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Table 4 Rates of sensitivity, specificity, positive predictive value, negative predictive value, accuracy, and Cohen’s kappa values of unstimulated whole saliva compared to combined nasopharyngeal/oropharyngeal swabs stratified by age group and symptoms (all samples)

From: Accuracy of saliva for SARS-CoV-2 detection in outpatients and their household contacts during the circulation of the Omicron variant of concern

 

Asymptomatic

Symptomatic

 

Children and adolescents (< 18 years old)

Sensitivity Estimate % (95% CI)

62.5 (42.6–78.9)

84.0 (70.5–92.0)

Specificity Estimate % (95% CI)

97.1 (90.5–99.2)

87.5 (49.5–98.0)

Positive Predictive Value Estimate % (95% CI)

83.3 (51.6–97.9)

95.5 (77.2–99.9)

Negative Predictive Value Estimate % (95% CI)

91.9 (83.2–97.0)

63.6 (30.8–89.1)

Accuracy Estimate % (95% CI)

90.7 (82.5–95.9)

84.9 (68.1–94.9)

Cohen’s kappa a Estimate % (95% CI)

0.66 (0.44–0.88)

0.63 (0.35–0.91)

 

Adults (18 years and older)

Sensitivity Estimate % (95% CI)

81.1 (67.1–90.0)

75.7 (68.9–81.4)

Specificity Estimate % (95% CI)

95.7 (92.0-97.8)

85.0 (64.2–94.7)

Positive Predictive Value Estimate % (95% CI)

81.1 (64.8–92.0)

94.6 (85.1–98.9)

Negative Predictive Value Estimate % (95% CI)

95.7 (91.4–98.3)

50.0 (32.4–67.6)

Accuracy Estimate % (95% CI)

93.0 (88.5–96.1)

77.8 (67.8–85.9)

Cohen’s kappa a Estimate % (95% CI)

0.77 (0.65–0.88)

0.49 (0.30–0.67)

  1. CI Confidence Interval, a Cohen’s kappa values: <0: No agreement; 0-0.20: Slight agreement; 0.21–0.40: Fair agreement; 0.41–0.60: Moderate agreement; 0.61–0.80: Substantial agreement; 0.81-1.0: Almost perfect agreement