title: [Improvement of result coherence in clinical enzymology: multicenter study of gamma-glutamyltransferase, alkaline phosphatase and amylase activities].
abstract: We report here on the results of a multicenter study of three enzyme activities (gamma-glutamyltransferase, alkaline phosphatase and amylase). For each activity, measurements were performed in two laboratories on different series of patients' specimens under routine conditions, at 30 and 37 degrees C, with techniques frequently used in France and with the IFCC reference method, when it exists. For each technique, precision was acceptable, but results differed considerably according to the technique used. The study also showed that for different techniques it is not possible to use a single transformation factor for activities between 30 and 37 degrees C. Patients' results determined by two techniques often showed a constant relationship. Groups of techniques that determined the same catalytic activity in patients' specimens were identified, whereas other techniques did not have this property. Several preparations, including reference materials produced by the Community Bureau of Reference (European Community, Brussels) and ten commercial secondary materials were tested for similar behaviour as compared to patients' samples. Results show the commutability of reference materials within a group of techniques indicating that they can be used as calibrators. This was seldom the case for the commercial secondary materials and we did not find any such material suitable for calibration of the three enzymatic activities. The present study demonstrates that with defined techniques and validated calibrators it is possible to reduce considerably differences between results obtained with different techniques at different temperatures and in different laboratories.
authors.affiliation: Laboratoire de biochimie appliquée, université Louis-Pasteur de Strasbourg, France.
authors.forename: J M
authors.initials: JM
authors.lastname: Lessinger
authors.forename: G
authors.initials: G
authors.lastname: Férard
authors.forename: D
authors.initials: D
authors.lastname: Grafmeyer
authors.forename: D
authors.initials: D
authors.lastname: Labbé
authors.forename: I
authors.initials: I
authors.lastname: Maire
authors.forename: F
authors.initials: F
authors.lastname: Schiele
authors.forename: A
authors.initials: A
authors.lastname: Vassault
mesh_terms: D000469:Alkaline Phosphatase / Q000378:metabolism*; D000681:Amylases / Q000378:metabolism*; D002138:Calibration; D004796:Clinical Enzyme Tests / Q000379:methods*; D006801:Humans; D012016:Reference Values; D005723:gamma-Glutamyltransferase / Q000378:metabolism*
chemical_list: D005723:gamma-Glutamyltransferase; D000469:Alkaline Phosphatase; D000681:Amylases
vernacular_title: Amélioration de la cohérence des résultats en enzymologie clinique: étude multicentrique concernant les activités gammaglutamyltransférase, phosphatase alcaline et amylase.