Urinary Albumin Detection: Comparison of Two Different Methods

J Clin Lab Anal. 2016 Nov;30(6):888-891. doi: 10.1002/jcla.21952. Epub 2016 Apr 7.

Abstract

Background: Monitoring urinary albumin is a useful method in clinical practice for the management of diabetic nephropathy, chronic kidney disease, and hypertension. Currently there are neither standardized methods nor reference material for the determination of urinary albumin; for this reason it is useful to compare different assays used in clinical laboratory.

Objectives: The aim of this study is to verify analytical performance of an immunoturbidimetric assay on Roche Cobas 8000 platform and to compare urinary albumin results with those obtained by immunonephelometry on Siemens Dade Behring BN II Nephelometer.

Results: The method comparison showed a good linear relationship, confirmed by Passing-Bablok and Bland-Altman plots. The turbidimetric assay meets the requirements of accuracy and precision for the practice of medical diagnostics and clinical use.

Conclusions: The present study can contribute to the methods standardization and harmonization of urinary albumin assay.

Keywords: method evaluation; urinary albumin.

MeSH terms

  • Albuminuria / diagnosis*
  • Albuminuria / urine
  • Diabetic Nephropathies / urine*
  • Humans
  • Hypertension / urine*
  • Immunoassay / methods*
  • Nephelometry and Turbidimetry / methods*
  • Regression Analysis
  • Renal Insufficiency, Chronic / urine*