Table 3.
Diagnostic accuracy of plasma calprotectin and CRP for diagnosing remission in IBD patients
| UC (n = 99) | CD (n = 209) | |||||
|---|---|---|---|---|---|---|
| plasma calprotectin, EliATM (automated) | plasma calprotectin, CalprestTM (manual) | hs-CRP | plasma calprotectin, EliATM (automated) | plasma calprotectin, CalprestTM (manual) | hs-CRP | |
| AUROCa | 0.999b | 0.986b | 0.960 | 0.675c | 0.662c | 0.716 |
| SE | 0.001 | 0.01 | 0.02 | 0.05 | 0.05 | 0.05 |
| 95% CI | 0.962–1.000 | 0.939–0.999 | 0.900–0.989 | 0.607–0.738 | 0.594–0.726 | 0.649–0.776 |
| Optimal threshold | ≤10.5 | ≤8.1 | ≤5.9 | ≤10.2 | ≤13.3 | ≤11.8 |
| Sensitivity | 98.63 | 87.67 | 90.41 | 48.04 | 67.6 | 62.01 |
| 95% CI | 92.6–100.0 | 77.9–94.2 | 81.2–96.1 | 40.5–55.6 | 60.2–74.4 | 54.5–69.1 |
| Specificity | 100 | 100 | 96.15 | 83.33 | 63.33 | 76.67 |
| 95% CI | 86.8–100.0 | 86.8–100.0 | 80.4–99.9 | 65.3–94.4 | 43.9–80.1 | 57.7–90.1 |
| PPV | 100 | 100 | 98.5 | 94.5 | 91.7 | 94.1 |
| 95% CI | 95.0–100.0 | 94.4–100.0 | 92.0–100.0 | 87.6–98.2 | 85.6–95.8 | 88.2–97.6 |
| NPV | 96.3 | 74.3 | 78.1 | 21.2 | 24.7 | 25.3 |
| 95% CI | 81.0–99.9 | 56.7–87.5 | 60.0–90.7 | 14.2–29.7 | 15.6–35.8 | 16.7–35.5 |
| p valuea | <0.0001 | <0.0001 | <0.0001 | 0.0003 | 0.001 | <0.0001 |
CRP, C-reactive protein; 95% CI, 95% confidence interval; PPV, positive predictive value; NPV, negative predictive value; SE, standard error.
aDiagnostic accuracy calculated via ROC analysis according to DeLong et al. [17].
bComparison of AUROC values for calprotectin accuracy between the two assays (EliA™ vs. Calprest™, p = 0.10).
cComparison of the accuracy of the AUROC values for calprotectin between the two assays (EliA™ vs. Calprest™, p = 0.3).