PMID- 28398583 OWN - NLM STAT- MEDLINE DCOM- 20171220 LR - 20220316 IS - 1943-7730 (Electronic) IS - 0007-5027 (Linking) VI - 48 IP - 2 DP - 2017 May 1 TI - CLSI-Based Validation of Manufacturer-Derived Reference Intervals on the Cobas 8000 Platform. PG - e30-e35 LID - 10.1093/labmed/lmx020 [doi] AB - BACKGROUND: Reference intervals provided by diagnostic test manufacturers should be transferred to clinical laboratories after validation. Although protocols exist, laboratories rarely perform and report on results of validation studies. METHODS: We validated reference intervals (RIs) of 87 analytes on a Cobas 8000 platform according to standards published by the Clinical and Laboratory Standards Institute (CLSI). RESULTS: For 8 analytes, decision limits were provided in the package inserts. Among the 79 RIs subjected to transference validation, 8 were found not valid for transference, including lactate dehydrogenase (LDH) among women, and the following among both sexes: potassium, homocysteine, immunoglobulin E (IgE), free lambda light chain (FLC lambda), C3 complement (C3c), folate, and 25-hydroxy vitamin D (25[(OH]D). For LDH, potassium, homocysteine, C3c, folate, and 25(OH)D, RIs or thresholds suitable for transference were available in the literature; however, this was not the case for IgE and FLC lambda. CONCLUSION: The present study demonstrates that validation of RIs provided in the manufacturer provided package inserts is indispensable. CI - (c) American Society for Clinical Pathology, 2017. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com FAU - Leitner-Ferenc, Veronika AU - Leitner-Ferenc V AD - Institute of Laboratory Diagnostics, Kaiser Franz Josef Hospital, Vienna, Austria. FAU - Atamaniuk, Johanna AU - Atamaniuk J AD - Institute of Laboratory Diagnostics, Kaiser Franz Josef Hospital, Vienna, Austria. FAU - Jansen-Skoupy, Sonja AU - Jansen-Skoupy S AD - Institute of Laboratory Diagnostics, Kaiser Franz Josef Hospital, Vienna, Austria. FAU - Stockelmeier, Brigitta AU - Stockelmeier B AD - Institute of Laboratory Diagnostics, Kaiser Franz Josef Hospital, Vienna, Austria. FAU - Grohs, Katharina AU - Grohs K AD - Institute of Laboratory Diagnostics, Kaiser Franz Josef Hospital, Vienna, Austria. FAU - Fodinger, Manuela AU - Fodinger M AD - Institute of Laboratory Diagnostics, Kaiser Franz Josef Hospital, Vienna, Austria. AD - Sigmund Freud Private University, Vienna, Austria. LA - eng PT - Journal Article PL - England TA - Lab Med JT - Laboratory medicine JID - 0250641 SB - IM MH - *Blood Chemical Analysis/instrumentation/methods/standards MH - Humans MH - Laboratories/*standards MH - Limit of Detection MH - Reference Values MH - Reproducibility of Results OTO - NOTNLM OT - analytical system OT - decision limit OT - guideline OT - reference values OT - test provider OT - transference EDAT- 2017/04/12 06:00 MHDA- 2017/12/21 06:00 CRDT- 2017/04/12 06:00 PHST- 2017/04/12 06:00 [pubmed] PHST- 2017/12/21 06:00 [medline] PHST- 2017/04/12 06:00 [entrez] AID - 3192380 [pii] AID - 10.1093/labmed/lmx020 [doi] PST - ppublish SO - Lab Med. 2017 May 1;48(2):e30-e35. doi: 10.1093/labmed/lmx020.