title: Evaluation of an in-practice wet-chemistry analyzer using canine and feline serum samples.
abstract: A wet-chemistry biochemical analyzer was assessed for in-practice veterinary use. Its small size may mean a cost-effective method for low-throughput in-house biochemical analyses for first-opinion practice. The objectives of our study were to determine imprecision, total observed error, and acceptability of the analyzer for measurement of common canine and feline serum analytes, and to compare clinical sample results to those from a commercial reference analyzer. Imprecision was determined by within- and between-run repeatability for canine and feline pooled samples, and manufacturer-supplied quality control material (QCM). Total observed error (TEobs) was determined for pooled samples and QCM. Performance was assessed for canine and feline pooled samples by sigma metric determination. Agreement and errors between the in-practice and reference analyzers were determined for canine and feline clinical samples by Bland-Altman and Deming regression analyses. Within- and between-run precision was high for most analytes, and TEobs(%) was mostly lower than total allowable error. Performance based on sigma metrics was good (σ > 4) for many analytes and marginal (σ > 3) for most of the remainder. Correlation between the analyzers was very high for most canine analytes and high for most feline analytes. Between-analyzer bias was generally attributed to high constant error. The in-practice analyzer showed good overall performance, with only calcium and phosphate analyses identified as significantly problematic. Agreement for most analytes was insufficient for transposition of reference intervals, and we recommend that in-practice-specific reference intervals be established in the laboratory.
authors.affiliation: Diagnostic Laboratories, Langford Veterinary Services, School of Veterinary Sciences, University of Bristol, Langford, Bristol, UK.
authors.forename: Katherine L
authors.initials: KL
authors.lastname: Irvine
authors.affiliation: Diagnostic Laboratories, Langford Veterinary Services, School of Veterinary Sciences, University of Bristol, Langford, Bristol, UK.
authors.forename: Kay
authors.initials: K
authors.lastname: Burt
authors.affiliation: Diagnostic Laboratories, Langford Veterinary Services, School of Veterinary Sciences, University of Bristol, Langford, Bristol, UK kos.papasouliotis@bristol.ac.uk.
authors.forename: Kostas
authors.initials: K
authors.lastname: Papasouliotis
mesh_terms: D000818:Animals; D001774:Blood Chemical Analysis / Q000662:veterinary*; D001786:Blood Glucose; D002415:Cats / Q000097:blood*; D002784:Cholesterol / Q000097:blood; D004285:Dogs / Q000097:blood*; D019095:Point-of-Care Systems / Q000592:standards; D015203:Reproducibility of Results; D014508:Urea / Q000097:blood
chemical_list: D001786:Blood Glucose; D014508:Urea; D002784:Cholesterol
keywords: Cats; dogs; instrumentation; point-of-care systems; validation studies