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. 2023 Nov 21;28(23):7685. doi: 10.3390/molecules28237685

Table 3.

Comparison of the classification of smoking status based on five biomarkers.

Urinary Biomarkers Cases Cotinine Nicotine Nornicotine 3-OH Cotinine Anabasine
Positive Negative Positive Negative Positive Negative Positive Negative Positive Negative
(3682) (16,192) (3460) (16,414) (3567) (16,440) (3574) (16,566) (3566) (17,250)
Cotinine Positive 3437 245 3550 113 3519 163 2641 1041
Negative 23 15,172 17 15,178 55 15,140 925 14,270
κ 0.954 (0.948–0.959) 0.978 (0.974–0.982) 0.963 (0.958–0.968) 0.664 (0.651–0.678)
Nicotine Positive 3437 23 3434 26 3308 152 2624 836
Negative 245 16,169 133 16,281 266 16,148 942 15,472
κ 0.954 (0.948–0.959) 0.973 (0.968–0.977) 0.968 (0.964–0.973) 0.693 (0.679–0.706)
Nornicotine Positive 3550 17 3434 133 3417 150 2636 931
Negative 132 16,308 26 16,414 157 16,283 930 15,510
κ 0.978 (0.974–0.982) 0.973 (0.968–0.977) 0.948 (0.942–0.953) 0.683 (0.669–0.696)
3-OH cotinine Positive 3519 55 3308 266 3417 157 2562 1012
Negative 163 16,403 152 16,414 150 16,416 1004 15,562
κ 0.963 (0.958–0.968) 0.968 (0.964–0.973) 0.948 (0.942–0.953) 0.657 (0.643–0.671)
Anabasine Positive 2641 925 2624 942 2636 930 2562 1004
Negative 1041 16,209 836 16,414 931 16,319 1012 16,238
κ 0.664 (0.651–0.678) 0.693 (0.679–0.706) 0.683 (0.669–0.696) 0.657 (0.643–0.671)

3-OH cotinine, trans-3′-hydroxycotinine; κ, Cohen’s kappa. Furthermore, 20 ng/mL for nicotine and cotinine, 50 ng/mL for 3-OH cotinine, and 2 ng/mL for nornicotine and anabasine are the cut-off values of five biomarkers for distinguishing between current smokers and non-current smokers.