Analytical Variation Between Two Different TSH Reagents from the Same Manufacturer.

IF 1.5 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Indian Journal of Clinical Biochemistry Pub Date : 2023-01-01 Epub Date: 2021-02-11 DOI:10.1007/s12291-021-00957-2
Sudhesna Mohapatra, Sutirtha Chakraborty
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Abstract

Thyroid stimulating hormone (TSH) immunoassays are known for giving varying results based on the platform of testing and the generation of kit used. It is generally expected that the results should not vary to affect clinical diagnosis and management. We aimed to perform method comparison study between two TSH assays by the same manufacturer Siemens Healthineers. Results show that there is a large proportional error between the assays with a bias of -3.71mIu/L indicating that TSH assay gives higher values for TSH for the same patient as measured against the TSH3-Ultra kit. This can affect interpretation of results leading to false increase in patients categorized under hypothyroidism and subclinical hypothyroidism. We strongly suggest, to prevent errors in clinical evaluation of a patient with thyroid dysfunction, validation of the performance of the assay and method comparison should be performed in-house.

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同一制造商生产的两种不同 TSH 试剂之间的分析差异。
众所周知,促甲状腺激素(TSH)免疫测定会因检测平台和所用试剂盒的不同而得出不同的结果。一般来说,人们希望不同的结果不会影响临床诊断和管理。我们的目的是对同一制造商西门子医疗集团(Siemens Healthineers)的两种 TSH 检测方法进行比较研究。结果显示,这两种检测方法之间存在较大的比例误差,偏差为-3.71mIu/L,这表明 TSH 检测方法与 TSH3-Ultra 试剂盒测量的同一患者的 TSH 值较高。这可能会影响对结果的解释,导致被归类为甲状腺功能减退症和亚临床甲状腺功能减退症的患者人数增加。我们强烈建议,为防止在对甲状腺功能障碍患者进行临床评估时出现错误,应在内部对检测方法的性能进行验证和方法比较。
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来源期刊
Indian Journal of Clinical Biochemistry
Indian Journal of Clinical Biochemistry BIOCHEMISTRY & MOLECULAR BIOLOGY-
CiteScore
4.50
自引率
4.80%
发文量
74
期刊介绍: The primary mission of the journal is to promote improvement in the health and well-being of community through the development and practice of clinical biochemistry and dissemination of knowledge and recent advances in this discipline among professionals, diagnostics industry, government and non-government organizations. Indian Journal of Clinical Biochemistry (IJCB) publishes peer reviewed articles that contribute to the existing knowledge in all fields of Clinical biochemistry, either experimental or theoretical, particularly deal with the applications of biochemistry, molecular biology, genetics, biotechnology, and immunology to the diagnosis, treatment, monitoring and prevention of human diseases. The articles published also include those covering the analytical and molecular diagnostic techniques, instrumentation, data processing, quality assurance and accreditation aspects of the clinical investigations in which chemistry has played a major role, or laboratory animal studies with biochemical and clinical relevance.
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