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A Comparison between Three Different Automated Total 25-hydroxyvitamin D Immunoassay Methods and Ultra Performance Liquid Chromatography

机译:三种不同自动化总量的25-羟基维生素D免疫测定方法的比较和超高效液相色谱法

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Objective: Vitamin D is a fat soluble vitamin responsible for calcium metabolism and more recently discovered effects. This led to an increase in requests for vitamin D test by clinicians. New automated assays have been introduced for 25-hydroxyvitamin D measurement. Methods: Results from these new method have to be related to a Standard method to obtain best results for practical usage. In our study, one hundred venous blood samples were analyzed for 25-OH vitamin D on three immunological methods in our lab and correlated with ultra-performance liquid chromatography (UPLC) method as a reference method. Results: Statistically analysis of results obtained for correlations between the 3 methods against the reference UPLC was done by Spearman’s Correlation. It showed positive correlation in all methods with significant p value 0.001. Differences and biases between methods were evaluated using a Bland-Altman plot and Cohen’s Kappa agreement. Best agreement was found in Cobas 6000 followed by the Access2 then comes Architect. Conclusions: All immunoassays can be used in routine 25(OH) D measurements, still some methods are better than others. A clinical laboratory must at least be aware of its method to avoid misinterpretation of results.
机译:目的:维生素D是一种脂溶性维生素,负责钙代谢,最近发现的效果。这导致临床医生对维生素D检验的要求增加。已经引入了新的自动化测定,用于25-羟基维生素D测量。方法:这些新方法的结果必须与标准方法有关,以获得实际使用的最佳效果。在我们的研究中,在我们的实验室中的三种免疫方法中分析了一百一百静脉血液样品,并与超高效液相色谱(UPLC)法作为参考方法相关。结果:通过Spearman的相关性完成了对参考UPLC的3种方法之间的相关结果的统计分析。它在所有方法中显示出阳性相关性,具有显着的P值<0.001。使用Bland-Altman Plot和Cohen的Kappa协议评估方法之间的差异和偏差。在COBAS 6000中发现了最佳协议,然后是Access2然后是Architect。结论:所有免疫测定可用于常规25(OH)D测量,仍然比其他方法更好。临床实验室必须至少意识到其方法以避免误解结果。

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