Uric acid

CAL target

Source: Nordic Trueness Project 2002

Material Nordic Trueness Project 2002 Reference method, DGKC 1997 NORIP

MEP17-1 transferred value

Standard uncertainty

Median Value Standard uncertainty/value Mean s N

CAL

290.2 0.93% 285 1.64% 283 14.6 1039

X

309.9 0.93%

Distribution of factors CAL/IMEP17-1 and X/IMEP17-1

ua.gif (4671 bytes)

 

Laboratory means of controls

The mean of control values for each lab are first sorted on method group (or for some components on instrument producer) and then on mean value for CAL. Therefore you will see the black line (CAL) as a smooth increasing line with an abrupt decrease for each method group. The other lines are of course not so smooth. MLH is the mean of  HIGH and LOW controls.

Notice that for some components MLH for Vitros is lower than for the other metod groups because Vitros have problems with diluted material (not with the concentrated HIGH!).

If a line goes lower than the Y-scale, it means that that the laboratory has not measured the respective control (for MLH: HIGH and/or LOW is not measured).

ua.GIF (14993 bytes)

CAL-corrected mean of control values X, P, HIGH (H), LOW(L)

For each method group all corrected values outside method group mean + 2s are discarded before calculation

ua.GIF (3937 bytes)

Instrument comparisons of mean and standard deviation of CAL stpf_i

Y-axis: Deviation from CAL-target. X-axis: Number of cal values in brackets

uri.gif (4671 bytes)

 

Laboratorys mean of CAL relative to "minimum" bias goals...

...expressed as Target value x (1 + 0.375 x CVb) where CVb is total biological variation expressed as a coeffisient of variation (19.2%)

ua2.GIF (5170 bytes)

Method specific %CV (all control values), median, maximum and minimum (no of labs in brackets on X-axis)

Distributions, Roche (Cobas and Hitachi)

Red-women or all

Blue-men

Cumulative distributions of reference values

Before and after correction with CAL (updated 2004.02.10)

urate.gif (13416 bytes)

Main instrument manufacturers

Updated 2004.02.09

Y-axis: z-score (or standard deviate; i.e. -1.96 represent 2.5% of distribution, 0 represent 50% or median and 1.96 represent 97.5% of distribution)

Number of reference values in distribution is shown in brackets in explanation box.

urate.GIF (7765 bytes)

Age related reference intervals

ua2.gif (46622 bytes)

Reference values and - limits (y-axis) against age (x-axis)

Reference limits (red) as proposed by NORIP (see here)

uri.gif (11553 bytes)

Country differences

Country mean for Hitachi/Modular instruments

Deviation from all mean ± error (2s/n˝ where s is standard deviation and n is number of data for each country).

ua.gif (3340 bytes)

 

Country reference limits with 90% confidence interval

Partitioning is indicated in the grey rows as Y (yes: <0.9% or >4.1% of subpopulation outside common reference limit), M (moderate: % outside is either in the interval [0.9%,1.8%] or [3.2%, 4.1%]), N (no: % outide is in the interval [1.8%, 3.2%]) as evaluated accoding to Ari Lahti's recommandations (but so far not taken into account).

The conclusions (N, M or Y) for partitioning (grey rows) for "Sum", "F", "M" for each country is relative to respective columns in "All".

uri2.GIF (24913 bytes)

Mean of thawed serum reference values (person results) for each laboratory  and instrument producer.

Black points - not corrected by laboratory mean of CAL or X.

Red points - corrected by laboratory mean of CAL or X.

Maximum, mean and minimum of all reported reference values (person results) for each laboratory sorted on mean.

 

Correlation with Body Mass Index (weight/height˛)

(selected data for calculation of reference intervals)

Women

ua_f_2.gif (9077 bytes)

Men

ua_m_2.gif (8669 bytes)

Comparison Vitros 950 (Ortho)/Hitachi 917 (Roche), thawed serum for one laboratory

ua.gif (7741 bytes)

Comparisons thawed serum (x)/fresh plasma (y) (regression plot) stpf

Only data for calculating reference intervals used .

Regression model: Passing and Babloc

Software: Analyse-It

ua_pb.gif (5588 bytes)

Comments: None

Comparisons fresh serum/thawed serum (regression plot) stsf

Only data for calculating reference intervals used .

Regression model: Passing and Babloc

Software: Analyse-It

ua_pb.gif (5426 bytes)

Comments: 

Instrument comparisons thawed serum (x)/fresh plasma (y) korr_sp

 

Comments: None