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Table 4 Predictive validity – identifying sick leaves lasting at least 26 weeks. Predictive validity of the ability to identify sick leaves lasting at least 26 weeks, using 8, 12 or 26 weeks, as cut-offs in length as predicted by the sick-listed, medical consultants or officers. Sensitivity, specificity, PPV and likelihood ratio data for NIO assessors are presented as means for length predicted on Sickness Certificates 1 and Sickness Certificates 2 (SC2).

From: Length of sick leave – Why not ask the sick-listed? Sick-listed individuals predict their length of sick leave more accurately than professionals

Predicted length

n assess-ments

Sensitivity (95% CI)

Specificity (95% CI)

Likelihood ratio (95% CI)

PPV1 (95% CI)

PPV adjusted to prevalence 17.9%(95% CI)

Sick-listed >= 8 weeks

152

0.69

(0.50–0.84)

0.69

(0.60–0.77)

2.2

(1.3–3.9)

0.37

(0.25–0.51)

0.33

(0.21–0.47)

Sick-listed >= 12 weeks

152

0.50

(0.32–0.68)

0.83

(0.75–0.90)

3.0

(1.5–6.1)

0.44

(0.28–0.62)

0.40

(0.24–0.58)

Sick-listed >= 26 weeks

152

0.28

(0.14–0.47)

0.98

(0.94–1.00)

16.9

(3.5–160)

0.82

(0. 48–0.98)

0.78

(0.44–0.95)

Consultants >= 8 weeks

1961

0.44

(0.39–0.49)

0.72

(0.70–0.74)

1.6

(1.3–1.9)

0.25

(0.22–0.29)

 

Consultants >= 12 weeks

1961

0.20

(0.16–0.24)

0.92

(0.90–0.93)

2.4

(1.8–3.2)

0.35

(0.28–0.41)

 

Consultants >= 26 weeks

1961

0.07

(0.04–0.10)

0.99

(0.98–0.99)

2.8

(1.5–5.4)

0.54

(0.38–0.69)

 

Officers >= 8 weeks

1968

0.55

(0.50–0.60)

0.58

(0.56–0.61)

1.3

(1.1–1.5)

0.22

19.3–24.9

 

Officers >= 12 weeks

1968

0.26

(0.21–0.31)

0.83

(0.81–0.85)

1.6

(1.3–2.0)

0.25

(0.20–0.29)

 

Officers >= 26 weeks

1968

0.06

(0.04–0.09)

0.98

(0.97–0.98)

1.5

(0.9–2.6)

0.34

(0.23–0.48)

 

SC2

      

Consultants >= 12 weeks

637

0.89

(0.86–0.93)

0.29

(0.25–0.34)

1.3

(1.1–1.5)

0.44

(0.40–0.48)

0.22

(0.18–0.25)

Consultants >= 26 weeks

637

0.24

(0.19–0.29)

0.96

(0.93–0.98)

5.9

(3.4–11.0)

0.79

(0.68–0.87)

0.56

(0.41–0.70)

Officers >= 12 weeks

636

0.89

(0.85–0.93)

0.21

(0.17–0.25)

1.1

(0.9–1.3)

0.41

(0.37–0.45)

0.20

(0.16–0.23)

Officers >= 26 weeks

636

0.28

(0.22–0.34)

0.90

(0.87–0.93)

2.8

(1.9–4.3)

0.64

(0.54–0.73)

0.38

(0.28–0.49)

  1. 1The prevalence of sick leaves lasting at least 26 weeks was 21.1% in the responder group (n = 152), 17.9% for all the data (n = 993), and 38.5% in the SC2 group (n = 322).