Evidence map›Paper›PMID 33225528›Full record

ArticleJournal of clinical laboratory analysis2021

Measurement of methotrexate in human cerebrospinal fluid using a chemiluminescence immunoassay intended for serum and plasma matrices.

Naoki Yoshikawa, Ai Yamada, Tsubasa Yokota, Hiroshi Moritake, Yasutoshi Hirabara, Ryuji Ikeda

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 24% of its field
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

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Naoki YoshikawaDepartment of Pharmacy, University of Miyazaki Hospital, Miyazaki, Japan.ORCID https://orcid.org/0000-0002-4928-0395
Ai YamadaDivision of Pediatrics, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Tsubasa YokotaDepartment of Pharmacy, University of Miyazaki Hospital, Miyazaki, Japan.
Hiroshi MoritakeDivision of Pediatrics, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Yasutoshi HirabaraDepartment of Pharmacy, University of Miyazaki Hospital, Miyazaki, Japan.
Ryuji IkedaDepartment of Pharmacy, University of Miyazaki Hospital, Miyazaki, Japan.
University of Miyazaki Hospital · JPUniversity of Miyazaki · JP

Funding

Japan Society for the Promotion of Science JSPS KAKENHI/JP20H01036Miyazaki University Hospital
6 · The paper itself

Abstract

backgroundThe concentration of MTX in blood is often measured quickly and easily by immunoassays. Thus, immunoassays may facilitate the easy determination of the concentration of MTX in the cerebrospinal fluid (CSF). In this study, we measured methotrexate (MTX) concentrations in the CSF using a high-performance liquid chromatography (HPLC) method intended for analyzing CSF matrices and a chemiluminescence immunoassay (CLIA) method intended for assessing serum and plasma matrices and verified the differences in the results of the two methods.

methodsHPLC analysis for MTX in the CSF was performed using a Prominence UFLC system with a C18 column. The HPLC method was validated in accordance with the 2018 FDA guideline. The CLIA method was performed using an ARCHITECT i1000SR system intended for serum and plasma matrices. A total of 47 CSF samples (14 clinical and 33 spiked specimens) were analyzed using the two methods.

resultsThe HPLC method passed the validation criteria. The concentration of MTX in the same sample, determined using the HPLC and CLIA methods, differed proportionally; the percent difference in the concentrations averaged -23.0% (95% confidence interval: -36.9% to -9.1%) as revealed by the Bland-Altman plot. The relationship between the measured values, evaluated using the Passing-Bablok regression, was as follows: HPLC = 1.205 × CLIA - 0.024.

conclusionThe equation deduced in this study can be used to correct the concentration of MTX measured using the CLIA method.

Indexed as

CalibrationChromatography, High Pressure LiquidHumansImmunoassayLimit of DetectionLuminescent MeasurementsMethotrexateReproducibility of ResultsMethotrexatecerebrospinal fluidchemiluminescence immunoassayhigh-performance liquid chromatographymethotrexatePassing-Bablok

Identifiers

PMID33225528
PMCPMC7957986
OpenAlexW3110423250

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.