Table 4– Summary of studies analysing the concordance of interferon-γ release assays (IGRA) and tuberculin skin testing (TST) for the screening of tuberculosis infection in patients with chronic immune-mediated inflammatory diseases (IMID)
First author [ref.]CountryIGRATST cut-off mm#Participants nIMID conditionBCG %Indeterminate %κConcordant resultsDiscordant results
TST+/IGRA+ n (%)TST-/IGRA-n (%)TST-/IGRA+ n (%)TST+/IGRA- n (%)
Cobanoglu 143TurkeyQFT-G IT1068 cases38 controls>65% RA+AS10010.35.30.14-0.058 (13.1) 023 (37.7)23 (63.8)1 (1.6)1 (2.8)29 (47.5)12 (33.3)
Matulis 144SwitzerlandQFT-G IT5142>65% RA+SA8360.1610 (7)60 (44.7)5 (3.5)34 (25.4)
Dinser 132GermanyFlow cytometric assay597>50% RA5.100.316 (6.2)74 (76.3)10 (10.3)7 (7.2)
Ponce de Leon 145PeruQFT-G IT5101 cases93 controlsRA80.2 80.61.900.370.5521 (20.8)16 (17.2)50 (49.5)61 (65.6)24 (23.8)5 (5.4)6 (5.9)11 (11.8)
Vassiloupolos 146GreeceT-SPOT.TB570>85% RA+AS+PA4000.3812 (17.1)39 (55.7)4 (5.7)15 (21.5)
Bocchino 147ItalyQFT-G IT T-SPOT.TB56969RA+IBD+PA2.82.85.80.570.4814 (20.9)12 (18.5)41 (61.2)39 (60)8 (11.9) (13.8)4 (6)5 (7.7)
Bartalesi 148ItalyQFT-G ITƒ398>85% RA+PA+AS4.11.50.5539 (10)306 (77.8)13 (3.3)35 (8.9)
Murakami 149JapanELISPOT§571RA10000.184 (5.7)50 (71.4)6 (8.4)11 (15.5)
Martin 150+IrelandT-SPOT.TB QFT-G515072RA+PA+AS824.72.80.2NA++6 (4.2)NA++110 (77)NA++8 (5.6)NA++19 (13.2)NA++
Behar 151USAT-SPOT.TB5##179>80% RA4.70-0.0190 (0)167 (93.3)10 (5.6)2 (1.1)
Laffitte 152SwitzerlandT-SPOT.TB550SP9000.338 (16)28 (56)2 (4)12 (24)
Soborg 153DenmarkQFT-G¶¶234>50% RA7650.29 (4)180 (77)9 (4)36 (15)
Inanc 154TurkeyQFT-G5140RA+AS845.70.2941 (31)40 (30)5 (4)46 (35)
  • BCG: bacillus Calmette–Guérin; QFT-G IT: QuantiFERON TB Gold In-tube; QFT-G: QuantiFERON TB Gold; RA: rheumatoid arthritis; AS: ankylosing spondylitis; SA: spondylarthropathies; PA: psoriatic arthritis; SP: severe psoriasis; IBD: inflammatory bowel disease; NA: not available. #: refers to the TST cut-off in the IMID subjects (and not in the controls, where present); : TST analysed retrospectively; the median time between performing the TST and the QFT assay was 102 days (range 7–184 days); +: concordance between QFT-G and T-SPOT.TB 98.4% (agreement: k = 0.9); §: in-house ELISPOT with antigens CFP-10 and ESAT-6; ƒ: TST cut-off >5, >10 or >15, stratified by groups at risk and risk factors for Mycobacterium tuberculosis infection; ##: TST was read, after instruction, by the patients themselves; ¶¶: TST cut-off ≥12 for BCG vaccinated and ≥6 for unvaccinated; ++: data on discordant results between two tests not available.