NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Stability of intact parathyroid hormone in samples from hemodialysis patients.

Author(s): Cavalier E, Delanaye P, Carlisi A, Krzesinski JM, Chapelle JP

Publication: Kidney Int, 2007, Vol. 72, Page 370-2

PubMed ID: 17554256 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of storage on parathyroid hormone (PTH) levels in EDTA-plasma and serum.

Conclusion of Paper

There was no difference in PTH levels between serum and EDTA-plasma with no storage or when specimens were stored at -20 degrees C for up to 24 h, but PTH levels decreased when specimens were stored at -20 degrees for 5 days. When stored at room temperature for 24 h, EDTA-plasma PTH levels decreased slightly, but serum levels declined by 20.5% altering diagnosis in 33% of patients.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of storage on PTH levels in EDTA-plasma and serum using the Roche Elecsys assay.

    Summary of Findings:

    There was no difference in PTH levels between serum and EDTA-plasma with no storage or when specimens were stored at -20 degrees C for up to 24 h, but after 5 days at -20 degrees C, PTH levels in EDTA-plasma were decreased by 10.8% and serum levels were decreased by 7.2% (p<0.0004). In contrast, when specimens were stored at room temperature for 24 h, EDTA-plasma PTH levels only decreased by 4.1%, but serum levels declined by 20.5%. The authors report that the decrease in serum PTH levels after storage at room temperature would result in misclassification of 33% of patients. The authors conclude that if rapid delivery to the laboratory is not possible, specimens should be collected in EDTA tubes and analyzed within 24 h, but that EDTA-plasma should not be frozen.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Other diagnoses
    Platform:
    AnalyteTechnology Platform
    Peptide Clinical chemistry/auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Aliquots and Components Blood and blood products Plasma
    Serum
    Storage Storage temperature Room temperature
    -20 degrees C
    Storage Storage duration 0 h
    8 h
    24 h
    5 days
    Preaquisition Diagnosis/ patient condition Hemodialysis patients
    Biospecimen Acquisition Time of biospecimen collection October
    December

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