| Autor: |
Thunberg, Joel, Grännö, Olle, Bergemalm, Daniel, Eriksson, Carl, Visuri, Isabella, Eberhardson, Michael, Halfvarson, Jonas |
| Předmět: |
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| Zdroj: |
Scandinavian Journal of Gastroenterology; 2024, Vol. 59 Issue 2, p150-155, 6p |
| Abstrakt: |
Proactive therapeutic drug monitoring (TDM) is often challenged by long turnaround time when using enzyme-linked immunosorbent assays (ELISAs), especially when analyses are centralised. Point-of-care tests (POCTs) allow rapid assessments, but data on their agreement with existing in-house methodologies are scarce. To examine the agreement between a POCT by ProciseDx (San Diego, CA) and the most frequently used in-house ELISA for infliximab (IFX) quantification in Sweden. Serum samples were analysed using the in-house ELISA, Karolinska University Hospital, Stockholm, Sweden and a POCT by ProciseDx (San Diego, CA). Agreement was assessed and differences were examined. Samples from 61 inflammatory bowel disease (IBD) patients were analysed with a median IFX concentration of 7.9 μg/mL (interquartile range (IQR) 5.5–13) for the POCT and 7.9 μg/mL (IQR 5.2–12) for the ELISA (Pearson's correlation coefficient = 0.95 (95% CI 0.92–0.97, p <.01)). A Passing–Bablok regression yielded an intercept of −0.44 and a slope of 1.09. The Bland–Altman plot showed a systemic bias of −0.77 μg/mL (95% CI −0.18 to −1.4) between the methods. The upper limit of agreement was 3.7 (95% CI 2.7–4.8) (μg/mL), whereas the lower limit agreement was −5.3 (95% CI −6.3 to −4.3) (μg/mL). An excellent reliability was observed, intraclass correlation showed = 0.94 (95% CI 0.89–0.96, p <.0001). When defining IFX concentration as subtherapeutic (<3.0 μg/mL), therapeutic (3.0–7.0 μg/mL) or supratherapeutic (>7.0 μg/mL) drug levels, Kappa statistics showed a substantial agreement (0.79). The POCT by ProciseDx (San Diego, CA) demonstrated a good agreement with the in-house ELISA, supporting its use for rapid IFX quantification. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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