PMID- 33978155 OWN - NLM STAT- MEDLINE DCOM- 20211109 LR - 20211109 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 156 IP - 5 DP - 2021 Oct 13 TI - Estimation of Measurement Uncertainty of Factor Assays Using the Monte Carlo Simulation. PG - 717-721 LID - 10.1093/ajcp/aqab022 [doi] AB - OBJECTIVES: We aimed to quantify the measurement uncertainty (MU) for factor activities using the Monte Carlo simulation (MCS), which is a computational algorithm that simulates statistical sampling to obtain numerical results through complex mathematical calculations. METHODS: The uncertainties of factor V (FV), factor VIII (FVIII), and factor X (FX) were simulated with two coagulation testing systems: ACL TOP 750 CTS (Instrumentation Laboratory) and STA Compact (Diagnostica Stago). RESULTS: When the factor activities were 74% (FV), 68% (FVIII), and 89% (FX), the MUs were 3.5% (FV), 9.3% (VIII), and 2.8% (FX) for ACL TOP and 8.5% (FV), 18.2% (FVII), and 6.5% (FX) for STA Compact. MCS MUs were compared with MUs obtained from running actual samples (not simulated) using a method called the top-down approach. The MCS MU results were interchangeable with MUs from the top-down approach, except for FVIII from STA Compact. CONCLUSIONS: The MCS procedure is well suited for the quantification of MUs for factor assays over the entire measurement range. CI - (c) American Society for Clinical Pathology, 2021. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Lim, Yong Kwan AU - Lim YK AUID- ORCID: 0000-0002-4300-8964 AD - Department of Laboratory Medicine, Chung-Ang University College of Medicine, Seoul, Republic of Korea. FAU - Kweon, Oh Joo AU - Kweon OJ AD - Department of Laboratory Medicine, Chung-Ang University College of Medicine, Seoul, Republic of Korea. FAU - Lee, Mi-Kyung AU - Lee MK AD - Department of Laboratory Medicine, Chung-Ang University College of Medicine, Seoul, Republic of Korea. FAU - Kim, Hye Ryoun AU - Kim HR AD - Department of Laboratory Medicine, Chung-Ang University College of Medicine, Seoul, Republic of Korea. LA - eng GR - National Research Foundation of Korea/ GR - NRF-2017R1A2B4011631/Ministry of Education/ PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 SB - IM MH - *Algorithms MH - Blood Coagulation Tests/*standards MH - Calibration MH - Computer Simulation MH - Humans MH - *Models, Theoretical MH - *Monte Carlo Method MH - *Uncertainty OTO - NOTNLM OT - Factor assay OT - Measurement uncertainty OT - Monte Carlo simulation EDAT- 2021/05/13 06:00 MHDA- 2021/11/10 06:00 CRDT- 2021/05/12 08:57 PHST- 2021/05/13 06:00 [pubmed] PHST- 2021/11/10 06:00 [medline] PHST- 2021/05/12 08:57 [entrez] AID - 6274450 [pii] AID - 10.1093/ajcp/aqab022 [doi] PST - ppublish SO - Am J Clin Pathol. 2021 Oct 13;156(5):717-721. doi: 10.1093/ajcp/aqab022.