Table 4

Direct comparison of the ‘Reduced’ HUNT model against NLST criteria, for the same number of individuals as selected by the NLST (n=918), on the control group of DLCST (n=1999). The HUNT model shows increased predictive performance in all metrics (sensitivity, specificity, PPV, NPV)

LC (N)Without LC (N)Total (N)Predictive value
Population521 9471999
‘Reduced’ HUNT
 Criteria positive40 TP (4.36%)878 FP (95.64%)918†PPV 4.36%
 Criteria negative12 FN (1.11%)1069 TN (98.89%)1081NPV 98.89%
 Sensitivity76.92%
 Specificity54.90%
NLST‡
 Criteria positive35 TP (3.81%)883 FP (96.19%)918*PPV 3.81%
 Criteria negative17 FN 1.57%1064 TN 98.43%1081NPV 98.43%
 Sensitivity67.31%
 Specificity54.65%
  • ‘Reduced’ HUNT model.

  • *‘Reduced’ HUNT model criteria.

  • †The number of those picked by the NLST, but with the top risk score by the ‘Reduced’ HUNT model.

  • ‡NLST criteria (: >30 pack years of smoking, <15 years since quitting and ages between 55 and 74 years).

  • FN, false negative; FP, false positive; NPV, negative predictive value; PPV, positive predictive value; TN, true negative; TP, true positive.