A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of this study was to compare three vitamin D measuring assays with a reference method to analyze whether their performance varied according to different statistical procedures and measurement ranges used. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Three vitamin D measurement methods, a high-performance liquid chromatography (HPLC) and two immunoassay systems (Architect, Abbott Diagnostics and Cobas, Roche Diagnostics) were compared with liquid chromatography tandem mass spectrometry (LCMS/MS) as the reference method in a study population of 141 individuals. The study group was investigated as whole group and two different subgroups of <50 ng/ml and <20 ng/ml, according to LCMS/MS measurements. The results were analyzed by Passing Bablok regression analysis, concordance correlation coefficient, interrater agreement, Bland Altman plots. R Re es su ul lt ts s: : Data generated from the various statistical analyses revealed that all of the methods investigated in this study performed worse for lower concentrations (<50 ng/ml and <20 ng/ml). The best overall performance was obtained by HPLC method. The methods showed variable performance with the statistical analysis used. C Co on nc cl lu us si io on n: : Method comparison studies of vitamin D are prone to variable results according to the statistical method and measurement range chosen. Method comparison studies should be based on clinical requirements. Laboratory professionals should determine the range that is important from clinical point of view, and should evaluate the results according to total allowable error for that range.K Ke ey y W Wo or rd ds s: : Vitamin D; immunoassay; chromatography, high pressure liquid; mass spectrometry Ö ÖZ ZE ET T A Am ma aç ç: : Çalışmanın amacı üç D vitamini ölçüm yöntemini, referans kabul edilen bir yöntemle karşılaştırmak ve performanslarının kullanılan istatistiksel yöntem ve seçilen ölçüm aralığına göre değişim gösterip göstermediğini değerlendirmektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Yüz kırk bir bireyden oluşan bir çalışma grubunda, bir yüksek performans likid kromatografi (HPLC) ve iki immunoassay yöntemi (Architect, Abbott Diagnostics ve Cobas, Roche Diagnostics) referans yöntem olarak alınan bir sıvı kromatografi-ardşık kuẗle spektrometresi (LCMS/MS) yöntemi ile karşılaştırıldı. Sonuçlar tüm çalışma grubu, D vitamini konsantrasyonu <50 ng/ml olan ve <20 ng/ml olan üç ayrı alt grupta incelendi. Elde edilen veriler Passing Bablok regresyon analizi, konkordans uyum katsayısı, interrater uyum, Bland Altman grafikleri ile değerlendirildi. B Bu ul lg gu ul la ar r: : Farklı istatistiksel analizlerin sonucuna göre, tüm yöntemler daha düşük konsantrasyonlarda (<50 ng/ml ve <20 ng/ml) daha düşük performans gösterdi. Ayrıca yöntemler, kullanılan istatistiksel analize bağlı olarak değişen performanslar sergilediler. En iyi toplam performans HPLC yöntemi ile elde edildi. S So on nu uç ç: : Yöntem karşılaştırma çalışmalarında el...
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