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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 4 Performance of different individual biomarkers for the diagnosis of PJI

From: C-reactive protein (CRP)/albumin-to-globulin ratio (AGR) is a valuable test for diagnosing periprosthetic joint infection: a single-center retrospective study

Biomarker

AUC (95%CI)

Optimal cutoff

Sensitivity

Specificity

PPV

NPV

CRP

0.896 (0.838–0.938)

6.59 mg/L

82.98%

83.76%

67.24%

92.45%

ESR

0.829 (0.763–0.883)

34 mm/h

63.83%

95.73%

85.72%

86.82%

NLR

0.740 (0.666–0.805)

2.71

68.09%

70.09%

47.77%

84.54%

PLR

0.721 (0.646–0.788)

132.67

85.11%

51.28%

41.24%

89.55%

PVR

0.668 (0.590–0.739)

34.31

46.81%

83.76%

53.66%

79.68%

GLB

0.719 (0.644–0.787)

33.8 g/L

63.83%

74.36%

50.00%

83.65%

AGR

0.767 (0.694–0.829)

1.19

68.09%

76.07%

53.34%

85.58%

CRP/AGR

0.902 (0.845–0.943)

5.08

82.98%

82.91%

66.11%

92.38%

  1. AUC area under the curve, PPV positive predictive value, NPV negative predictive value