基于价值的实验室医学中的参考间隔:从单点测量转向基于代谢变异的模型
Abdurrahman Coskun1, Mario Plebani2
1Department of Medical Biochemistry, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Türkiye.
Clinical chemistry and laboratory medicine
|August 16, 2025
概括
可靠的实验室参考数据对于患者护理至关重要. 超越单个样本统计,将代谢动态纳入其中,将改善实验室结果的临床解释.
科学领域:
- 临床化学 临床化学
- 实验室医学 实验室医学
- 生物统计学 生物统计学
背景情况:
- 准确的实验室数据解释依赖于可靠的参考数据.
- 使用单个样本测量的传统参考数据估计可能由于生物变异而不足.
- 分析剂度受到随机和系统变化的影响,影响患者结果的解释.
研究的目的:
- 建议在估计参考间隔方面进行范式转变.
- 将代谢动态纳入参考区间估计.
- 增强用于决策的实验室数据的临床价值.
主要方法:
- 对参考数据估计当前实践的审查.
- 讨论将纵向和动态数据纳入.
- 确定适合代谢动态的统计模型.
主要成果:
- 目前基于单个样本分布的模型有局限性.
- 纳入代谢变化可以提供更可靠的参考间隔.
- 为了提高临床效用,建议过渡到动态模型.
结论:
- 转向反映代谢动态的模型对于准确的实验室数据解释至关重要.
- 这种方法将加强临床决策和患者护理.
- 对动态参考区间模型的进一步研究是有必要的.
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