PMID- 32710941 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20210621 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 510 DP - 2020 Nov TI - Reference interval of monocyte distribution width (MDW) in healthy blood donors. PG - 272-277 LID - S0009-8981(20)30360-0 [pii] LID - 10.1016/j.cca.2020.07.036 [doi] AB - BACKGROUND: The aim of the study was to accurately establish the reference interval (RI) of monocyte distribution width (MDW) in healthy blood donors by the direct method using different statistical approaches. METHODS: MDW was measured in 486 subjects. RI of MDW was calculated by the non-parametric method, the robust method and, the Harrell-Davis bootstrap method and using different tests to identify potential outliers (Dixon-Reed and Tukey). RESULTS: Lower and upper reference limits of the RI calculated by the non-parametric method were, 16.22 (90%CI 15.78-16.47) - 23.15 (90%CI 22.80-24.10) (without outlier removal), and 16.44 (90%CI 16.21-16.67) - 22.99 (90%CI 22.33-23.22) (after outlier removal). The RIs based on the robust method were, respectively, 16.29-22.98 (without) and 16.50-22.67 (with outlier removal). Finally, the RIs calculated by the Harrell-Davis bootstrap method, without or after outlier removal, were 16.19-23.24 and 16.43-22.93. Thus, the RIs obtained by the three calculation methods were very similar. Additionally, no RI partition was done since no significant gender or age association was found. CONCLUSIONS: Our results support the use of a unique RI of MDW, independently of sex and age. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Agnello, Luisa AU - Agnello L AD - Institute of Clinical Biochemistry, Clinical Molecular Medicine and Laboratory Medicine, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy. FAU - Lo Sasso, Bruna AU - Lo Sasso B AD - Institute of Clinical Biochemistry, Clinical Molecular Medicine and Laboratory Medicine, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy; Department of Laboratory Medicine, University Hospital "P. Giaccone", Palermo, Italy. FAU - Bivona, Giulia AU - Bivona G AD - Institute of Clinical Biochemistry, Clinical Molecular Medicine and Laboratory Medicine, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy; Department of Laboratory Medicine, University Hospital "P. Giaccone", Palermo, Italy. FAU - Gambino, Caterina Maria AU - Gambino CM AD - Institute of Clinical Biochemistry, Clinical Molecular Medicine and Laboratory Medicine, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy. FAU - Giglio, Rosaria Vincenza AU - Giglio RV AD - Institute of Clinical Biochemistry, Clinical Molecular Medicine and Laboratory Medicine, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy. FAU - Iacolino, Giorgia AU - Iacolino G AD - Institute of Clinical Biochemistry, Clinical Molecular Medicine and Laboratory Medicine, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy. FAU - Iacona, Alessandro AU - Iacona A AD - Institute of Clinical Biochemistry, Clinical Molecular Medicine and Laboratory Medicine, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy; Department of Laboratory Medicine, University Hospital "P. Giaccone", Palermo, Italy. FAU - Mancuso, Silvia AU - Mancuso S AD - Institute of Clinical Biochemistry, Clinical Molecular Medicine and Laboratory Medicine, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy. FAU - Ciaccio, Anna Maria AU - Ciaccio AM AD - University of Palermo, Palermo, Italy. FAU - Vidali, Matteo AU - Vidali M AD - Unit of Clinical Chemistry, Maggiore della Carita Hospital, Novara, Italy. FAU - Ciaccio, Marcello AU - Ciaccio M AD - Institute of Clinical Biochemistry, Clinical Molecular Medicine and Laboratory Medicine, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy; Department of Laboratory Medicine, University Hospital "P. Giaccone", Palermo, Italy. Electronic address: marcello.ciaccio@unipa.it. LA - eng PT - Journal Article DEP - 20200722 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 SB - IM MH - *Blood Donors MH - Humans MH - *Monocytes MH - Reference Values MH - Research Design OTO - NOTNLM OT - Direct method OT - MDW OT - Normal values OT - Reference interval OT - Reference range OT - Sepsis COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2020/07/28 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/07/26 06:00 PHST- 2020/05/23 00:00 [received] PHST- 2020/06/29 00:00 [revised] PHST- 2020/07/19 00:00 [accepted] PHST- 2020/07/28 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/07/26 06:00 [entrez] AID - S0009-8981(20)30360-0 [pii] AID - 10.1016/j.cca.2020.07.036 [doi] PST - ppublish SO - Clin Chim Acta. 2020 Nov;510:272-277. doi: 10.1016/j.cca.2020.07.036. Epub 2020 Jul 22.