Biologic variation of symmetric dimethylarginine and creatinine in clinically healthy cats
© 2020 American Society for Veterinary Clinical Pathology.
Publié dans: | Veterinary clinical pathology. - 1975. - 49(2020), 3 vom: 27. Sept., Seite 401-406 |
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Auteur principal: | |
Autres auteurs: | , , , , , , , |
Format: | Article en ligne |
Langue: | English |
Publié: |
2020
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Accès à la collection: | Veterinary clinical pathology |
Sujets: | Journal Article Observational Study, Veterinary feline index of individuality population-based reference intervals reference change values subject-based reference intervals Biological Products symmetric dimethylarginine 49787G1ULV plus... |
Résumé: | © 2020 American Society for Veterinary Clinical Pathology. BACKGROUND: Biologic variation of biochemical analytes, both within individuals and between individuals, determines whether population-based reference intervals (RIs) are appropriate when interpreting if a particular change is clinically relevant for a specific individual OBJECTIVES: We aimed to evaluate the biologic variation of symmetric dimethylarginine (SDMA) in clinically healthy cats METHODS: A prospective, observational study was performed in which 10 clinically healthy, client-owned cats were sampled for serum biochemical analyses once weekly for 6 weeks. Serum samples were frozen, and then single batches were analyzed for SDMA, using both liquid chromatography-mass spectroscopy (LC-MS), and an enzyme multiplied immunoassay technique (EMIT), and creatinine by modified Jaffe method. Restricted maximum likelihood estimations were used to determine the coefficients of variation (CVs) describing variation within each cat, between cats, and the analytical variation. These CVs were used to determine the indices of individuality and reference change values (RCVs) RESULTS: SDMA had an intermediate index of individuality that could be evaluated by both RCV and population-based RIs. In contrast, creatinine had a high index of individuality best evaluated with RCVs. Serum SDMA concentrations evaluated with either the reference standard, LC-MS, or the clinically used EMIT yielded similar results CONCLUSIONS: Clinicians should consider biologic variation when selecting the best method for interpreting changes in biochemical analytes. Specifically, establishing each cat's baseline serum creatinine and SDMA concentrations during health, and applying RCVs to subsequent measurements could improve the recognition of meaningful biologic changes |
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Description: | Date Completed 17.09.2021 Date Revised 17.09.2021 published: Print-Electronic Citation Status MEDLINE |
ISSN: | 1939-165X |
DOI: | 10.1111/vcp.12884 |