Table 5

Sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios for the Rome IV and Rome III criteria for irritable bowel syndrome, and by subtype for Rome IV

Sensitivity
(95% CI)
Specificity
(95% CI)
Positive predictive value (95% CI)Negative predictive value (95% CI)Positive likelihood ratio (95% CI)Negative likelihood ratio (95% CI)
Rome IV criteria for IBS82.4%
(78.6% to 85.8%)
82.9%
(74.8% to 89.2%)
94.9%
(92.3% to 96.9%)
54.8%
(47.2% to 62.3%)
4.82
(3.30 to 7.28)
0.21
(0.17 to 0.26)
Rome IV criteria for IBS with constipation77.9%
(69.1% to 85.1%)
97.0%
(84.2% to 99.9%)
98.9%
(93.9% to 99.9%)
56.1%
(42.4% to 69.3%)
25.7
(5.07 to 145)
0.23
(0.16 to 0.32)
Rome IV criteria for IBS with diarrhoea81.7%
(74.7% to 87.4%)
60.5%
(44.4% to 75.0%)
88.4%
(82.0% to 93.1%)
47.3%
(33.7% to 61.2%)
2.07
(1.48 to 3.12)
0.30
(0.20 to 0.46)
Rome IV criteria for IBS with mixed bowel habits84.8%
(78.5% to 89.8%)
92.0%
(74.0% to 99.0%)
98.6%
(95.2% to 99.8%)
46.9%
(32.5% to 61.7%)
10.6
(3.39 to 38.2)
0.17
(0.11 to 0.24)
Rome III criteria for IBS85.8%
(81.9% to 89.2%)
65.0%
(54.6% to 74.4%)
90.4%
(86.9% to 93.3%)
54.3%
(44.8% to 63.6%)
2.45
(1.90 to 3.27)
0.22
(0.16 to 0.29)