Table 3: Validation of algorithms using different cut-offs for proportion of claims that were palliative care claims*
Algorithm cut-off, % of claims that were palliative care claimsSensitivity (95% CI)Specificity (95% CI)PPV (95% CI)NPV (95% CI)
≥ 50%24.0 (9.4–45.1)100.0 (96.1–100.0)100.0 (54.1–100.0)83.0 (74.8–89.5)
≥ 10%76.0 (54.9–90.6)97.8 (92.5–99.7)90.5 (69.6–98.8)93.8 (87.0–97.7)
≥ 5%76.0 (54.9–90.6)95.7 (89.4–98.8)82.6 (61.2–95.1)93.7 (86.8–97.7)
≥ 3%76.0 (54.9–90.6)88.2 (79.8–93.9)67.9 (47.7–84.1)93.2 (85.8–97.5)

Note: CI = confidence interval, NPV = negative predictive value, PPV = positive predictive value.
*Validation sample = physicians who participated in survey and self-identified as practising mostly palliative care (n = 118).