Multicenter evaluation of the commutability of a potential reference material for harmonization of enzyme activities

Verfasser / Beitragende:
[Volkher Scharnhorst, Joke Apperloo, Henk Baadenhuijsen, Huib L. Vader]
Ort, Verlag, Jahr:
2004
Enthalten in:
Clinical Chemical Laboratory Medicine, 42/12(2004-12-01), 1401-1407
Format:
Artikel (online)
ID: 378898094
LEADER caa a22 4500
001 378898094
003 CHVBK
005 20180305123511.0
007 cr unu---uuuuu
008 161128e20041201xx s 000 0 eng
024 7 0 |a 10.1515/CCLM.2004.261  |2 doi 
035 |a (NATIONALLICENCE)gruyter-10.1515/CCLM.2004.261 
245 0 0 |a Multicenter evaluation of the commutability of a potential reference material for harmonization of enzyme activities  |h [Elektronische Daten]  |c [Volkher Scharnhorst, Joke Apperloo, Henk Baadenhuijsen, Huib L. Vader] 
520 3 |a Standardization of laboratory results allows for the use of common reference intervals and can be achieved via calibration of field methods with secondary reference materials. These harmonization materials should be commutable, i.e., they produce identical numerical results independent of assay principle or platform. This study assessed the commutability of a cryolyoprotectant-containing harmonization material, obtained from the Dutch Foundation for Quality Assessment in Clinical Laboratories, that is intended to harmonize measurements of enzyme activities within the Dutch project "Calibration 2000”. The catalytic concentrations of alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, γ-glutamyltransferase and creatine kinase were analyzed in pooled patient sera and in the reference material in 14 laboratories. On liquid chemistry analyzers the harmonization material behaves like patient material. The enzyme activities measured in it fall on the regression lines calculated from activities measured in serum samples. For dry chemistry analyzers the activities of all enzymes measured in the harmonizator differ from the serum-based regression line. We show that this is due to the sucrose-containing cryolyoprotectant in the harmonization material. For each enzyme, correction factors were calculated that compensated for the bias and proved to be constant between reagent lots. Depending on the enzyme activity measured, application of these factors leads to 2- to 10-fold reduction of between-laboratory percentage coefficient of variation. Thus, additives to (potential) reference materials may alter their matrix in a way that interferes with analysis on certain test systems. The bias caused may be quantifiable and correctable. Establishment of correction factors leads to analytical uncertainties and costs. Therefore, matrix-based materials without additives should be selected as reference materials. 
540 |a ©2004 by Walter de Gruyter Berlin New York 
690 7 |a Medical equipment & techniques  |2 nationallicence 
690 7 |a Medical diagnosis  |2 nationallicence 
690 7 |a Diseases & disorders  |2 nationallicence 
690 7 |a catalytic enzyme concentration  |2 nationallicence 
690 7 |a dry chemistry analyzers  |2 nationallicence 
690 7 |a harmonization  |2 nationallicence 
690 7 |a matrix effect  |2 nationallicence 
690 7 |a reference materials  |2 nationallicence 
690 7 |a traceability  |2 nationallicence 
700 1 |a Scharnhorst  |D Volkher  |u Clinical Laboratory, Máxima Medical Center, Veldhoven, The Netherlands  |4 aut 
700 1 |a Apperloo  |D Joke  |u Clinical Laboratory, Máxima Medical Center, Veldhoven, The Netherlands  |4 aut 
700 1 |a Baadenhuijsen  |D Henk  |u Dutch Foundation for Quality Assessment in Clinical Laboratories (SKML), University Hospital Nijmegen, Nijmegen, The Netherlands  |4 aut 
700 1 |a Vader  |D Huib L.  |u Clinical Laboratory, Máxima Medical Center, Veldhoven, The Netherlands  |4 aut 
773 0 |t Clinical Chemical Laboratory Medicine  |d Walter de Gruyter  |g 42/12(2004-12-01), 1401-1407  |x 1434-6621  |q 42:12<1401  |1 2004  |2 42  |o cclm 
856 4 0 |u https://doi.org/10.1515/CCLM.2004.261  |q text/html  |z Onlinezugriff via DOI 
908 |D 1  |a research article  |2 jats 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1515/CCLM.2004.261  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Scharnhorst  |D Volkher  |u Clinical Laboratory, Máxima Medical Center, Veldhoven, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Apperloo  |D Joke  |u Clinical Laboratory, Máxima Medical Center, Veldhoven, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Baadenhuijsen  |D Henk  |u Dutch Foundation for Quality Assessment in Clinical Laboratories (SKML), University Hospital Nijmegen, Nijmegen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Vader  |D Huib L.  |u Clinical Laboratory, Máxima Medical Center, Veldhoven, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Clinical Chemical Laboratory Medicine  |d Walter de Gruyter  |g 42/12(2004-12-01), 1401-1407  |x 1434-6621  |q 42:12<1401  |1 2004  |2 42  |o cclm 
900 7 |b CC0  |u http://creativecommons.org/publicdomain/zero/1.0  |2 nationallicence 
898 |a BK010053  |b XK010053  |c XK010000 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-gruyter