Reducing the need for repeating urine drug testing with the gray zone determined by the measurement uncertainty.

IF 1.8 4区 心理学 Q4 PSYCHOLOGY, EXPERIMENTAL Perceptual and Motor Skills Pub Date : 2023-10-27 DOI:10.5937/jomb0-41777
Kagan Huysal, Yasemin Üstündağ, Hatice Azra Çağlak, Yeşil Meryem Rümeysa
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Abstract

Background: On an initial urine screening test for illegal substances, if the concentration of a substance is at or above the determined legislative threshold, it is reported as positive. Repeating testing with the same sample to verify it before reporting is a common practice in clinical laboratories. This study aimed to determine whether measurement uncertainty (MU) results can be used to detect a grey zone to reduce repeat testing.

Methods: A retrospective study was conducted using data from the laboratory information system between January 1, 2020, and July 1, 2022. Samples studied twice within one hour before reporting for the same urine sample were analyzed. The MU values for urinary amphetamine, cannabinoid, cocaine, and opioid parameters were calculated using ADVIA Chemistry reagents on a Siemens ADVIA 1800 chemical analyzer. The grey zone was defined as the cut-off value ± MU.

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减少重复尿液药物检测的需要,灰色区域由测量不确定性决定。
背景:在对非法药物进行初次尿液筛查检验时,如果某种药物的浓度达到或超过所确定的立法阈值,则报告为阳性。在报告前对同一样本进行重复检测以进行验证是临床实验室的常见做法。本研究旨在确定测量不确定性(MU)结果是否可用于检测灰色区域,以减少重复检测:利用实验室信息系统中 2020 年 1 月 1 日至 2022 年 7 月 1 日期间的数据进行了一项回顾性研究。对同一尿样在报告前一小时内检测两次的样本进行了分析。使用西门子ADVIA 1800化学分析仪上的ADVIA化学试剂计算尿液中苯丙胺、大麻素、可卡因和阿片参数的MU值。灰色区域定义为临界值 ± MU。
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来源期刊
Perceptual and Motor Skills
Perceptual and Motor Skills PSYCHOLOGY, EXPERIMENTAL-
CiteScore
2.90
自引率
6.20%
发文量
110
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