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Variability in vitamin D assays impairs clinical assessment of vitamin D status


Lai, JKC and Lucas, RM and Banks, E and Ponsonby, A-L and Chapman, C and Coulthard, A and Dear, K and Dwyer, T and Kilpatrick, T and McMichael, T and Pender, MP and Taylor, B and Valery, P and Van der Mei, I and Williams, D, Variability in vitamin D assays impairs clinical assessment of vitamin D status, Internal Medicine Journal, 42, (1) pp. 43-50. ISSN 1444-0903 (2012) [Refereed Article]

Copyright Statement

Copyright 2011 Royal Australasian College of Physicians

DOI: doi:10.1111/j.1445-5994.2011.02471.x


Background:  Measuring serum 25(OH)D concentration is common in clinical practice despite the questionable reliability of assays.

Aims:  The aim of the present study was to examine agreement in 25(OH)D concentrations measured by different assays and laboratories, and consider related clinical implications.

Methods:  Serum samples from 813 participants in the Australian Multicentre Study of Environment and Immune Function (the Ausimmune Study) were assayed for 25(OH)D concentration. Duplicate samples from subsets of subjects were sent to different laboratories, two using DiaSorin Liaison (Laboratory A and B) and one using Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS – selected here as the nominal gold standard). Pairwise within-assay (both within-laboratory and between-laboratories) and between-assay agreement was examined using Deming regression and Bland-Altman plots. Common 25(OH)D cut-points for classification of vitamin D deficiency were used to compare the different assays.

Results:  25(OH)D concentrations measured using Liaison were substantially lower at Laboratory A than at Laboratory B (mean bias −11.60 nmol/L, 95% limits of agreement −46.39, 23.18). Both Liaison assays returned much lower 25(OH)D concentrations than LC-MS/MS (mean bias up to −26.05 nmol/L, 95% limits of agreement of −13.21, 65.31). For Laboratory A participants, 46% (355/765) were classified as vitamin D deficient (25(OH)D <50 nmol/L) using Liaison compared with 17% (128/765) using LC-MS/MS. For Laboratory B participants, the respective figures were 36% (76/209) and 20% (41/209). Hence, between 1-in-5 and 1-in-3 participants were misclassified as ‘deficient’.

Conclusion:  Bias and variability in 25(OH)D measurements sufficient to affect significantly clinical decision-making were found both between-laboratories and between-assays. The adoption of common standards to allow assay calibration is required urgently.

Item Details

Item Type:Refereed Article
Keywords:25(OH)D, vitamin D, measurement, variability
Research Division:Health Sciences
Research Group:Epidemiology
Research Field:Epidemiology not elsewhere classified
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Preventive medicine
UTAS Author:Taylor, B (Professor Bruce Taylor)
UTAS Author:Van der Mei, I (Professor Ingrid van der Mei)
ID Code:71105
Year Published:2012
Web of Science® Times Cited:129
Deposited By:Menzies Institute for Medical Research
Deposited On:2011-07-07
Last Modified:2017-10-31

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