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精密度研究:检测BGStar、iBGStar及其他12种血糖仪重复测量的批间和批内变异。

The precision study: examining the inter- and intra-assay variability of replicate measurements of BGStar, iBGStar and 12 other blood glucose monitors.

作者信息

Ramljak Sanja, Musholt Petra B, Schipper Christina, Flacke Frank, Sieber Jochen, Borchert Marcus, Forst Thomas, Pfützner Andreas

机构信息

IKFE - Institute for Clinical Research and Development , Parcusstr. 8, D-55116 Mainz , Germany +49 6131 5763610 +49 6131 5763611

出版信息

Expert Opin Med Diagn. 2013 Nov;7(6):511-6. doi: 10.1517/17530059.2013.839984. Epub 2013 Oct 3.

Abstract

OBJECTIVE

Self-monitoring of blood glucose is a key element in diabetes management. Accurate and precise performance of blood glucose monitors (BGMs) ensures that valid values are obtained to guide treatment decisions by patients and physicians. BGStar and iBGStar are hand-held BGMs that use dynamic electrochemistry to correct for potential interferences and thereby minimize system errors.

RESEARCH DESIGN AND METHODS

A single-center, in vitro diagnostic device performance evaluation with heparinized oxygenated venous blood samples (intra-assay precision) and control solutions (interassay precision) was performed in a laboratory setting, comparing BGStar and iBGStar with 12 competitors.

MAIN OUTCOME MEASURES

The primary outcome was the coefficient of variation percent (CV%) of the BGMs investigated.

RESULTS

In inter-assay precision analyses, all but GlucoMen LX had a CV <5%, and in intra-assay precision analyses, 10 of the 14 devices tested had CV <5%. BGStar and iBGStar had a CV <5% in both the inter- and intra-assay precision analyses. The smallest variation was found in the near-normoglycemic glucose range (5.3 - 8.0 mmol/l) for both BGStar and iBGStar in the inter-assay precision analysis.

CONCLUSIONS

BGStar and iBGStar were proven to have very good inter-assay and high intra-assay precision, demonstrating low scattering of replicate measurements with both clinical samples and control solutions.

摘要

目的

血糖自我监测是糖尿病管理的关键要素。血糖监测仪(BGM)的准确和精确性能可确保获得有效数值,以指导患者和医生做出治疗决策。BGStar和iBGStar是手持式BGM,它们使用动态电化学方法来校正潜在干扰,从而将系统误差降至最低。

研究设计与方法

在实验室环境中,使用肝素化含氧静脉血样本(批内精密度)和对照溶液(批间精密度)进行了单中心体外诊断设备性能评估,将BGStar和iBGStar与12种竞品进行比较。

主要观察指标

主要观察指标是所研究BGM的变异系数百分比(CV%)。

结果

在批间精密度分析中,除GlucoMen LX外,所有产品的CV均<5%;在批内精密度分析中,所测试的14种设备中有10种的CV<5%。BGStar和iBGStar在批间和批内精密度分析中的CV均<5%。在批间精密度分析中,BGStar和iBGStar在接近正常血糖的葡萄糖范围(5.3 - 8.0 mmol/l)内变异最小。

结论

BGStar和iBGStar被证明具有非常好的批间精密度和较高的批内精密度, 表明临床样本和对照溶液的重复测量值离散度较低。

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