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Table 1 Summary of the agreement between the albumin to creatinine ratio (ACR) and protein to creatinine ratio (PCR) determined by test strip analysis as compared to the quantitative lab test in the cross-sectional cohort

From: Optimization of screening strategy for chronic kidney disease by urine test strips using the albumin-creatinine read-out

 

QUANTITATIVE ACR

  

QUANTITATIVE ACR

  

QUANTITATIVE ACR

SEMI-QUANTITATIVE ACR

Categories (mg albumin/g creatinine)

 

SEMI-QUANTITATIVE PCR

Categories (mg albumin/g creatinine)

 

Qualitative Protein Concentration

Categories (mg albumin/g creatinine)

Categories (mg albumin/g creatinine)

< 30

≥ 30

Total

 

Categories (mg protein/g creatinine)

< 30

≥ 30

Total

 

Categories (mg protein/g creatinine)

< 30

≥ 30

Total

< 30

711

39

750

 

< 150

740

86

826

 

Negative

678

57

735

≥ 30

51

139

190

 

≥ 150

22

92

114

 

Positive

84

121

205

Total

762

178

940

 

Total

762

178

940

 

Total

762

178

940

Agreement

90.4%

 

Agreement

88.5%

 

Agreement

85.0%

Cohen’s kappa (Weighted)

0.696

 

Cohen’s kappa (Weighted)

0.566

 

Cohen’s kappa (Weighted)

0.538

Sensitivity

78.1% (95%CI: 71.3–83.9%)

 

Sensitivity

51.7% (95%CI: 44.1–59.2%)

 

Sensitivity

68.0% (95%CI: 60.6 − 74.8%

Specificity

93.3% (95%CI: 91.3–95.0%)

 

Specificity

97.1% (95%CI: 95.7–98.2%)

 

Specificity

89.0% (95%CI: 86.5 − 91.1%)

PPV

73.2% (95%CI: 66.3–79.3%)

 

PPV

80.7% (95%CI: 72.2–87.5%)

 

PPV

59.0% (95%CI: 52.0 − 65.8%)

NPV

94.8% (95%CI: 93.0–96.3)

 

NPV

89.6% (95%CI: 87.3–91.6%)

 

NPV

92.2% (9%CI: 90.1 − 94.1%)

LR+

11.7 (95%CI: 8.9–15.4)

 

LR+

17.9 (95%CI: 11.6–27.7)

 

LR+

6.2 (95%CI: 4.9–7.7)

LR-

0.23 (95%CI: 0.18–0.31)

 

LR-

0.50 (95%CI: 0.43–0.58)

 

LR-

0.36 (95%CI: 0.29–0.45)

Predictive probability

0.873 95%CI: 0.836–0.910

 

Predictive probability

0.749 (95%CI: 0.700–0.797)

 

Predictive probability

0.785 (95%CI: 0.743–0.828)

  1. Abbreviations: ACR: albumin-to-creatinine ratio; PPV: positive predictive value; NPV: negative predictive value; LR+: positive likelihood ratio; LR-: negative likelihood ratio; PCR: protein-to-creatinine- ratio