Research Article

Antiphospholipase A2 Receptor Autoantibodies: A Comparison of Three Different Immunoassays for the Diagnosis of Idiopathic Membranous Nephropathy

Table 1

Qualitative agreements between the different methods.

All IMN and NC patients ( )IFA-CBAPercent agreement (95% confidence)
PositiveNegativeTotal

ELISA
 Positive831093Pos. agreement = 82.2% (73.3–89.1%)
 Negative1887105Neg. agreement = 89.7% (81.9–94.9%)

 Total10197198Total agreement = 85.9% (80.2–90.4%)

kappa = 0.72 (95% CI 0.62–0.81)

All IMN and NC patients ( )IFA-CBAPercent Agreement (95% confidence)
PositiveNegativeTotal

ALBIA
 Positive1006106Pos agreement = 99.0% (94.6–100.0%)
 Negative19192Neg agreement = 93.8% (87.0–97.7%)

 Total10197198Total agreement = 96.5% (92.9–98.6%)

kappa = 0.93 (95% CI 0.88–0.98)

All IMN and NC patients ( )ELISAPercent agreement (95% confidence)
PositiveNegativeTotal

ALBIA
 Positive8323106Pos agreement = 89.2% (81.1–94.7%)
 Negative108292Neg agreement = 78.1% (69.0–85.6%)

 Total93105198Total agreement = 83.3% (77.4–88.2%)

kappa = 0.67 (95% CI 0.57–0.77)