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. 2022 Nov 17;2022(11):CD013652. doi: 10.1002/14651858.CD013652.pub2
  Test groups (true negatives/non‐COVID cases)
Specificity (95% CI)
  IgG IgM IgG or IgM Total Ab IgA IgA or IgG
Overall result 96 (6036/6176) 44 (2492/2625) 36 (2047/2175) 22 (1407/1411) 5 (278/311) 2 (203/219)
  98.6
(98.0, 99.0)
97.0
(95.1, 98.2)
96.8
(94.4, 98.2)
99.8
(98.6, 100)
89.1
(80.6, 94.2)
92.7
(88.4, 95.5)
By test method  
ELISA 28 (1573/1619) 8 (495/503) 3 (261/270) 3 (158/158) 5 (278/311) 2 (203/219)
  98.0
(96.5, 98.8)
98.8
(96.6, 99.6)
96.9
(85.4, 99.4)
100a
(97.7, 100)**
89.1
(80.6, 94.2)
92.7
(88.4, 95.5)
CLIA 34 (2465/2514) 4 (202/204) 1 (20/20) 16 (1249/1253)    
  98.9
(98.1, 99.4)
99.4
(96.2, 99.9)
100a
(83.2, 100)**
99.8
(98.5, 100)
   
Lateral flow/CGIA/FIA 34 (1998/2043) 32 (1795/1918) 31 (1707/1826)      
  98.6
(97.6, 99.2)
95.4
(92.8, 97.0)
96.4
(93.7, 98.0)
     
COMPARISON 0.2587 0.0097 0.4655      
By antigen  
N‐based 29 (1889/1916) 11 (540/559) 6 (389/397) 12 (786/787)    
  99.1
(98.3, 99.5)
97.5
(93.9, 99.0)
99.0
(95.1, 99.8)
99.7
(98.2, 99.9)
   
S‐based 38 (2668/2738) 8 (719/746) 10 (652/671) 10 (656/657) 5 (278/311) 2 (203/219)
  98.3
(97.3, 99.0)
97.5
(93.0, 99.1)
99.0
(96.2, 99.7)
99.8
(98.3, 100)
89.1
(80.6, 94.2)
92.7
(88.4, 95.5)
N‐ and S‐based 17 (877/895) 15 (718/755) 10 (500/542)      
  98.9
(97.4, 99.5)
97.7
(94.5, 99.1)
95.9
(88.5, 98.6)
     
Unclear/not reported 12 (602/627) 10 (515/565) 10 (506/565)      
  96.9
(94.0, 98.4)
94.0
(87.2, 97.3)
90.9
(85.6, 94.4)
     
  0.2515 0.9853 0.1613 0.6053    
aP value obtained using ‘meqrlogit’; P < 0.0001 (comparison excluded ‘other/mixed/unclear’ group)
*95% exact binomial confidence interval
**97.5% one‐sided exact binomial confidence interval
CI: confidence interval
CGIA: colloidal gold immunoassayCLIA: chemiluminescent immunoassayELISA: enzyme‐linked immunoassayFIA: fluorescence immunoassay