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Letters to the Editor |
Division of Clinical Biochemistry, Pacific Laboratory, Medicine Services, Royal North Shore Hospital, Sydney, New South Wales, Australia, Fax 61-2-9926-6069, E-mail rbais@med.usyd.edu.au
| The first 20% of the full text of this article appears below. |
To the Editor:
Recently, our laboratory received a bulletin (Technical Bulletin CC06-001, Calcium C.f.a.s. Set Point and PNU/PPU Target Value Reassignments: All Clinical Chemistry Systems, January, 2006) from Roche Diagnostics Australia indicating that the calcium value of their calibrator for automated systems (C.f.a.s.) had been reassigned. According to the bulletin, the calibration was performed against atomic absorption spectroscopy (AAS). The bulletin also stated that Roches quality assurance system did not reveal any substantial lot-to-lot changes over the 5 years since the last reference standardization. No data were provided on the quality assurance system results or on the standardization.
The change for the assigned value for the C.f.a.s. lot being used in our laboratory (lot 166275) was from 2.04 mmol/L to 1.93 mmol/L. We were concerned that the magnitude of this change (5.4%) was greater than the desirable total error for calcium, 2.4% (1), and we felt that such a change could have a substantial effect on patient data. Thus, we asked Roche Diagnostics to provide further information regarding the reassignment.
We were informed that the Roche Diagnostics in-house standardization procedure included the assays of 10 patient pools on either the Roche AAS or the
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