision arthroplasty

Combinations

AUC (95% CI)

Youden index

Sensitivity

Specificity

PPV

NPV

Combination of two markers

 CRP + ESR

0.847(0.751–0.943)

0.618

84.4%

77.4%

79.5%

83.2%

 CRP + FIB

0.897(0.816–0.978)

0.685

75.0%

93.5%

92.3%

78.4%

 CRP + NLR

0.840(0.739–0.941)

0.680

93.8%

74.2%

79.0%

92.1%

 ESR + FIB

0.890(0.809–0.971)

0.619

81.3%

80.6%

81.2%

80.7%

 ESR + NLR

0.839(0.742–0.936)

0.582

90.6%

61.3%

70.7%

86.3%

 FIB + NLR

0.900(0.818–0.982)

0.712

93.8%

77.4%

81.0%

92.1%

Combination of three markers

 CRP + ESR + FIB

0.896(0.819–0.973)

0.656

68.8%

96.9%

95.8%

75.1%

 ESR + FIB + NLR

0.888(0.806–0.970)

0.681

87.5%

80.6%

82.3%

86.2%

 FIB + NLR + CRP

0.905(0.827–0.984)

0.746

87.5%

87.1%

87.5%

87.1%

 NLR + CRP + ESR

0.860(0.773–0.947)

0.558

71.9%

83.9%

82.2%

74.3%

Combination of four markers

 CRP + ESR + FIB + NLR

0.903(0.830–0.977)

0.684

78.1%

90.3%

89.3%

80.0%

  1. AUC area under the curve, 95% CI 95% confidence interval, CRP C-reactive protein, ESR erythrocyte sedimentation rate, FIB fibrinogen, NLR neutrophil–lymphocyte ratio, PPV positive predictive value, NPV negative predictive value