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. 2021 Oct 18;11(10):1927. doi: 10.3390/diagnostics11101927

Table 2.

Agreement of PD-L1 expression in paired histological and cytological non-small cell lung cancer specimens with different cytological sample types specified.

PD-L1 All Cases Pleural Effusions Bronchial Brushes Bronchoalveolar Lavages
Cutoff ≥1% positive cells
(95% CI)
Kappa (κ) 0.70 (0.56–0.83) 0.48 (0.08–0.87) 0.55 (0.21–0.90) 0.81 (0.66–0.95)
OPA 85 (77–91) 74 (51–89) 76 (52–91) 91 (81–96)
PPA 89 (77–95) 70 (39–90) 100 (56–100) 92 (78–98)
NPA 81 (67–90) 78 (44–95) 64 (35–85) 89 (71–97)
McNemar 0.61 1.00 0.134 0.683
Cutoff ≥5% positive cells
(95% CI)
Kappa (κ) 0.53 (0.37–0.70) 0.42 (−0.01–0.84) 0.65 (0.32–0.99) 0.53 (0.33–0.74)
OPA 77 (68–84) 74 (51–89) 82 (58–95) 77 (65–85)
PPA 73 (59–84) 57 (25–84) 100 (56–100) 72 (54–85)
NPA 80 (67–89) 83 (54–97) 73 (43–91) 81 (64–91)
McNemar 1.00 1.00 0.248 0.606
Cutoff ≥10% positive cells
(95% CI)
Kappa (κ) 0.51 (0.34–0.69) 0.07 (−0.39–0.52) 0.64 (0.29–0.99) 0.56 (0.35–0.76)
OPA 77 (68–84) 68 (46–85) 82 (58–95) 78 (66–87)
PPA 71 (55–83) 20 (2–64) 100 (51–100) 75 (56–88)
NPA 81 (69–89) 86 (59–97) 75 (46–92) 81 (65–91)
McNemar 1.00 0.683 0.248 0.789
Cutoff ≥50% positive cells
(95% CI)
Kappa (κ) 0.53 (0.34–0.72) −0.16 (−0.33–0.00) 0.85 (0.57–1.00) 0.58 (0.36–0.80)
OPA 82 (73–89) 68 (46–85) 94 (71–100) 83 (72–90)
PPA 63 (44–79) 00 (00–55) 100 (45–100) 68 (46–85)
NPA 89 (80–95) 87 (61–98) 92 (65–100) 89 (76–96)
McNemar 0.81 0.683 1.00 1.00

Kappa (κ) is presented as range −1–1. OPA, PPA, and NPA are presented as percent with histology as the non-reference standard. McNemar analyses are presented as p-values; CI: confidence interval; Kappa (κ): Cohen’s kappa coefficient; NPA: Negative Percentage Agreement; OPA: Overall Percentage Agreement; PPA: Positive Percentage Agreement.