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Table 3 Clinical agreement and misclassification rates between CD4 measured on EDTA Day 0 (reference test) and CD4 measured on ST Day 7 and Day 14 (index test) at CD4 thresholds for ART eligibility of 350 cells/μL and 500 cells/μL

From: Opportunities to improve storage and transportation of blood specimens for CD4 testing in a rural district in Zimbabwe using BD vacutainer CD4 stabilization tubes: a stability and diagnostic accuracy study

EDTA Day 0

ST Day 7

Sensitivity: 100 (78.2 – 100); PPV: 100 (78.2 – 100)

≤350

≤350

Total

Specificity: 100 (89.7 – 100); NPV: 100 (89.7 – 100)

≥350

15

0

15

Total misclassification rate: 0

≥350

0

34

34

Upward misclassification rate: 0

Total

15

34

49

Downward misclassification rate: 0

EDTA Day 0

ST Day 14

Sensitivity: 83.3 (35.9 – 99.6); PPV: 100 (47.8 – 100)

≤350

≥350

Total

Specificity: 100 (75.3 – 100); NPV: 92.9 (66.1 – 99.8)

≤350

5

1

6

Total misclassification rate: 5.2

≥350

0

13

13

Upward misclassification rate: 5.2 (1/19)

Total

5

14

19

Downward misclassification rate: 0

EDTA Day 0

ST Day 7

Sensitivity: 100 (85.2 – 100); PPV: 88.5 (69.8 – 97.6)

≤500

≥500

Total

Specificity: 88.5 (69.8 – 97.6); NPV: 100 (85.2 – 100)

≥500

23

0

23

Total misclassification rate: 6.1 (3/49)

≤500

3

23

26

Upward misclassification rate: 0

Total

26

23

49

Downward misclassification rate: 6.1 (3/49)

EDTA Day 0

ST Day 14

Sensitivity: 88.9 (51.8 – 99.7); PPV: 80.0 (44.4 – 97.5)

≤500

≥500

Total

Specificity: 80.0 (44.4 – 97.5): NPV: 88.9 (51.8 – 99.7)

≥500

8

1

9

Total misclassification rate: 15.7 (3/19)

≥500

2

8

10

Upward misclassification rate: 5.2 (1/19)

Total

10

9

19

Downward misclassification rate: 10.5 (2/19)