First morning voided urinary gonadotropins in children: verification of method performance and establishment of reference intervals

Urinary luteinizing hormone (uLH) and urinary follicle-stimulating hormone (uFSH) have been shown to be useful screening and management tools for children with central precocious puberty. However, studies on uLH and uFSH reference intervals are scarce. Therefore, we aimed to establish reference inte...

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Veröffentlicht in:Clinical chemistry and laboratory medicine 2022-08, Vol.60 (9), p.1416-1425
Hauptverfasser: Yao, Yifan, Mao, Shunfeng, Yuan, Ke, He, Minfei, Dong, Minya, Huang, Yandi, Yang, Donglei, Zhang, Xiaoyan, Peng, Chen, Zhu, Yilin, Wang, Chunlin
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container_end_page 1425
container_issue 9
container_start_page 1416
container_title Clinical chemistry and laboratory medicine
container_volume 60
creator Yao, Yifan
Mao, Shunfeng
Yuan, Ke
He, Minfei
Dong, Minya
Huang, Yandi
Yang, Donglei
Zhang, Xiaoyan
Peng, Chen
Zhu, Yilin
Wang, Chunlin
description Urinary luteinizing hormone (uLH) and urinary follicle-stimulating hormone (uFSH) have been shown to be useful screening and management tools for children with central precocious puberty. However, studies on uLH and uFSH reference intervals are scarce. Therefore, we aimed to establish reference intervals for uLH and uFSH, according to age, sex, and pubertal status in apparently healthy children aged 6–11 years.We performed detection capability, precision, accuracy by recovery, linearity, agreement analysis, and stability testing to analyze the method performance of uLH and uFSH. The Clinical Laboratory Standards Institute’s C28-A3 criteria was used to establish the reference intervals.Both uLH and uFSH were stable at 4 °C for 52.6 h and 64.8 days, respectively. The total imprecision of uFSH is within the manufacturer’s claim, while the total imprecision of uLH remained within tolerable bias. Both uLH and uFSH could be measured with acceptable detection capability. The recovery rates of the hormones were 87.6–98.8% and 102.8–103.4%, respectively, and therefore within acceptable limits. There were significant correlations between the serum and urine concentrations (LH: r=0.91, p
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However, studies on uLH and uFSH reference intervals are scarce. Therefore, we aimed to establish reference intervals for uLH and uFSH, according to age, sex, and pubertal status in apparently healthy children aged 6–11 years.We performed detection capability, precision, accuracy by recovery, linearity, agreement analysis, and stability testing to analyze the method performance of uLH and uFSH. The Clinical Laboratory Standards Institute’s C28-A3 criteria was used to establish the reference intervals.Both uLH and uFSH were stable at 4 °C for 52.6 h and 64.8 days, respectively. The total imprecision of uFSH is within the manufacturer’s claim, while the total imprecision of uLH remained within tolerable bias. Both uLH and uFSH could be measured with acceptable detection capability. The recovery rates of the hormones were 87.6–98.8% and 102.8–103.4%, respectively, and therefore within acceptable limits. There were significant correlations between the serum and urine concentrations (LH: r=0.91, p&lt;0.001; FSH: r=0.90, p&lt;0.001). The reference intervals of uLH and uFSH were established according to age, sex, and pubertal status.We established reference intervals for uLH and uFSH based on age, sex and pubertal status to provide a non-invasive clinical screening tool for precocious puberty in children aged 6–11 years.</description><identifier>ISSN: 1434-6621</identifier><identifier>EISSN: 1437-4331</identifier><identifier>DOI: 10.1515/cclm-2022-0296</identifier><language>eng</language><publisher>Berlin: De Gruyter</publisher><subject>Age ; Children ; Follicle-stimulating hormone ; Gonadotropins ; Hormones ; Intervals ; Luteinizing hormone ; Management tools ; Pituitary (anterior) ; precocious puberty ; Puberty ; Recovery ; reference interval ; Sex ; Stability analysis</subject><ispartof>Clinical chemistry and laboratory medicine, 2022-08, Vol.60 (9), p.1416-1425</ispartof><rights>2022 Walter de Gruyter GmbH, Berlin/Boston</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-edea7713594a3fae73aff6f10ebd50c6fe6c0b48a9ece7c53a984479530316c63</citedby><cites>FETCH-LOGICAL-c354t-edea7713594a3fae73aff6f10ebd50c6fe6c0b48a9ece7c53a984479530316c63</cites><orcidid>0000-0003-0641-1364 ; 0000-0003-3821-3047</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.degruyter.com/document/doi/10.1515/cclm-2022-0296/pdf$$EPDF$$P50$$Gwalterdegruyter$$H</linktopdf><linktohtml>$$Uhttps://www.degruyter.com/document/doi/10.1515/cclm-2022-0296/html$$EHTML$$P50$$Gwalterdegruyter$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,66505,68289</link.rule.ids></links><search><creatorcontrib>Yao, Yifan</creatorcontrib><creatorcontrib>Mao, Shunfeng</creatorcontrib><creatorcontrib>Yuan, Ke</creatorcontrib><creatorcontrib>He, Minfei</creatorcontrib><creatorcontrib>Dong, Minya</creatorcontrib><creatorcontrib>Huang, Yandi</creatorcontrib><creatorcontrib>Yang, Donglei</creatorcontrib><creatorcontrib>Zhang, Xiaoyan</creatorcontrib><creatorcontrib>Peng, Chen</creatorcontrib><creatorcontrib>Zhu, Yilin</creatorcontrib><creatorcontrib>Wang, Chunlin</creatorcontrib><title>First morning voided urinary gonadotropins in children: verification of method performance and establishment of reference intervals</title><title>Clinical chemistry and laboratory medicine</title><description>Urinary luteinizing hormone (uLH) and urinary follicle-stimulating hormone (uFSH) have been shown to be useful screening and management tools for children with central precocious puberty. 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1437-4331
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source De Gruyter journals
subjects Age
Children
Follicle-stimulating hormone
Gonadotropins
Hormones
Intervals
Luteinizing hormone
Management tools
Pituitary (anterior)
precocious puberty
Puberty
Recovery
reference interval
Sex
Stability analysis
title First morning voided urinary gonadotropins in children: verification of method performance and establishment of reference intervals
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