Interlaboratory standardization of glycated hemoglobin determinations.

Abstract:

:As the clinical utility of glycated hemoglobin (gHb) measurement increases, so does the need for standardization of values between different methods and different laboratories. Using three different methods, we examined the feasibility of interlaboratory standardization of gHb measurement. A liquid-chromatographic (HPLC) system from our research laboratory was designated the reference method. For gHb standards we used erythrocyte hemolysates prepared from blood samples from nondiabetic and diabetic subjects. Values assigned to each standard were based on the mean of multiple gHb determinations by the HPLC method. A clinical laboratory routinely prepared hemolysates and assayed gHb by commercially available ion-exchange ("mini column") and affinity chromatographic methods. For each assay a standard curve was constructed and gHb values were derived from these curves. Samples analyzed in the clinical laboratory were also analyzed in the research laboratory and the curve-derived values were compared with the HPLC-measured values, to determine the accuracy of our interlaboratory standardization procedure. Correlations were excellent (r = 0.99). The lack of significant differences between calculated and HPLC-measured values indicates that interlaboratory standardization is feasible.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Little RR,England JD,Wiedmeyer HM,McKenzie EM,Mitra R,Erhart PM,Durham JB,Goldstein DE

subject

Has Abstract

pub_date

1986-02-01 00:00:00

pages

358-60

issue

2

eissn

0009-9147

issn

1530-8561

journal_volume

32

pub_type

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