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.
Marker
ROC-AUC
Sensitivity
Specificity
Positive predictive value
Negative predictive value
Positive likelihood ratio
Negative likelihood ratio
(95% CI)
Enolase-Cr
0.443 (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)
CA125
0.220 (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)
CA19-9
0.359 (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.