Evidence map›Paper›PMID 28288785›Full record

ArticleClinica chimica acta; international journal of clinical chemistry2017

Accuracy-based proficiency testing for testosterone measurements with immunoassays and liquid chromatography-mass spectrometry.

Zhimin Tim Cao, Julianne Cook Botelho, Robert Rej, Hubert Vesper

Abstract read
In one paragraph

Article in Clinica chimica acta; international journal of clinical chemistry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Using mass spectrometry to overcome the longstanding inaccuracy of a commercially-available clinical testosterone immunoassay.Journal of chromatography. B, Analytical technologies in the biomedical and life sciences · 2021
    Article
  7. Article
  8. Article
  9. Testosterone suppression in the treatment of recurrent or metastatic prostate cancer - A Canadian consensus statement.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zhimin Tim CaoWadsworth Center, New York State Department of Health, Albany, NY, United States; College of Arts and Sciences, University at Albany, State University of New York, Albany, NY, United States.
Julianne Cook BotelhoCenters for Disease Control and Prevention, Atlanta, GA, United States.
Robert RejWadsworth Center, New York State Department of Health, Albany, NY, United States; School of Public Health, University at Albany, State University of New York, Albany, NY, United States.
Hubert VesperCenters for Disease Control and Prevention, Atlanta, GA, United States. Electronic address: hvesper@cdc.gov.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundAccurate testosterone measurements are needed to correctly diagnose and treat patients. Proficiency Testing (PT) programs using modified specimens for testing can be limited because of matrix effects and usage of non-reference measurement procedure (RMP)-defined targets for evaluation. Accuracy-based PT can overcome such limitations; however, there is a lack of information on accuracy-based PT and feasibility of its implementation in evaluation for testosterone measurements.

methodsUnaltered, single-donor human serum from 2 male and 2 female adult donors were analyzed for testosterone by 142 NYSDH-certified clinical laboratories using 16 immunoassays and LC-MS/MS methods. Testosterone target values were determined using an RMP.

resultsThe testosterone target concentrations for the 4 specimens were 15.5, 30.0, 402 and 498ng/dl. The biases ranged from -17.8% to 73.1%, 3.1% to 21.3%, -24.8% to 8.6%, and -22.1% to 6.8% for the 4 specimens, respectively. Using a total error target of ±25.1%, which was calculated using the minimum allowable bias and imprecision, 73% of participating laboratories had ≥3 of the 4 results within these limits.

conclusionsThe variability in total testosterone measurements can affect clinical decisions. Accuracy-based PT can significantly contribute to improving testosterone testing by providing reliable data on accuracy in patient care to laboratories, assay manufacturers, and standardization programs.

Indexed as

Limit of DetectionAdultBlood Chemical AnalysisChromatography, LiquidFemaleHumansImmunoassayMaleMass SpectrometryTestosteroneTestosteroneAccuracyProficiency TestingStandardizationTestosterone

Identifiers

PMID28288785
PMCPMC5695555

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.