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Table 5 Value of serological analysis of c-reactive protein (CRP) and erythrocyte sedimentation rate (ESR)

From: Prosthetic joint infection development of an evidence-based diagnostic algorithm

Author

Year

LoE

CoR

(n = x)

Sensitivity

Specificity

Positive predictive value

Negative predictive value

LR for a positive result

LR for a negative result

Bottner et al.

2007

I

I

78

      

 CRP (1.5 mg/dl)

    

0.95 (0.86–1.0)

0.91 (0.94–0.99)

0.8 (0.64–0.96)

0.98 (0.94–1.0)

10.86 (5.3–73.07)

0.05 (0.0–0.17)

 ESR (32 mm/h)

    

0.81 (0.64–0.98)

0.89 (0.82–0.97)

0.74 (0.56–0.92)

0.93 (0.8–1.0)

7.69 (3.47–38.2)

0.21 (0.02–0.44)

Savarino et al.

2004

I

I

26

      

 ESR (50 mm/h)

    

0.6 (0.3–0.9)

0.94 (0.82–1.0)

0.86 (0.71–1.0)

0.79 (0.61–0.97)

9.6 (1.64–16.1)

0.43 (0.09–0.86)

 CRP (2 mg/dl)

    

0.38 (0.14–0.61)

0.7 (0.42–0.98)

0.67 (0.36–0.97)

0.42 (0.18–0.65)

1.25 (0.24–38.34)

0.89 (0.39–2.07)

Kamme et al.

1980

I

I

63

      

 ESR(30 mm/h)

    

0.89 (0.8–0.99)

0.72 (0.54–0.9)

0.83 (0.71–0.94)

0.82 (0.66–0.98)

3.2 (1.75–9.54)

0.15 (0.01–0.37)

Greidanus et al.

2007

I

I

151

      

 ESR (30 mm/h)

    

0.82 (0.71–0.93)

0.88 (0.81–0.94)

0.74 (0.62–0.86)

0.92 (0.87–0.97)

6.7 (3.84–15.52)

0.2 (0.07–0.36)

 CRP (1.0 mg/dl)

    

0.93 (0.86–1.0)

0.83 (0.76–0.9)

0.7 (0.58–0.82)

0.97 (0.93–1.0)

5.5 (3.57–10.23

0.08 (0.01–0.18)

Della Valle et al.

2007

I

I

94

      

 ESR (30 mm/h)

    

0.9 (0.81–0.99)

0.66 (0.53–0.79)

0.67 (0.55–0.8)

0.9 (0.8–0.99)

2.66 (1.74–4.68)

0.15 (0.01–0.35)

 CRP (1 mg/dl)

    

0.95 (0.89–1.00)

0.75 (0.64–0.87)

0.75 (0.63–0.87)

0.95 (0.89–1.0)

3.88 (2.45–7.86)

0.06 (0.02–0.18)

Schinsky et al.

2008

I

I

201

      

 ESR (30 mm/h)

    

0.96 (0.91–1.0)

0.39 (0.31–0.47)

0.37 (0.29–0.45)

0.97 (0.92–1.0)

1.58 (1.33–1.91)

0.09 (0.0–0.28)

 CRP (1 mg/dl)

    

0.95 (0.89–1.0)

0.71 (0.94–1.0)

0.55 (0.45–0.65)

0.97 (0.94–1.0)

3.29 (2.45–4.69)

0.08 (0.0–0.18)

Fink et al.

2007

I

I

145

      

 CRP (1.35 mg/dl)

    

0.73 (0.59–0.86)

0.81 (0.73–0.88)

0.59 (0.45–0.73)

0.89 (0.82–0.95)

3.81 (2.21–7.48)

0.34 (0.15–0.56)

Bottner et al.

2007

I

I

78

0.95

0.87

0.74

0.98

n.p.

n.p.

 IL-6 (>12 pg/ml)

    

0.43

0.94

0.75

0.85

n.p.

n.p.

 TNF-a (>40 nl/ml)

    

0.33

0.98

0.87

0.8

n.p.

n.p.

 PCT (>0.3 ng/ml)

          

Di Cesare et al.

2005

III

III

58

      

 Il-6 (>10 pg/ml)

   

1

0.95 (0.89–1.0)

0.88 (0.73–1.0)

1

21.5 (9.14–60.85)

0