Evidence map›Paper›PMID 30288787›Full record

ArticleJournal of clinical laboratory analysis2019

Performance evaluation of five commercial assays for detection of acetaminophen.

Bao-Yum Chan, Hing-Man Tsang, Candy Wai-Yan Ng, William Hin-Wing Ling, Daniel Cheuk-Wa Leung, Hencher Han-Chih Lee, Chloe Miu Mak

Abstract readComparative Study
In one paragraph

Article in Journal of clinical laboratory analysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

7 authors.

Bao-Yum ChanDepartment of Pathology, Clinical Laboratory, North Lantau Hospital, Lantau, Hong Kong.
Hing-Man TsangDepartment of Pathology, Clinical Laboratory, North Lantau Hospital, Lantau, Hong Kong.ORCID http://orcid.org/0000-0002-6452-7691
Candy Wai-Yan NgDepartment of Pathology, Chemical Pathology Laboratory, Princess Margaret Hospital, Kowloon, Hong Kong.
William Hin-Wing LingDepartment of Pathology, Clinical Laboratory, North Lantau Hospital, Lantau, Hong Kong.
Daniel Cheuk-Wa LeungDepartment of Pathology, Chemical Pathology Laboratory, Princess Margaret Hospital, Kowloon, Hong Kong.
Hencher Han-Chih LeeDepartment of Pathology, Chemical Pathology Laboratory, Princess Margaret Hospital, Kowloon, Hong Kong.ORCID http://orcid.org/0000-0002-0162-5681
Chloe Miu MakDepartment of Pathology, Chemical Pathology Laboratory, Princess Margaret Hospital, Kowloon, Hong Kong.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the analytical performance of five commercial acetaminophen assays and select the best method for routine use.

methodsImprecision, accuracy, linearity, and interferences of three enzymatic assays (Beckman Coulter AU Paracetamol, Abbott MULTIGENT Acetaminophen, and Sekisui Acetaminophen L3K) and two immunoassay-based assays (Beckman Coulter SYNCHRON ACTM (Acetaminophen) Reagent and Siemens SYVA Emit-tox Acetaminophen) were evaluated on a Beckman Coulter AU680 chemistry analyzer. Hook effect for immunoassay-based assays and recovery in ultrafiltrate for enzymatic methods were studied.

resultsWithin-run and between-run imprecision of the enzymatic assays ranged 0.26%-0.82% and 0.53%-2.86%, respectively, while that for the immunoassay-based methods ranged 0.96%-6.34% and 1.50%-11.33%, respectively. All assays except the SYNCHRON assay fell within the program analytical performance specifications (±20 µmol/L or 10%) for external quality assurance (EQA) samples, with the highest positive bias (31.7%) observed in the SYNCHRON assay. Icteric interference was demonstrated most significantly in the Abbott assay (up to 88 μmol/L positive bias in blank serum). The lipemic interference on the SYNCHRON was significant (up to 110% positive bias at level of 100 μmol/L). The immunoassay-based methods were less susceptible to hemolytic interference, while the Abbott and AU assays were more susceptible to N-acetylcysteine interference. Both immunoassay-based methods showed no hook effect up to 18 000 μmol/L. Ultrafiltration recoveries for enzymatic methods were satisfactory, ranging from 80.0% ± 5.1% to 89.5% ± 3.0%.

conclusionsProportional bias was observed in the SYNCHRON assay, while the Siemens and Sekisui assays were minimally affected by bilirubin interferences.

Indexed as

AcetaminophenAcetylcysteineBilirubinHemolysisHumansImmunoenzyme TechniquesLinear ModelsReproducibility of ResultsSensitivity and SpecificityAcetaminophenAcetylcysteineBilirubinAcetaminophenenzymatic assayevaluationimmunoassay

Identifiers

PMID30288787
PMCPMC6818599

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Registered trials

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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.