Evidence map›Paper›PMID 36315541›Full record

ArticleIEEE transactions on bio-medical engineering2023

A Novel Approach for Glycosylated Hemoglobin Testing Using Microchip Affinity Electrophoresis.

Zoe Sekyonda, Ran An, Alireza Avanaki, Arwa Fraiwan, Umut A Gurkan

Open access · greenAbstract read
In one paragraph

Article in IEEE transactions on bio-medical engineering, 2023. 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
0.5field-weighted citation impact, top 42% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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

5 authors at 1 institution in 1 country.

Zoe Sekyonda
Ran An
Alireza Avanaki
Arwa Fraiwan
Umut A Gurkan
Case Western Reserve University · US

Funding

HLS-Affordable, quantitative microchip-electrophoresis for sickle cell disease screeningR44HL140739 · NHLBI · HEMEX HEALTH, INC. · PI GALEN, PETER · 2018 to 2025
$4.7M
CWRU- Cardiovascular Research Training ProgramT32HL134622 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI JAIN, MUKESH KUMAR, PROWELLER, AARON · 2017 to 2021
$1.9M
Portable, affordable, quantitative microchip electrophoresis for hemoglobin A1C testingR42DK119048 · NIDDK · HEMEX HEALTH, INC. · PI GALEN, PETER · 2022 to 2023
$1.7M
Portable, affordable, quantitative microchip electrophoresis for hemoglobin A1C testingR41DK119048 · NIDDK · HEMEX HEALTH, INC. · PI GALEN, PETER · 2018 to 2018
$225k
NHLBI NIH HHS R44 HL140739NHLBI NIH HHS T32 HL134622NIDDK NIH HHS R41 DK119048NIDDK NIH HHS R42 DK119048
6 · The paper itself

Abstract

objectiveEffective management of diabetes largely benefits from early diagnosis followed by intensive long-term regulation of blood glucose. The levels of glycohemoglobin (HbA1 and HbA1c) have been used as standard biomarkers to assess long-term blood glucose concentrations for diabetes diagnosis and management. Gold standard laboratory methods for HbA1 and HbA1c testing are often costly and not widely available. Moreover, currently available point-of-care (POC) immunoassay-based glycohemoglobin tests may produce inaccurate test results for patients with co-existing diseases such as hemoglobin disorders and anemia. Here, we report a POC platform, HemeChip-GHb, for quantitative HbA1 detection leveraging paper-based affinity electrophoresis.

methodsWe describe the design and development of the HemeChip-GHb test. Feasibility and accuracy of the HemeChip-GHb system were demonstrated by testing blood samples collected from healthy donors, patients with prediabetes, and patients with diabetes.

resultsHbA1 levels measured with HemeChip-GHb show 0.96 correlation to the levels reported from the clinical standard HPLC tests, and with a bias of -0.72% based on Bland-Altman analysis. 99.6% of the HbA1 levels for paired HemeChip-GHb and HPLC fell within A and B zones of no difference in clinical outcome based on error grid analysis.

conclusionUsing HemeChip-GHb we achieved accurate diabetes status detection with sensitivity and specificity of 100%. SIGNIFICANCE: We presented a novel POC paper-based affinity electrophoresis platform that has the potential for accurately diagnosing diabetes, and addressing an unmet need for accurate and affordable diagnostics in resource-challenged environments.

Indexed as

Diabetes MellitusSodium OxybateBlood GlucoseElectrophoresisGlycated HemoglobinHumansBlood GlucoseGlycated HemoglobinSodium Oxybate

Identifiers

PMID36315541
PMCPMC10185434
OpenAlexW4307775679

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.