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.