Clinical Comparison of OC-Sensor Pledia and Phadia 250 for Fecal Calprotectin Testing

<b>Background:</b> The fecal calprotectin (f-Cal) test is a convenient method used for differentiating inflammatory bowel disease (IBD) from functional bowel disorders. The OC-Sensor Pledia (OC-FCa; Eiken Chemical Co., Tokyo, Japan) is a latex agglutination turbidimetric immunoassay used...

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Main Authors: Eunju Shin, Jong Do Seo, Hee Sook Shim, Hanah Kim, Mina Hur, Yeo-Min Yun, Hee-Won Moon
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/14/22/2490
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author Eunju Shin
Jong Do Seo
Hee Sook Shim
Hanah Kim
Mina Hur
Yeo-Min Yun
Hee-Won Moon
author_facet Eunju Shin
Jong Do Seo
Hee Sook Shim
Hanah Kim
Mina Hur
Yeo-Min Yun
Hee-Won Moon
author_sort Eunju Shin
collection DOAJ
description <b>Background:</b> The fecal calprotectin (f-Cal) test is a convenient method used for differentiating inflammatory bowel disease (IBD) from functional bowel disorders. The OC-Sensor Pledia (OC-FCa; Eiken Chemical Co., Tokyo, Japan) is a latex agglutination turbidimetric immunoassay used for f-Cal measurements. We evaluated the clinical performance of OC-FCa and compared the f-Cal levels between OC-FCa and Phadia 250 (Thermo Fisher Scientific, Freiburg, Germany). <b>Methods:</b> We collected 278 stool samples; of these, 158 were taken from patients with suspected IBD, and 120 were taken from healthy individuals. We analyzed the f-Cal distribution in each group and compared the clinical performance and agreement between OC-FCa and Phadia 250. <b>Results:</b> The f-Cal of patients with IBD was significantly different from that of patients without IBD for both OC-FCa and Phadia 250 (<i>p</i> < 0.0001 and <i>p</i> < 0.001, respectively). The concordance between OC-FCa and Phadia 250 was 82.3%, with moderate agreement (kappa = 0.644, 95% confidence interval = 0.525–0.763). OC-FCa and Phadia 250 showed a high correlation (r = 0.90); their diagnostic performance showed moderate accuracy (AUC = 0.873 and 0.866, respectively) and had no significant difference (<i>p</i> = 0.616). <b>Conclusions:</b> Both OC-FCa and Phadia 250 showed a high correlation and good clinical performance. F-Cal measured using OC-FCa was reliable for initial differentiation between patients with IBD and without IBD. Therefore, OC-FCa and Phadia 250 could be alternative devices for measuring f-Cal depending on the laboratory situation.
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spelling doaj-art-31aea4d9c4e34626b1e4486453e313492025-08-20T02:07:59ZengMDPI AGDiagnostics2075-44182024-11-011422249010.3390/diagnostics14222490Clinical Comparison of OC-Sensor Pledia and Phadia 250 for Fecal Calprotectin TestingEunju Shin0Jong Do Seo1Hee Sook Shim2Hanah Kim3Mina Hur4Yeo-Min Yun5Hee-Won Moon6Department of Laboratory Medicine, Konkuk University School of Medicine, Seoul 05030, Republic of KoreaDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul 05030, Republic of KoreaDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul 05030, Republic of KoreaDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul 05030, Republic of KoreaDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul 05030, Republic of KoreaDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul 05030, Republic of KoreaDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul 05030, Republic of Korea<b>Background:</b> The fecal calprotectin (f-Cal) test is a convenient method used for differentiating inflammatory bowel disease (IBD) from functional bowel disorders. The OC-Sensor Pledia (OC-FCa; Eiken Chemical Co., Tokyo, Japan) is a latex agglutination turbidimetric immunoassay used for f-Cal measurements. We evaluated the clinical performance of OC-FCa and compared the f-Cal levels between OC-FCa and Phadia 250 (Thermo Fisher Scientific, Freiburg, Germany). <b>Methods:</b> We collected 278 stool samples; of these, 158 were taken from patients with suspected IBD, and 120 were taken from healthy individuals. We analyzed the f-Cal distribution in each group and compared the clinical performance and agreement between OC-FCa and Phadia 250. <b>Results:</b> The f-Cal of patients with IBD was significantly different from that of patients without IBD for both OC-FCa and Phadia 250 (<i>p</i> < 0.0001 and <i>p</i> < 0.001, respectively). The concordance between OC-FCa and Phadia 250 was 82.3%, with moderate agreement (kappa = 0.644, 95% confidence interval = 0.525–0.763). OC-FCa and Phadia 250 showed a high correlation (r = 0.90); their diagnostic performance showed moderate accuracy (AUC = 0.873 and 0.866, respectively) and had no significant difference (<i>p</i> = 0.616). <b>Conclusions:</b> Both OC-FCa and Phadia 250 showed a high correlation and good clinical performance. F-Cal measured using OC-FCa was reliable for initial differentiation between patients with IBD and without IBD. Therefore, OC-FCa and Phadia 250 could be alternative devices for measuring f-Cal depending on the laboratory situation.https://www.mdpi.com/2075-4418/14/22/2490OC-SensorcalprotectinPhadia 250agreementperformanceinflammatory bowel disease
spellingShingle Eunju Shin
Jong Do Seo
Hee Sook Shim
Hanah Kim
Mina Hur
Yeo-Min Yun
Hee-Won Moon
Clinical Comparison of OC-Sensor Pledia and Phadia 250 for Fecal Calprotectin Testing
Diagnostics
OC-Sensor
calprotectin
Phadia 250
agreement
performance
inflammatory bowel disease
title Clinical Comparison of OC-Sensor Pledia and Phadia 250 for Fecal Calprotectin Testing
title_full Clinical Comparison of OC-Sensor Pledia and Phadia 250 for Fecal Calprotectin Testing
title_fullStr Clinical Comparison of OC-Sensor Pledia and Phadia 250 for Fecal Calprotectin Testing
title_full_unstemmed Clinical Comparison of OC-Sensor Pledia and Phadia 250 for Fecal Calprotectin Testing
title_short Clinical Comparison of OC-Sensor Pledia and Phadia 250 for Fecal Calprotectin Testing
title_sort clinical comparison of oc sensor pledia and phadia 250 for fecal calprotectin testing
topic OC-Sensor
calprotectin
Phadia 250
agreement
performance
inflammatory bowel disease
url https://www.mdpi.com/2075-4418/14/22/2490
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