Bulletin of the World Health Organization

Anthropometric and immunological success of antiretroviral therapy and prediction of virological success in west African adults

Eugène Messou, Delphine Gabillard, Raoul Moh, André Inwoley, Souleymane Sorho, Serge Eholié, François Rouet, Catherine Seyler, Christine Danel, Xavier Anglaret

Volume 86, Number 6, June 2008, 435-442

Table 3. Sensitivity, specificity and predictive values of a loss in BMI, a loss in CD4 cells or both, for predicting virological failure at 6 months

Loss in BMI and/or CD4 No. of patients(N)a No. with virological failure(n)b Se(%) Sp(%) PPV(%) NPV(%)
Loss in BMI
< –4 kg/m² 2 0 0 99 0 84
< –3 kg/m² 6 1 1 99 17 84
< –2 kg/m² 23 4 4 96 17 84
< –1 kg/m² 61 8 8 90 13 84
< 0 kg/m² 140 23 23 78 16 84
Loss in CD4
< –150/μl 2 0 0 99 0 84
< –100/μl 6 1 1 99 17 84
< –50/μl 29 6 6 96 21 84
< 0/μl 67 18 18 90 27 85
Combined losses
< –1 kg/m² and < –50/μl 8 1 1 99 13 84
< 0 kg/m² and < 0/μl 25 9 9 97 36 85

BMI, body mass index; CD4, CD4+ T-cell count; NPV, negative predictive value; PPV, positive predictive value; Se, sensitivity; Sp, specificity.a No. of patients in whom the gain in BMI and/or the gain in CD4 is higher than the corresponding threshold at 6 months.b No. of patients with undetectable viral load at 6 months.