Table 3: Performance measures of Ontario Health Insurance Plan physician billing claims compared with self-reported influenza vaccination using Canadian Community Health Survey data, restricted to patients surveyed between Feb. 1 and Aug. 31
CharacteristicImmunity, no. Sensitivity
(95% CI)
Specificity (95% CI)PPV (95% CI)NPV (95% CI)
TPFPFNTN
Total5639408574416 01749.5 (48.6-50.5)97.5 (97.3-97.8)93.2 (92.6-93.9)73.6 (73.0-74.2)
Canadian Community Health Survey cycle
    2007/083745276383110 41449.4 (48.3-50.6)97.4 (97.1-97.7)93.1 (92.4-93.9)73.1 (72.4-73.8)
    2009/1018941321913560349.8 (48.2-51.3)97.7 (97.3-98.1)93.5 (92.4-94.6)74.5 (73.6-75.5)
Age group, yr
    12-1712634507174519.9 (16.8-23.0)98.1 (97.5-98.7)78.8 (72.4-85.1)77.5 (75.8-79.2)
    18-499601122025906032.2 (30.5-33.8)98.8 (98.6-99.0)89.6 (87.7-91.4)81.7 (81.0-82.5)
    50-641401831770361044.2 (42.5-45.9)97.8 (97.3-98.2)94.4 (93.2-95.6)67.1 (65.8-68.4)
    ≥ 6531521791442160268.6 (67.3-70.0)89.9 (88.6-91.3)94.6 (93.9-95.4)52.6 (50.9-54.4)
Sex
    Female33452213320822650.2 (49.0-51.4)97.4 (97.0-97.7)93.8 (93.0-94.6)71.2 (70.4-72.1)
    Male22941872424779148.6 (47.2-50.0)97.7 (97.3-98.0)92.5 (91.4-93.5)76.3 (75.4-77.1)
Residence
    Urban4485348436012 62850.7 (49.7-51.7)97.3 (97.0-97.6)92.8 (92.1-93.5)74.3 (73.7-75.0)
    Rural11425913763 35745.4 (43.4-47.3)98.3 (97.8-98.7)95.1 (93.9-96.3)70.9 (69.6-72.2)
Has a regular doctor (patient age, yr)
    Yes (< 65)2424218394112 70538.1 (36.9-39.3)98.3 (98.1-98.5)91.7 (90.7-92.8)76.3 (75.7-77.0)
    Yes ( 65)31191761349144169.8 (68.5-71.2)89.1 (87.6-90.6)94.7 (93.9-95.4)51.6 (49.8-53.5)
    No (< 65)6311361171014.9 (11.5-18.2)99.4 (99.0-99.7)85.1 (77.0-93.2)82.6 (80.9-84.2)
    No ( 65)33< 6< 9516126.2 (18.5-33.9)98.2 (96.1-100.0)91.7 (82.6-100.0)63.4 (57.5-69.3)
Risk factors for serious influenza infections (age ≥ 65 yr)
    Hypertension240312197789671.0 (69.6-72.6)88.1 (86.1-90.1)95.2 (94.4-96.0)47.8 (45.6-50.1)
    Asthma3681815913469.8 (65.9-73.7)88.2 (83.0-93.3)95.3 (93.2-97.4)45.7 (40.0-51.4)
    Diabetes8085233229370.9 (68.2-73.5)84.9 (81.2-88.7)94.0 (92.4-95.5)46.9 (43.0-50.8)
    Cancer4941919618671.6 (68.2-75.0)90.7 (86.8-94.7)96.3 (94.7-97.9)48.7 (43.7-53.7)
    COPD3481116412868.0 (63.9-72.0)92.1 (87.6-96.6)96.9 (95.2-98.7)43.8 (38.1-49.5)
    Congestive heart failure345101179474.7 (70.7-78.6)90.4 (84.7-96.1)97.2 (95.5-98.9)44.5 (37.8-51.3)
    Myocardial infarction20412786672.3 (67.1-77.6)84.6 (76.6-92.6)94.4 (91.4-97.5)45.8 (37.7-54.0)
    Chronic kidney disease18710816969.8 (64.3-75.3)87.3 (80.0-94.7)94.9 (91.9-98.0)46.0 (38.0-54.0)
    Morbid obesity*400132675.5 (63.9-87.1)100.0 (100.0-100.0)100.0 (100.0-100.0)66.7 (51.9-81.5)
    Stroke19114797070.7 (65.3-76.2)83.3 (75.4-91.3)93.2 (89.7-96.6)47.0 (39.0-55.0)
    Immunosuppression1947846369.8 (64.4-75.2)90.0 (83.0-97.0)96.5 (94.0-99.0)42.9 (34.9-50.9)
    Dementia5911193175.6 (66.1-85.2)73.8 (60.5-87.1)84.3 (75.8-92.8)62.0 (48.5-75.5)
    No risk factors4153527647360.1 (56.4-63.7)93.1 (90.9-95.3)92.2 (89.7-94.7)63.2 (59.7-66.6)

Note: CI = confidence interval, COPD = chronic obstructive pulmonary disease, FN = false negative, FP = false positive, NPV = negative predictive value, PPV = positive predictive value, TN = true negative, TP = true positive.

*Body mass index > 40.