Table 2. Agreement between IGRA and TST using different cut-off values of TST.
One-step TST | Two-step TST | |||||||
≥10 (mm)* | ≥11 (mm)* | ≥13 (mm)* | ≥15 (mm)* | ≥10 (mm)* | ||||
BCG (−)** | BCG (+)** | |||||||
TST+/IGRA+ (n) | 114 | 44 | 39 | 102 | 86 | 69 | 119 | |
TST+/IGRA- (n) | 49 | 14 | 27 | 30 | 21 | 13 | 58 | |
TST-/IGRA+ (n) | 21 | 8 | 8 | 33 | 49 | 66 | 16 | |
TST-/IGRA- (n) | 71 | 33 | 23 | 90 | 99 | 107 | 62 | |
Agreement, % | 72.5 | 77.8 | 63.9 | 75.3 | 72.5 | 69.0 | 71.0 | |
Kappa (SE) | 0.44 (0.06) | 0.55 (0.10) | 0.29 (0.09) | 0.50 (0.06) | 0.46 (0.06) | 0.39 (0.06) | 0.41 (0.06) | |
Symmetry test*** | Chi-squared value | 11.2 | 1.64 | 10.3 | 0.14 | 11.2 | 35.6 | 23.8 |
p value | 0.0008 | 0.20 | 0.0013 | 0.71 | 0.0008 | <0.0001 | <0.0001 |
IGRA: Interferon-gamma release assay; TST: Tuberculin skin test; SE: Standard error; BCG (−): Without history of BCG vaccination; BCG (+): With history of BCG vaccination;
N = 255; all subjects with valid data sets.
N = 99 and 97 for BCG (−) and BCG (+) groups, respectively.
Equivalent to McNemar test for evaluation of the symmetry of TST+/IGRA- and TST-/IGRA+.