Commutability evaluation of glycated albumin candidate EQA materials
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Rui Wu
, Huijuan Zhou , Xiaerbanu Nizhamnuding , Anqi Pan , Hao Zheng , Jiangtao Zhang , Haijian Zhao , Jing Wang , Tianjiao Zhangund Chuanbao Zhang
Abstract
Objectives
In clinical practice, glycated albumin (GA), as a key biomarker reflecting the level of blood glucose control in the short and medium term, has been widely used in the diagnosis and efficacy monitoring of diabetes. However, the consistency of GA results between different detection systems remains one of the current challenges in laboratory medicine. we evaluated the commutability of 10 evaluated samples to identify candidate EQA materials for GA measurement.
Methods
According to the Clinical and Laboratory Standards Institute (CLSI) document EP14-A3 and the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) commutability evaluation program, we used the established isotope dilution liquid chromatography-tandem mass spectrometry (ID LC-MS/MS) method for serum glycated albumin determination as the comparative method, and six different commercial kits used enzyme assay as the evaluating method. A total of 40 clinical sample serums, 9 pregnancy sample serums, and 10 evaluated samples were analyzed.
Results
For the CLSI approach, pooled serum samples (cRM1-3) at medium concentrations (cRM2) are commutable in 5/6 kits. For the IFCC approach, none of samples commutable.
Conclusions
The commutability evaluation results of the two approaches were different, and the cRM2 has commutability in most enzymatic kits. It can be a commutable material for the EQA project.
Funding source: National Key Research and Development Program of China
Award Identifier / Grant number: 2022YFF0710305
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Research ethics: Exempt of ethical declarations.
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Informed consent: Not applicable.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Use of Large Language Models, AI and Machine Learning Tools: None declared.
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Conflict of interest: The authors state no conflict of interest.
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Research funding: National Key Research and Development Program of China (2022YFF0710305).
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Data availability: Not applicable.
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Supplementary Material
This article contains supplementary material (https://doi.org/10.1515/cclm-2025-0507).
© 2025 Walter de Gruyter GmbH, Berlin/Boston
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Artikel in diesem Heft
- Frontmatter
- Editorial
- Quality indicators: an evolving target for laboratory medicine
- Reviews
- Regulating the future of laboratory medicine: European regulatory landscape of AI-driven medical device software in laboratory medicine
- The spectrum of nuclear patterns with stained metaphase chromosome plate: morphology nuances, immunological associations, and clinical relevance
- Opinion Papers
- Comprehensive assessment of medical laboratory performance: a 4D model of quality, economics, velocity, and productivity indicators
- Detecting cardiac injury: the next generation of high-sensitivity cardiac troponins improving diagnostic outcomes
- Perspectives
- Can Theranos resurrect from its ashes?
- Guidelines and Recommendations
- Australasian guideline for the performance of sweat chloride testing 3rd edition: to support cystic fibrosis screening, diagnosis and monitoring
- General Clinical Chemistry and Laboratory Medicine
- Recommendations for the integration of standardized quality indicators for glucose point-of-care testing
- A cost-effective assessment for the combination of indirect immunofluorescence and solid-phase assay in ANA-screening
- Assessment of measurement uncertainty of immunoassays and LC-MS/MS methods for serum 25-hydroxyvitamin D
- A novel immunoprecipitation-based targeted liquid chromatography-tandem mass spectrometry analysis for accurate determination for copeptin in human serum
- Histamine metabolite to basal serum tryptase ratios in systemic mastocytosis and hereditary alpha tryptasemia using a validated LC-MS/MS approach
- Machine learning algorithms with body fluid parameters: an interpretable framework for malignant cell screening in cerebrospinal fluid
- Impact of analytical bias on machine learning models for sepsis prediction using laboratory data
- Immunochemical measurement of urinary free light chains and Bence Jones proteinuria
- Serum biomarkers as early indicators of outcomes in spontaneous subarachnoid hemorrhage
- High myoglobin plasma samples risk being reported as falsely low due to antigen excess – follow up after a 2-year period of using a mitigating procedure
- Candidate Reference Measurement Procedures and Materials
- Commutability evaluation of glycated albumin candidate EQA materials
- Reference Values and Biological Variations
- Health-related reference intervals for heavy metals in non-exposed young adults
- Hematology and Coagulation
- Practical handling of hemolytic, icteric and lipemic samples for coagulation testing in European laboratories. A collaborative survey from the European Organisation for External Quality Assurance Providers in Laboratory Medicine (EQALM)
- Cancer Diagnostics
- Assessment of atypical cells in detecting bladder cancer in female patients
- Cardiovascular Diseases
- False-positive cardiac troponin I values due to macrotroponin in healthy athletes after COVID-19
- Diabetes
- A comparison of current methods to measure antibodies in type 1 diabetes
- Letters to the Editor
- The neglected issue of pyridoxal- 5′ phosphate
- Error in prostate-specific antigen levels after prostate cancer treatment with radical prostatectomy
- Arivale is dead ‒ Hooke is alive
- A single dose of 20-mg of ostarine is detectable in hair
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- Congress Abstracts
- 62nd National Congress of the Hungarian Society of Laboratory Medicine Szeged, Hungary, August 28–30, 2025