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Related Concept Videos

Complexometric Titration: Ligands00:43

Complexometric Titration: Ligands

Different monodentate and polydentate ligands are used as complexing agents in complexometric titration reactions. The formation of complexes by mono- and bidentate ligands involves two or more intermediate steps, limiting their use as complexing agents. In comparison, polydentate ligands can form complexes with metal ions in a single-step process, facilitating sharper end points. This means polydentate ligands, such as amino carboxylic acid derivatives, are most commonly employed in...
EDTA: Chemistry and Properties01:22

EDTA: Chemistry and Properties

Polydentate ligands are most widely used in complexometric titrations because they form more stable complexes with the metal ions than mono- or bidentate ligands due to the chelate effect. Examples of polydentate ligands are ethylenediaminetetraacetic acid (EDTA), crown ethers, and cryptands. The most important feature of optimal polydentate ligands is the ability to form 1:1 complexes in a single-step process. Amino carboxylic acid derivatives are frequently used as complexing agents. EDTA is...

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Updated: May 9, 2026

Multimer-PAGE: A Method for Capturing and Resolving Protein Complexes in Biological Samples
07:40

Multimer-PAGE: A Method for Capturing and Resolving Protein Complexes in Biological Samples

Published on: May 5, 2017

D-dimer: simple test, tough problems.

John D Olson1, Mark T Cunningham, Russell A Higgins

  • 1Department of Pathology, University of Texas Health Science Center, San Antonio, TX 78229-3900, USA. olsonj@uthscsa.edu

Archives of Pathology & Laboratory Medicine
|August 1, 2013
PubMed
Summary
This summary is machine-generated.

Laboratory practices for D-dimer testing show significant variability in methods and reporting, impacting venous thromboembolism (VTE) diagnosis. Despite interventions, inconsistencies persist, affecting test accuracy and patient care.

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Published on: January 20, 2015

Area of Science:

  • Clinical Chemistry
  • Hematology
  • Diagnostic Laboratory Medicine

Background:

  • D-dimer assays are crucial for diagnosing venous thromboembolism (VTE).
  • Significant variations exist in D-dimer assay methods and laboratory applications.
  • Standardization is needed for reliable VTE exclusion and diagnosis.

Purpose of the Study:

  • To investigate current laboratory practices for D-dimer assay and reporting.
  • To identify sources of variability in D-dimer testing.
  • To assess the impact of these variations on VTE diagnosis.

Main Methods:

  • Analysis of D-dimer proficiency testing data.
  • Survey of laboratory practices for D-dimer performance and reporting.
  • Comparison of laboratory practices with manufacturer recommendations.

Main Results:

  • High variability observed in D-dimer proficiency testing across different methods.
  • 33% of labs altered units, increasing proficiency testing failure rates.
  • Many labs used non-standard thresholds or qualitative assays for VTE exclusion.

Conclusions:

  • Considerable variability exists within and among quantitative D-dimer assay methods.
  • Laboratory practices in reporting units and setting VTE exclusion thresholds vary widely.
  • Interventions have not fully resolved the persistent variability in D-dimer testing.