Technical and clinical evaluation of the VITROS Immunodiagnostic Products 25-OH Vitamin D Total Assay - comparison with marketed automated immunoassays and a liquid chromatography - tandem mass spectrometry method
assay performance; biais; concordance; precision; vitamin D
Abstract :
[en] Background: The study was conducted to evaluate the technical and clinical performance of the VITROS ® Immunodiagnostic Products 25-OH Vitamin D Total Assay, and compare it with the performance of five marketed automated assays and a liquid chromatography/mass spectrometry reference method (LC-MS/MS).
Methods: Three hundred patient serum samples were used to compare the correlation of the VITROS ® 25-OH Vitamin D Total Assay with both the other immunoassays and the LC-MS/MS method, using Passing-Bablok regression and Bland-Altman analyses. Concordance of the diagnosis of vitamin D status was calculated to test the agreement between the different assays. In addition, samples containing vitamin D2 were used to test the assay ’ s ability to detect the D2 form of the vitamin.
Results and conclusions: These results from the VITROS ® 5-OH Vitamin D Total Assay generally correlated well with those from most of the marketed immunoassays. Cross-reactivity of the D2 form was calculated as being close to 100%. Additionally, we found substantial variability in performance amongst the various assays, which suggests the need for optimisation and recalibration of commercial methods.
Disciplines :
Laboratory medicine & medical technology
Author, co-author :
CAVALIER, Etienne ; Centre Hospitalier Universitaire de Liège - CHU > Chimie médicale
ROUSSELLE, Olivier ; Centre Hospitalier Universitaire de Liège - CHU > Chimie médicale
FERRANTE, Nunzio ; Centre Hospitalier Universitaire de Liège - CHU > Chimie médicale
CARLISI, Ignazia ; Centre Hospitalier Universitaire de Liège - CHU > Chimie médicale
LE GOFF, Caroline ; Centre Hospitalier Universitaire de Liège - CHU > Chimie médicale
Souberbielle, Jean-Claude
Language :
English
Title :
Technical and clinical evaluation of the VITROS Immunodiagnostic Products 25-OH Vitamin D Total Assay - comparison with marketed automated immunoassays and a liquid chromatography - tandem mass spectrometry method
Norman AW, Bouillon R. Vitamin D nutritional policy needs a vision for the future [minireview]. Exp Biol Med 2010;235: 1034-5.
Rosen CJ. Clinical practice: vitamin D insufficiency. N Engl J Med 2011;364: 248-54.
Pitz S, Tomaschitz A, März W, Dreschler C, Ritz E, Zittermann A, et al. Vitamin D: cardiovascular disease and mortality (review). Clin Endocrinol 2011;75: 575-84.
Holick MF. Vitamin D: its role in cancer prevention and treatment (review). Prog Biophys Mol Biol 2006;92: 49-59. (Pubitemid 43831958)
Arnson Y, Amital H, Shoenfeld Y. Vitamin D and autoimmunity: the aetiological and therapeutic considerations. Ann Rheum Dis 2007;66: 1137-42. (Pubitemid 47309727)
Amital H, Szekanecz Z, Szücs G, Dankó K, Nagy E, Csépány T, et al. Serum concentrations of 25-OH vitamin D in patients with systemic lupus erythematosus (SLE) are inversely related to disease activity: is it time to routinely supplement patients with SLE with vitamin D? Ann Rheum Dis 2010;69: 1155-7.
Dusso AS, Brown AJ, Slatopolsky E. Vitamin D. Am J Physiol Renal Physiol 2005;289:F8-28.
Heaney BP. Vitamin D: how much do we need and how much is too much? Osteoporosis Int 2000;11: 553-5.
Holick MF, Biancuzzo RM, Chen TC, Klein EK, Young A, Bibuld D, et al. Vitamin D2 is as effective as vitamin D3 in maintaining circulating concentrations of 25-hydroxyvitamin D. J Clin Endocrinol Metab 2008;93: 677-81. (Pubitemid 351398538)
Farrell C-J, Martin S, McWhinney B, Straub I, Williams P, Herrmann M. State-of-the art vitamin D assays: a comparison of automated immunoassays with liquid chromatographytandem mass spectrometry methods. Clin Chem 2012;58: 531-42.
Le Goff C, Peeters S, Crine Y, Luks P, Souberbielle JC, Cavalier E. Evaluation of the cross-reactivity of 25-hydroxyvitamin D2 on seven commercial immunoassays on native samples. Clin Chem Lab Med 2012;50: 2031-2.
Cavalier E, Wallace AM, Carlisi A, Chapelle JP, Delanaye P, Souberbielle JC. Cross-reactivity of 25-hydroxy vitamin D2 from different commercial immunoassays for 25-hydroxy vitamin D: an evaluation without spiked samples. Clin Chem Lab Med 2011;49: 555-8.
Thienpont LM, Stepman HC, Vesper HW. Standardization of measurements of 25-Hydroxyvitamin D3 and D2. Scand J Clin Lab Invest 2012;72: 41-9.
Sempos CT, Vesper HW, Phinney KW, Thienpont LM, Coates PM. Vitamin D status as an international issue: national surveys and the problem of standardization. Scand J Clin Lab Invest 2012;72:32-40.