In:
Clinical Chemistry and Laboratory Medicine (CCLM), Walter de Gruyter GmbH, Vol. 56, No. 2 ( 2018-01-26), p. 273-277
Abstract:
The demand for vitamin D testing is increasing in China. Liquid chromatography-tandem mass spectrometry (LC-MS/MS) immunoassay is specific and accurate but requires expensive equipment, experienced operators, and complicated pretreatment of serum. Automated immunoassays are simple and convenient but only determine total 25-hydroxyvitamin D (25OHD). The objective of this study was to quantify 25OHD 2 and 25OHD 3 in patients to assist clinical physicians and laboratory directors in choosing the most appropriate method to determine 25OHD. Methods: Vitamin D testing was conducted for 23,695 patients in Peking Union Medical College Hospital from May 2015 to January 2017. Using this large data set, the prevalence and levels of 25OHD 2 were analyzed. LC-MS/MS was used to separately determine 25OHD 2 and 25OHD 3 . Results: 25OHD 2 (≥2.5 ng/mL) was detected in 16.4% (3877/23,695) of patients. Males had a significantly lower incidence of detectable 25OHD 2 (p 〈 0.01); 1077 (13.9%) samples contained detectable 25OHD 2 (median: 3.7 ng/mL; 2.5%–97.5%: 2.5–17.2 ng/mL). For females, 2800 (17.5%) samples contained detectable 25OHD 2 (median: 4.0 ng/mL; range: 2.5–20.6 ng/mL). Of the 3877 patients with detectable 25OHD 2 , males had a significantly higher level of 25OHD 3 (p 〈 0.01). There was no significant difference in total 25OHD. The proportion of 25OHD 2 in total 25OHD was 1.3%–100%; 87.5% (3391/3877) of the samples contained 〈 10 ng/mL 25OHD 2 . 25OHD 2 negatively correlated with 25OHD 3 (r=−0.197, p 〈 0.01) and positively correlated with total 25OHD (r=0.217, p 〈 0.01). Conclusions: Prevalence of 25OHD 2 in patients tested for vitamin D is relatively high in China. 25OHD 2 is significantly negatively correlated with 25OHD 3 .
Type of Medium:
Online Resource
ISSN:
1437-4331
,
1434-6621
DOI:
10.1515/cclm-2017-0520
Language:
English
Publisher:
Walter de Gruyter GmbH
Publication Date:
2018
detail.hit.zdb_id:
1418007-8
detail.hit.zdb_id:
1492732-9
SSG:
15,3
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