Use of likelihood ratios improves clinical interpretation of IgG and IgA anti-DGP antibody testing for celiac disease in adults and children

Clin Biochem. 2011 Feb;44(2-3):248-50. doi: 10.1016/j.clinbiochem.2010.09.026. Epub 2010 Oct 12.

Abstract

Objective: To evaluate whether taking into account anti-deamidated gliadin peptide (DGP) antibody concentrations improves clinical interpretation.

Design and methods: We calculated likelihood ratios (LR) using data from two previously published studies for assays from EUROIMMUN and INOVA.

Results: LRs markedly increased with increasing IgG anti-DGP concentrations. LRs also increased with increasing IgA anti-DGP concentrations, although they were lower than for IgG anti-DGP.

Conclusions: Use of LRs for different test result intervals improves clinical interpretation.

MeSH terms

  • Adult
  • Celiac Disease* / immunology
  • Child
  • Gliadin* / immunology
  • Humans
  • Immunoglobulin A
  • Immunoglobulin G
  • Transglutaminases

Substances

  • Immunoglobulin A
  • Immunoglobulin G
  • Gliadin
  • Transglutaminases