Evidence map›Paper›PMID 38802150›Full record

ArticleAnnals of clinical and laboratory science2024

Establishing Reference Intervals for Serum and Salivary Cortisol in a Selected Population in Kano, Nigeria.

Mansur A Ramalan, Zainab U Ibrahim, Aisha M Nalado, Hassan A Murtala, Kabiru Abdulsalam, Ibrahim D Gezawa, Baba M Musa, Mahmoud U Sani, C William Wester, Hamisu M Salihu and 1 more

Abstract read
In one paragraph

Article in Annals of clinical and laboratory science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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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

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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

2 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

11 authors.

Mansur A RamalanDepartment of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria, USA.
Zainab U IbrahimDepartment of Chemical Pathology and Immunology, Faculty of Clinical Sciences, Bayero University, Kano, Nigeria, USA zeestil@yahoo.com zuibrahim.cpat@buk.edu.ng.
Aisha M NaladoDepartment of Medicine, Faculty of Clinical Sciences, Bayero University, Kano, Nigeria, USA.
Hassan A MurtalaKano Independent Research Centre Trust, Kano, Nigeria, USA.
Kabiru AbdulsalamDepartment of Chemical Pathology and Immunology, Faculty of Clinical Sciences, Bayero University, Kano, Nigeria, USA.
Ibrahim D GezawaDepartment of Medicine, Faculty of Clinical Sciences, Bayero University, Kano, Nigeria, USA.
Baba M MusaDepartment of Medicine, Faculty of Clinical Sciences, Bayero University, Kano, Nigeria, USA.
Mahmoud U SaniDepartment of Medicine, Faculty of Clinical Sciences, Bayero University, Kano, Nigeria, USA.
C William WesterVanderbilt Institute for Global Health, Vanderbilt University Medical Center, USA.
Hamisu M SalihuKano Independent Research Centre Trust, Kano, Nigeria, USA.
Muktar H AliyuVanderbilt Institute for Global Health, Vanderbilt University Medical Center, USA.

Funding

Vanderbilt-Nigeria Building Research Capacity in HIV and Non-communicable Diseases (NCDs) (V-BRCH) 2D43TW011544 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Aishatu Adamu, Muktar Hassan Aliyu · 2020 to 2026
$2.1M
FIC NIH HHS D43 TW011544
6 · The paper itself

Abstract

objectiveSerum cortisol has long been used in the assessment of disorders of the hypothalamic-pituitary-adrenal axis. The reference interval for cortisol in both serum and saliva depends on the analytical methodology and the population studied; hence, a locally derived population-based reference interval is recommended. To our knowledge, there are no studies on reference interval determination in the study area, raising concerns about the use of reference intervals established in European and North American populations. This work aimed to establish reference intervals for baseline serum and salivary cortisol levels among healthy adults in Kano, Nigeria, using methods available in our laboratory.

methodsA cross-section of 148 apparently healthy reference individuals aged 16 to 67 years were recruited from a local community in Kano, Nigeria, using a systematic sampling technique. Baseline serum cortisol was analyzed using highly sensitive and specific electrochemiluminescence quantitative measurements on an automated immunology analyzer. Salivary cortisol levels were measured using Salimetrics' competitive enzyme-linked immunosorbent assay test kits. Parametric methods with a 95% confidence interval were used to calculate reference intervals.

resultsThe reference intervals for cortisol in serum and saliva were 72.0 nmo/L to 554.0 nmol/L and 0.40 nmol/L to 18.0 nmol/L, respectively. There was a weak positive correlation between serum and salivary cortisol values, but this association was not statistically significant.

conclusionThe development of locally derived adult reference intervals can improve the diagnostic utility of serum and salivary cortisol assessment and strengthen the reliability of adrenal insufficiency diagnoses in our population.

Indexed as

HydrocortisoneSalivaAdolescentAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNigeriaReference ValuesYoung AdultHydrocortisoneReference intervalsalivary cortisolserum cortisol

Identifiers

PMID38802150
PMCPMC12655888

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