Table 2

Summary performance estimates given for the independent significant covariate, prevalence. Also given are the estimates of sensitivity for each level of the covariate x-ray group, which was significant for the dependent variable logit (sensitivity)

Model estimates of performance characteristics in significant covariates
High prevalenceLow prevalence
Sensitivity (%)
 Soft tissue x-rays93.7 (79.5 to 98.3)68.3 (44.3 to 85.3)
 Appendicular x-rays97.3 (93.3 to 99.0)84.0 (70.3 to 92.2)
 Axial skeletal x-rays58.6 (17.3 to 90.5)17.0 (2.4 to 63.1)
 Summary95.8 (91.1 to 98.1)78.3 (65.7 to 87.2)
Specificity (%)
 Summary56.0 (41.9 to 69.2)92.3 (90.0 to 94.2)
Positive likelihood ratio
 Summary2.2 (1.6 to 3.0)10.2 (7.6 to 13.8)
Negative likelihood ratio
 Summary0.07 (0.03 to 0.17)0.23 (0.14 to 0.38)
Diagnostic Odds ratio
 Summary37.3 (3.6 to 101.3)36.1 (21.0 to 62.3)
  • All estimates are derived from the hierarchical regression model and take into account variation in performance between individual doctors and different x-ray groups. The covariate x-ray group has three levels: soft tissue (chest and abdominal x-rays), appendicular (limbs, hands and feet) and axial (skull, spine and sacrum). Interaction terms were not significant. 95% CIs are shown in brackets.