A global multicenter study on reference values: 1. Assessment of methods for derivation and comparison of reference intervals
Autor: | Yoshihisa Shimizu, Dilshad Khan, Shogo Kimura, Ling Qiu, Yesim Ozarda, Svetlana Evgina, George G. Klee, Reynan Rolle, Kazuo Mori, Rajiv T Erasmus, Reo Kawano, David A. Armbruster, Kiyoshi Ichihara, Laura Schreier, Tester F. Ashavaid, Binod Kumar Yadav, Julian H. Barth, Anwar Borai |
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Přispěvatelé: | Uludağ Üniversitesi/Tıp Fakültesi/Biyokimya Anabilim Dalı., Özarda, Ozarda, Yesim Yesim, AAL-8873-2021 |
Rok vydání: | 2016 |
Předmět: |
Serum
Male 030213 general clinical medicine Internationality Clinical Biochemistry Normal Distribution 030204 cardiovascular system & hematology Common biochemical analytes Feasibility study Biochemistry Plasma 0302 clinical medicine Nutritional status Reference Values Statistics Clinical Chemistry Thyrotropin Chemical Species Parametric statistics Mathematics Tests Latent abnormal values exclusion method Ethnic difference General Medicine Reference preparation crm470 Multicenter study Healthy Volunteers Normal human Clinical trial Variable (computer science) Muscle exercise Body mass Modified Box-Cox power transformation Female Standard deviation ratio Human Adult Laboratory test Standards Strategy Data analysis Article Validity Neference value Normal distribution 03 medical and health sciences Collaborative derivation Laboratory technique Ethnic differences Reference individuals Analytic method Humans Aged Protocol (science) Serum panel Inflammation Biochemistry medical Clinical Laboratory Techniques Biochemistry (medical) Nonparametric statistics Reference intervals Worldwide multicenter Standardization 6 asian cities Harmonization Reference values Latent abnormal values exclusion Medical laboratory technology International cooperation Reference value |
Zdroj: | Clinica Chimica Acta. |
ISSN: | 0009-8981 |
DOI: | 10.1016/j.cca.2016.09.016 |
Popis: | Objectives: The IFCC Committee on Reference Intervals and Decision Limits coordinated a global multicenter study on reference values (RVs) to explore rational and harmonizable procedures for derivation of reference intervals (Rls) and investigate the feasibility of sharing RIs through evaluation of sources of variation of RVs on a global scale. Methods: For the common protocol, rather lenient criteria for reference individuals were adopted to facilitate harmonized recruitment with planned use of the latent abnormal values exclusion (LAVE) method. As of July 2015, 12 countries had completed their study with total recruitment of 13,386 healthy adults. 25 analytes were measured chemically and 25 immunologically. A serum panel with assigned values was measured by all laboratories. Rls were derived by parametric and nonparametric methods. Results: The effect of LAVE methods is prominent in analytes which reflect nutritional status, inflammation and muscular exertion, indicating that inappropriate results are frequent in any country. The validity of the parametric method was confirmed by the presence of analyte-specific distribution patterns and successful Gaussian transformation using the modified Box-Cox formula in all countries. After successful alignment of RVs based on the panel test results, nearly half the analytes showed variable degrees of between-country differences. This finding, however, requires confirmation after adjusting for BMI and other sources of variation. The results are reported in the second part of this paper. Conclusion: The collaborative study enabled us to evaluate rational methods for deriving Rls and comparing the RVs based on real-world datasets obtained in a harmonized manner. Ministry of Education, Culture, Sports, Science and Technology, Japan (MEXT) Japan Society for the Promotion of Science - 24256003 |
Databáze: | OpenAIRE |
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