Table 2 Sensitivity, specificity, and positive and negative likelihood ratios of individual symptom items and statistical models
Symptom item and studies reportingSensitivity (95% CI)Specificity (95% CI)Positive likelihood ratio (95% CI)Negative likelihood ratio (95% CI)
Rectal bleeding
Tate 19883264% (35% to 87%)65.5% (56% to 74%)1.86 (1.07 to 2.77)0.55 (0.25 to 0.96)
Brenna 19903396% (79% to 100%)40% (35% to 46%)1.61 (1.32 to 1.80)0.10 (0.02 to 0.50)
Berkowitz 19932879% (49% to 95%)61% (55% to 67%)2.03 (1.33 to 2.57)0.35 (0.12 to 0.78)
Neugut 19933677% (66% to 86%)34% (31% to 37%)1.17 (1.0 to 1.31)0.67 (0.43 to 1.0)
Brewster 19943033% (15% to 57%)65.5% (61% to 70%)0.97 (0.49 to 1.62)1.02 (0.69 to 1.28)
Steine 19942931.5% (19.5% to 45.5%)85% (83% to 86%)2.06 (1.33 to 2.98)0.81 (0.65 to 0.94)
Cheong 20003555% (31.5% to 77%)72% (66% to 77%)1.95 (1.18 to 2.82)0.63 (0.36 to 0.93)
Morini 20012770% (53.5% to 83%)37% (31% to 42%)1.10 (0.85 to 1.33)0.82 (0.49 to 1.28)
de Bosset 20023149% (35% to 63%)71% (68% to 74%)1.71 (1.23 to 2.24)0.71 (0.53 to 0.90)
Selvachandran 20021886% (78% to 92.5%)31% (29% to 33%)1.25 (1.12 to 1.34)0.45 (0.26 to 0.72)
Panzuto 20033444% (28.5% to 60%)60% (53% to 66%)1.09 (0.72 to 1.54)0.94 (0.68 to 1.21)
Ahmed 20051663% (45% to 78.5%)25% (21% to 29.5%)0.84 (0.62 to 1.04)1.49 (0.90 to 2.24)
Bjerregaard 20071768% (59% to 76%)47% (45% to 49%)1.28 (1.11 to 1.44)0.68 (0.52 to 0.87)
Thompson 20071971% (67% to 75%)37% (36% to 38%)1.13 (1.06 to 1.20)0.78 (0.67 to 0.89)
Summary measures64% (55% to 73%)52% (42% to 63%)1.32 (1.19 to 1.47)0.76 (0.66 to 0.87)
Change in bowel habit
Tate 19883264% (35% to 87%)78% (70% to 85.5%)2.98 (1.64 to 4.79)0.46 (0.21 to 0.79)
Berkowitz 1993287% (0.2% to 34%)73% (67.5% to 78%)0.26 (0.05 to 1.19)1.27 (0.93 to 1.42)
Neugut 19933612% (6% to 22%)83% (80.5% to 86%)0.72 (0.38 to 1.31)1.06 (0.94 to 1.13)
Brewster 19943038% (18% to 62%)82% (77% to 85%)0.98 (0.53 to 1.55)1.01 (0.67 to 1.32)
Steine 19942945% (32% to 69%)61% (56% to 66%)1.00 (0.72 to 1.29)1.00 (0.76 to 1.24)
Cheong 20003525% (9% to 49%)81% (76% to 86%)1.34 (0.58 to 2.66)0.92 (0.65 to 1.11)
Morini 20012712.5% (4% to 27%)94% (90% to 96%)1.95 (0.78 to 4.57)0.93 (0.79 to 1.02)
Selvachandran 20021886% (78% to 92.5%)28% (26% to 29.5%)1.19 (1.07 to 1.28)0.50 (0.29 to 0.80)
Panzuto 20033419.5% (9% to 35%)79.5% (74% to 84%)0.95 (0.48 to 1.76)1.01 (0.82 to 1.16)
Bjerregaard 20071763% (54% to 72%)55% (53% to 57%)1.40 (1.20 to 1.60)0.67 (0.52 to 0.83)
Thompson 20071977% (73% to 81%)56% (55% to 57%)1.76 (1.66 to 1.85)0.41 (0.35 to 0.48)
Summary measures41% (23% to 60%)69% (58% to 78%)1.29 (1.05 to 1.59)0.82 (0.66 to 1.01)
Anaemia
Tate 1988327% (0.2% to 34%)91% (85% to 96%)0.83 (0.14 to 4.18)1.02 (0.75 to 1.12)
Berkowitz 1993287% (0.2% to 34%)84% (80% to 88%)0.46 (0.08 to 2.09)1.10 (0.81 to 1.20)
Cheong 2000352% (0% to 20%)95% (92% to 98%)0.52 (0.05 to 4.53)1.02 (0.85 to 1.07)
Morini 20012715% (6% to 30%)93% (90% to 96%)2.24 (0.96 to 4.89)0.91 (0.76 to 1.00)
de Bosset 20023112% (4% to 24%)90% (87% to 92%)1.14 (0.52 to 2.35)0.98 (0.85 to 1.06)
Panzuto 20033468% (52% to 82%)83% (77% to 87%)3.98 (2.77 to 5.59)0.38 (0.24 to 0.57)
Bjerregaard 20071711% (6% to 18.5%)90% (89% to 92%)1.19 (0.71 to 1.95)0.98 (0.90 to 1.03)
Summary measures17% (5.5% to 33%)90% (87% to 92%)1.43 (0.75 to 2.74)0.96 (0.87 to 1.06)
Weight loss
Steine 19942931% (19% to 45%)81% (79% to 83%)1.65 (1.07 to 2.38)0.85 (0.69 to 0.98)
de Bosset 2002318% (2% to 19%)97% (96% to 98%)3.01 (1.10 to 7.85)0.95 (0.84 to 1.00)
Selvachandran 20021818% (11% to 27%)92% (91% to 94%)2.39 (1.50 to 3.67)0.89 (0.79 to 0.96)
Panzuto 20033437% (22% to 53%)89% (84% to 92%)3.24 (1.86 to 5.41)0.71 (0.54 to 0.87)
Bjerregaard 20071721% (14% to 30%)79% (77% to 81%)1.03 (0.71 to 1.43)0.99 (0.89 to 1.08)
Summary measures22% (14% to 31%)89% (81% to 95%)1.96 (1.25 to 3.08)0.91 (0.84 to 0.98)
Diarrhoea
Tate 19883214% (2% to 42%)78% (70% to 86%)0.66 (0.18 to 2.0)1.09 (0.76 to 1.29)
Morini 2001271% (0% to 11%)95% (92% to 97%)0.26 (0.03 to 2.37)1.04 (0.94 to 1.07)
de Bosset 2002312% (0% to 10%)89% (87% to 91%)0.18 (0.03 to 0.94)1.10 (1.01 to 1.14)
Selvachandran 20021869.5% (59% to 78.5%)61% (59% to 63%)1.78 (1.52 to 2.02)0.50 (0.36 to 0.66)
Panzuto 20033424% (12% to 40%)69% (62% to 74%)0.78 (0.43 to 1.31)1.10 (0.87 to 1.30)
Summary measures19% (1% to 54%)80% (63% to 93%)0.74 (0.34 to 1.62)0.98 (0.85 to 1.13)
Iron deficiency anaemia
Tate 1988327% (0% to 34%)91% (85% to 96%)0.83 (0.14 to 4.18)1.02 (0.75 to 1.12)
Berkowitz 1993287% (0% to 34%)84% (80% to 88%)0.46 (0.08 to 2.09)1.10 (0.81 to 1.20)
de Bosset 20023112% (4% to 24%)90% (87% to 92%)1.14 (0.52 to 2.35)0.98 (0.85 to 1.06)
Panzuto 20033468% (52% to 82%)83% (77% to 87%)3.98 (2.77 to 5.59)0.38 (0.24 to 0.57)
Summary measures23% (2%% to 57%)87% (83% to 91%)1.38 (0.48 to 3.94)0.88 (0.68 to 1.13)
Abdominal mass
Cheong 2000355% (0% to 29%)96% (93% to 98%)1.37 (0.23 to 7.27)0.99 (0.79 to 1.04)
Bjerregaard 2007174% (1% to 9%)97% (96% to 98%)1.50 (0.62 to 3.51)0.99 (0.93 to 1.01)
Summary measures5% (2% to 9%)97% (96% to 98%)1.47 (0.68 to 3.19)0.99 (0.95 to 1.02)
Dark red rectal bleeding
Selvachandran 2002187% (3% to 15%)97% (97% to 98%)2.71 (1.28 to 5.57)0.95 (0.88 to 0.99)
Bjerregaard 20071724% (17% to 32%)94% (93% to 95%)4.27 (2.94 to 6.07)0.81 (0.72 to 0.88)
Summary measures15% (3% to 34%)96% (93% to 98%)3.83 (2.62 to 5.61)0.88 (0.75 to 1.04)
Statistical models
Bellentani 19902695% (65% to 100%)54% (48% to 61%)2.10 (1.47 to 2.46)0.08 (0.01 to 0.59)
Selvachandran 20021891% (83% to 96%)62% (60% to 64%)2.38 (2.16 to 2.57)0.15 (0.08 to 0.28)
Summary measures90% (84% to 95%)59% (52% to 66%)2.35 (2.16 to 2.55)0.15 (0.08 to 0.26)