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One study demonstrated clinical examination sensitivity for identifying an abscess of 86 % (95%% CI 76, 93%%), specificity of 70%95(95 % CI 55, 82 %).
The improvement was not as great using MBS items for pelvic girdle examination (sensitivity increased to 80%, 89% specificity) or a radiation oncologist consultation (85% sensitivity, 79% specificity).
In a previous study even histological examination sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy were demonstrated to be reduced on acid reducing drugs [ 8].
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Belli and colleagues [ 9] and Ternier and colleagues [ 15] reported the test performance of ultrasound, with sensitivities of 43% and 87%, and specificities of 31% and 73% respectively, and for clinical examination, sensitivities of 43% and 62%, and specificities of 56%and49%9% respectively.
In a prospective clinical study of 104 patients, the specificity of the Finkelstein test performed by two experienced hand surgeons was estimated to average 0.14 after complementary X-ray and ultrasonography examinations (sensitivity: 0.89) [ 7].
When dynamic evaluation of tumour marker associations was considered with an accurate history and laboratory examinations, sensitivity, specificity, accuracy, NPV and PPV of CEA-TPA-CA15.3 tumour marker panel were higher than the corresponding of MCA-CA15.3 association.
These included best-corrected visual acuity, ophthalmological examination, contrast sensitivity, colour vision/colour contrast sensitivity and central visual field.
In addition to the ANOVA, additional analyses including the area under the receiver-operator curve and examination of sensitivity and specificity were performed to examine reliability.
By examining non-symptomatic joints as part of the US examination, the sensitivity of the test was enhanced but the specificity decreased.
At examination 2, sensitivity and specificity were 100%.
However, the relative advantage of human papillomavirus testing over follow-up cytology will be influenced by the frequency of negative follow-up cytologic examination and sensitivity of liquid-based preparations in a given practice.
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