Research Article

The Diagnostic Accuracy of Combined Enolase/Cr, CA125, and CA19-9 in the Detection of Endometriosis

Table 3

AUC, sensitivity, specificity, PPV, NPV, +LR, and -LR of individual and combined markers for endometriosis.

MarkerROC-AUCSensitivitySpecificityPositive predictive valueNegative predictive valuePositive likelihood ratioNegative likelihood ratio
(95% CI)

Enolase-Cr0.443 (0.317-0.569)97.8 (88.7-99.9)13.5 (4.5-28.8)58.9 (55.94-62.27)83.3 (36.91-99.26)1.13 (0.8-52.0)0.16 (0.1-1.0)
CA1250.220 (0.117-0.322)69.5 (54.2-82.3)86.5 (71.2-95.5)86.4 (73.37-93.6)69.5 (59.14-78.23)5.11 (1.8-5.5)0.35 (0.08-0.4)
CA19-90.359 (0.241-0.476)27.6 (15.6-42.6)100 (90.5-100.0)100 (90.1-100.0)52.1 (47.74-56.52)0.72 (0.2-1.6)
0.675 (0.573-0.710)65 (56.5-72.9)66.6 (57.1-75.3)71 (64.69-76.57)60.1 (53.82-66.28)1.94 (1.5-5.5)0.52 (0.4-0.7)

The cut-off values for urinary enolase 1, enolase-Cr, CA125, and CA19-9 were 1181 ng/mL, 0.96 ng/mg Cr, 35 IU/mL, and 37 IU/mL, respectively. Abbreviations: ROC-AUC: areas under the receiver operating characteristic curves.