PMID- 31907976 OWN - NLM STAT- MEDLINE DCOM- 20210519 LR - 20221207 IS - 1098-2825 (Electronic) IS - 0887-8013 (Print) IS - 0887-8013 (Linking) VI - 34 IP - 5 DP - 2020 May TI - A preliminary study for the establishment of a reference interval for vitamin B12 in China after performance verification of a second-generation ECLIA kit. PG - e23165 LID - 10.1002/jcla.23165 [doi] LID - e23165 AB - BACKGROUND: The second-generation electrochemiluminescence immunoassay (ECLIA) kit of vitamin B12 is widely used in clinical laboratories, and the establishment of a reference interval (RI) is essential to provide the basis for clinical monitoring. The purpose of this study was to establish a laboratory RI for vitamin B12 in China and at the same time verify the method performance of the second-generation kit. METHODS: The verification of the method performance was conducted according to the Clinical and Laboratory Standards Institute (CLSI) guidelines. Based on these guidelines, a total of 580 serum samples were collected, and 391 serum samples were used for the establishment of the RI according to CLSI guidelines. The subjects were grouped by sex and age. The age groups were as follows: 21-40, 41-60, and 61-80 years. The RI was defined by nonparametric 2.5th and 97.5th percentile intervals. RESULTS: The performance of the second-generation kit of vitamin B12 from the Roche Cobas E602 system was in compliance with laboratory requirements. Serum vitamin B12 levels conformed to a non-Gaussian distribution. Harris-Boyd's test did not indicate partitioning for different age and gender group. Besides, there was no significant difference between different age groups (P = .07) and gender groups (P = .2002). The RI for healthy Chinese adults (aged 21-80 years) calculated by the nonparametric method was 250.8-957.1 pg/mL. CONCLUSIONS: The reference range of vitamin B12 was established, which provided a theoretical basis for the clinical application and monitoring of vitamin B12 detection. CI - (c) 2020 The Authors. Journal of Clinical Laboratory Analysis Published by Wiley Periodicals, Inc. FAU - Jiang, Wencan AU - Jiang W AD - Department of Clinical Laboratory Medicine, Chinese People's Liberation Army General Hospital & Postgraduate Medical School, Beijing, China. FAU - Men, Shasha AU - Men S AD - Department of Clinical Laboratory Medicine, Chinese People's Liberation Army General Hospital & Postgraduate Medical School, Beijing, China. FAU - Wen, Xinyu AU - Wen X AD - Department of Clinical Laboratory Medicine, Chinese People's Liberation Army General Hospital & Postgraduate Medical School, Beijing, China. FAU - Yuan, Xiaozhou AU - Yuan X AD - Department of Clinical Laboratory Medicine, Chinese People's Liberation Army General Hospital & Postgraduate Medical School, Beijing, China. FAU - Pu, Danna AU - Pu D AD - Department of Clinical Laboratory Medicine, Chinese People's Liberation Army General Hospital & Postgraduate Medical School, Beijing, China. FAU - Liu, Xiaoting AU - Liu X AD - Department of Clinical Laboratory Medicine, Chinese People's Liberation Army General Hospital & Postgraduate Medical School, Beijing, China. FAU - Jia, Xingwang AU - Jia X AD - Department of Clinical Laboratory Medicine, Chinese People's Liberation Army General Hospital & Postgraduate Medical School, Beijing, China. FAU - Wang, Chengbin AU - Wang C AUID- ORCID: 0000-0002-6535-5967 AD - Department of Clinical Laboratory Medicine, Chinese People's Liberation Army General Hospital & Postgraduate Medical School, Beijing, China. LA - eng PT - Journal Article DEP - 20200106 PL - United States TA - J Clin Lab Anal JT - Journal of clinical laboratory analysis JID - 8801384 RN - P6YC3EG204 (Vitamin B 12) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Asian People MH - Female MH - Humans MH - Immunoassay/*methods MH - Luminescent Measurements/methods MH - Male MH - Middle Aged MH - Reference Values MH - Vitamin B 12/*blood MH - Young Adult PMC - PMC7246358 OTO - NOTNLM OT - Chinese OT - Vitamin B12 OT - electrochemiluminescent OT - performance verification OT - reference interval COIS- None. EDAT- 2020/01/08 06:00 MHDA- 2021/05/20 06:00 PMCR- 2020/01/06 CRDT- 2020/01/08 06:00 PHST- 2019/08/11 00:00 [received] PHST- 2019/11/16 00:00 [revised] PHST- 2019/11/26 00:00 [accepted] PHST- 2020/01/08 06:00 [pubmed] PHST- 2021/05/20 06:00 [medline] PHST- 2020/01/08 06:00 [entrez] PHST- 2020/01/06 00:00 [pmc-release] AID - JCLA23165 [pii] AID - 10.1002/jcla.23165 [doi] PST - ppublish SO - J Clin Lab Anal. 2020 May;34(5):e23165. doi: 10.1002/jcla.23165. Epub 2020 Jan 6.