Evidence map›Paper›PMID 42299349›Full record

ArticleBiochemia medica2026

Verification of harmonized reference intervals in Croatia: is it time for a change?

Iva Friščić, Ida Burazer, Andrea Radeljak, Sonja Perkov, Mirjana Mariana Kardum Paro

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Article in Biochemia medica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Iva FriščićDepartment of Medical Biochemistry and Laboratory Medicine, Merkur University Hospital, Zagreb, Croatia.
Ida BurazerDepartment of Medical Biochemistry and Laboratory Medicine, Merkur University Hospital, Zagreb, Croatia.
Andrea RadeljakDepartment for Clinical Laboratory Diagnostics, Children's Hospital Srebrnjak, Zagreb, Croatia.
Sonja PerkovDepartment of Medical Biochemistry and Laboratory Medicine, Merkur University Hospital, Zagreb, Croatia.
Mirjana Mariana Kardum ParoDepartment of Medical Biochemistry and Laboratory Medicine, Merkur University Hospital, Zagreb, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The study of harmonized reference intervals (RIs) in Croatia was published in 2004. Since then, notable methodology and population characteristics changes have occurred in the Croatian population, highlighting the need for re-evaluation. This study aimed to verify harmonized RIs for hematology, coagulation, and clinical chemistry laboratory tests and assess their applicability in one clinical hospital center. Materials and methods: This verification study included 100 apparently healthy adults (40 males, 60 females; aged 22 to 75 years), selected using both Results: All tested hematology and coagulation RIs were successfully verified. Among 27 tested biochemical analytes, 25 RIs were verified in the first sample set. Total calcium and alkaline phosphatase RIs required additional verification. International harmonized RIs were adopted and successfully verified for both tests using two independent sample sets. Conclusions: Most harmonized RIs in use in Croatia remain applicable to the adult population of one clinical hospital center. However, periodic re-evaluation is needed due to changes in analytical methods and population characteristics. Reference intervals from international harmonization projects can provide a valid alternative when local verification fails.

Indexed as

Blood Chemical AnalysisAdultAgedBlood Coagulation TestsCroatiaFemaleHumansMaleMiddle AgedReference ValuesYoung AdultCLSIharmonizationreference valuesverification

Identifiers

PMID42299349
PMCPMC13262750

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