Results of an international round robin for serum and whole-blood folate

Clin Chem. 1996 Oct;42(10):1689-94.

Abstract

Because of the increasing significance of folate nutriture to public health, a "round robin" interlaboratory comparison study was conducted to assess differences among methods. Twenty research laboratories participated in a 3-day analysis of six serum and six whole-blood pools. Overall means, SDs, and CVs derived from these results were compared within and across method types. Results reported for serum and whole-blood folate demonstrated overall CVs of 27.6% and 35.7%, respectively, across pools and two- to ninefold differences in concentrations between methods, with the greatest variation occurring at critical low folate concentrations. Although results for serum pools were less variable than those for whole-blood pools, substantial intermethod variation still occurred. The overall results underscore the urgent need for developing and validating reference methods for serum and whole-blood folate and for properly characterized reference materials. For evaluating study or clinical data, method-specific reference ranges (established with clinical confirmation of values for truly folate-deficient individuals) must be used.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Biological Assay
  • Blood Chemical Analysis / methods*
  • Blood Chemical Analysis / standards*
  • Chromatography, High Pressure Liquid
  • Female
  • Folic Acid / blood*
  • Humans
  • Lacticaseibacillus casei
  • Luminescent Measurements
  • Magnetics
  • Male
  • Quality Control
  • Radioimmunoassay
  • Reference Standards
  • Reference Values

Substances

  • Folic Acid