Evaluation of Bio-Rad D-10® and arkray adams HA-8160® HPLC analyzers in HbA1c measurement

Glycosylated hemoglobin A1c (HbA1c) is an important parameter used for the assessment of time-dependent glycemic status and the diagnosis and follow-up of diabetes. This study aimed to evaluate the analytical performance of two HPLC analyzers, the Bio-Rad D-10®, and the Arkray Adams HA-8160®. Accuracy and imprecision studies were conducted, and a method comparison study was performed with 105 samples. Samples were collected on five consecutive days and measured on both analyzers within two hours. Bland-Altman and regression analyses were used for statistical evaluation of the data. Low and high-level within-day CV values were calculated as 1.22% and 0.60% for the Arkray analyzer and 1.2% and 0.30% for the Bio-Rad analyzer, respectively. They were calculated as 1.27% and 2.52% for the Arkray analyzer and 2.32% and 3.44% for the Bio-Rad analyzer, respectively, between days. The within-day CV values for both analyzers were below the limit of 2.5% specified by the International Federation of Clinical Chemistry (IFCC). The bias average for three months was 3.2% for the Arkray analyzer and 1.2% for the Bio-Rad analyzer. The Spearman correlation coefficient (r) was 0.973 (p

___

Misra A, Garg S. HbA1c and blood glucose for the diagnosis of diabetes. Lancet. 2011;378:104-6.

Rifai N, Horvath AR, Wittwer CT. Tietz textbook of clinical chemistry and molecular diagnostics. In: Diabetes Mellitus. 6th edition. Elsevier, 2018;1160-94.

Gillett MJ. International expert committee report on the role of the A1C Assay in the diagnosis of diabetes: diabetes care 2009;32:1327-34.

American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014;37:81-90.

Cohen H, Zohar J, Gidron Y, et al. Blunted HPA axis response to stress ınfluences susceptibility to posttraumatic stress response in rats. Biol Psychiatry. 2006;59:1208-18.

Marshall SM, Barth JH. Standardization of HbA(1c) measurements: A consensus statement. Ann Clin Biochem. 2000;37:45-6.

Miedema K. Laboratory tests in diagnosis and management of diabetes mellitus. Practical considerations. Clin Chem Lab Med. 2003;41:1259–65.

Badiou S, Guillot J, Kuster N, et al. Comparison of Arkray/ELITech ADAMS HA-8180V® with Bio-Rad Variant,TMII Turbo2.0® and Tosoh Bioscience HLC®-723G8 for HbA1c Determination. J Clin Lab Anal. 2014;28:428-34.

Goodall I, Colman PG, Schneider HG, et al. Desirable performance standards for HbA1c analysis - Precision, accuracy and standardisation: Consensus statement of the Australasian Association of Clinical Biochemists (AACB), the Australian Diabetes Society (ADS), the Royal College of Pathologists of A. Clin Chem Lab Med. 2007;45:1083-97.

10. Jones TG, Warber KD, Roberts BD. Analysis of Hemoglobin A1c from Dried Blood Spot Samples with the Tina-quant. J Diabetes Sci Technol. 2010;4:1-6.

11. Carey RN. CLSI EP15-A3: verification of precision and estimation of bias. https://www.westgard.com/clsi-ep15a3.htm

12. Madenci ÖÇ, Orçun A, Yildiz Z, et al. Evaluation of new Beckman Coulter 25(OH) Vitamin D assay and potential improvement of clinical interpretation. Biochem Medica. 2017;27:332-41.

13. Weykamp C, John WG, Mosca A. A review of the challenge in measuring hemoglobin A1c. J Diabetes Sci Technol. 2009;3:439-45.

14. Ejilemele A, Unabia J, Ju H, et al. A1c Gear: Laboratory quality HbA1c measurement at the point of care. Clin Chim Acta. 2015;445:139-42.

15. Shubrook J, Butts A, Chamberlain JJ, et al. Standards of medical care in diabetes—2017 abridged for primary care providers. Clin Diabetes. 2017;35:5–26.

16. World Health Organization. Use of Glycated Haemoglobin (HbA1c) in the Diagnosis of Diabetes Mellitus: Abbreviated Report of a WHO Consultation. Geneva: World Health Organization; 2011. https://www.ncbi.nlm.nih.gov/ books/NBK304267/itle

17. Tran D V., Lyon AW, Higgins TN, et al. Use of serial patient hemoglobin A1c differences to determine long-term imprecision of immunoassay and high-performance liquid chromatography analyzers. J. Diabetes Sci Technol. 2009;3:424-8.

18. Christy AL, Manjrekar PA, Babu RP, et al. Influence of iron deficiency anemia on hemoglobin A1C levels in diabetic individuals with controlled plasma glucose levels. Iran Biomed J. 2014;18:88-92.

19. Hoelzel W, Weykamp C, Jeppsson JO, et al. IFCC Reference System for Measurement of Hemoglobin A<sub>1c</sub> in Human Blood and the National Standardization Schemes in the United States, Japan, and Sweden: A Method-Comparison Study. Clin Chem. 2004;50:166-74.

20. Sacks DB, Arnold M, Bakris GL, et al. Guidelines and recommendations for laboratory analysis in the diagnosis and management of diabetes mellitus. Clin Chem. 2011;57:1-47.

21. Roth J, Müller N, Lehmann T, et al. Comparison of HbA 1c measurements using 3 methods in 75 patients referred to one outpatient department. Exp Clin Endocrinol Diabetes. 2018;126:23-6.

22. Nyenwe EA, Fisher JN. A mistaken diagnosis of type 2 diabetes due to hemoglobin N-baltimore. Am J Med Sci. 2008;336:524–6.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Effect of tumor budding and tumor infiltrating lymphocytes on prognosis of colorectal mucinous adenocancers

Fatmagül KUŞKU ÇABUK, Damlanur SAKİZ, Elif Eda OZER, Zehra Sibel KAHRAMAN

Anatomical and radiologic approach to tracheal diverticula

Selma CALİSKAN, Emre Can CELEBİOGLU, Sinem AKKASOGLU, ibrahim Tanzer SANCAK

Detectability of microscopic findings of fracture healing in the early stages of the healing process at various postmortem intervals and evaluation of wound vitality

Selcuk CETİN, Dilek DURAK, Ulviye YALCİNKAYA, Elif CETİN, Filiz EREN, Bulent EREN, Vahide Aslihan DURAK

Investigation of prognostic significance of CD44 expression in women with vulvar squamous cell carcinoma

Yakup YALCIN, Seranat ERİS YALCIN, Selda UYSAL, Burak TATAR, And YAVUZ, Mehmet Ozgur AKKURT, Seyran YİGİT

Abdominal surgery as a possible cause of gastric diverticula: Single center one year experience

ABDURAHMAN ŞAHİN, Mubin Abdullah OZERCAN, Ulvi DEMİREL, Mehmet YALNİZ, Ibrahim Halil BAHCECİOGLU

Evaluation of salivary alpha-amylase activity after stroke

Ayşe ÖZDEMİR, Rahsan ILİKCİ SAGKAN, Ali Yavuz KARAHAN, BANU ORDAHAN

Antioxidant effect of grape molasses in rat heart tissues

TUĞBA RAİKA KIRAN, ÖNDER OTLU, Ercan KARABULUT, AHU PAKDEMİRLİ, Nermin OZCAN

Percutaneous tracheostomy: An evaluation of the damage to cartilage tissue caused by the multiple dilatation method and the controlled rotating dilation technique

Çiğdem Ünal KANTEKİN, Züleyha DOĞANYİĞİT

Evaluation of Bio-Rad D-10® and arkray adams HA-8160® HPLC analyzers in HbA1c measurement

ÖZGÜR MEHMET YİS, Mine Busra PEHLİVAN, Guler BUGDAYCİ, Neslihan YUCE

Determining nursing students’ evidence-based practice competencies and the effective factors

Hakime ASLAN, Hatice PEKİNCE