Evidence map›Paper›PMID 42426636›Full record

ArticleBMC gastroenterology2026

Assay performance verification and reference interval establishment for PIVKA-II on the Roche cobas e 801.

Youli Zhao, Zejing Liu, Chunhong Xiao

Abstract readValidation Study
In one paragraph

Article in BMC gastroenterology, 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

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

3 authors.

Youli ZhaoLaboratory Medical Center, The Second Hospital & Clinical Medical School, Lanzhou University, No. 82, Cuiyingmen Street, Chengguan District, Lanzhou, Gansu, 730030, China.
Zejing LiuLaboratory Medical Center, The Second Hospital & Clinical Medical School, Lanzhou University, No. 82, Cuiyingmen Street, Chengguan District, Lanzhou, Gansu, 730030, China.
Chunhong XiaoLaboratory Medical Center, The Second Hospital & Clinical Medical School, Lanzhou University, No. 82, Cuiyingmen Street, Chengguan District, Lanzhou, Gansu, 730030, China. xch2745@163.com.

Funding

Gansu Province Health and Wellness Industry Research Project GSWSQN2024-02Gansu Provincial Natural Science Foundation 26JRRA823
6 · The paper itself

Abstract

objectiveTo validate the analytical performance of the Roche cobas e 801 chemiluminescent immunoassay for Protein induced by vitamin K absence or antagonist-II (PIVKA-II), establish age-/gender-specific reference intervals for healthy adults in the Gansu population, and evaluate its concordance with the Abbott Alinity i system currently used in our laboratory.

methodsPrecision (intra-run/inter-run coefficients of variation [CVs]), linearity (0.50-12000 ng/mL), and clinical reportable range (via 10-fold dilution with 80%-120% recovery criteria) were verified following Clinical and Laboratory Standards Institute (CLSI) and Chinese health industry standards. Agreement between the cobas e 801 and Alinity i systems was assessed using Passing-Bablok regression and Bland-Altman analysis (n = 173). Reference intervals were established based on 2253 healthy participants (≥ 18 years, permanent residents of Lanzhou). The 2.5th-97.5th percentiles were calculated using a nonparametric method, and decision tree analysis was used to determine age stratification cutoffs.

resultsIntra-run coefficients of variation ranged from 1.36% to 1.57%, and inter-run CVs from 1.13% to 1.16%, all below CLIA'88 total allowable error and manufacturer claims (except for intra-run high-value quality control (QC), which was slightly higher than the manufacturer's specification). The linear regression equation was Y = 0.99X + 6.34 (R

conclusionThe PIVKA-II assay on the Roche cobas e 801 system meets laboratory quality requirements for analytical performance and is suitable for clinical application. Due to significant proportional bias compared with the Abbott Alinity i system, system-specific reference intervals are recommended, and the two systems should not be used interchangeably. For results approaching the upper reference limit, clinical follow-up is advised. The established local reference intervals can provide more targeted decision-making support for hepatocellular carcinoma screening.

Indexed as

BiomarkersLuminescent MeasurementsProtein PrecursorsAdolescentAdultAgedAged, 80 and overAge FactorsChinaFemaleHumansImmunoassayMaleMiddle AgedProthrombinReference ValuesacarboxyprothrombinBiomarkersProtein PrecursorsProthrombinMethod comparisonPerformance verificationPIVKA-IIReference interval

Identifiers

PMID42426636
PMCPMC13632220

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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.