Assessment of simple colorimetric procedures to determine smoking status of diabetic subjects

The performance of a simple colorimetric assay for urinary nicotine metabolites to assess smoking status in diabetic subjects (n = 251) was investigated. Several variations of the colorimetric assay and a qualitative extraction procedure were evaluated in comparison with a cotinine immunoassay as th...

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Veröffentlicht in:Clinical chemistry (Baltimore, Md.) Md.), 1998-02, Vol.44 (2), p.275-280
Hauptverfasser: Smith, Robert F, Mather, Hugh M, Ellard, Gordon A
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container_title Clinical chemistry (Baltimore, Md.)
container_volume 44
creator Smith, Robert F
Mather, Hugh M
Ellard, Gordon A
description The performance of a simple colorimetric assay for urinary nicotine metabolites to assess smoking status in diabetic subjects (n = 251) was investigated. Several variations of the colorimetric assay and a qualitative extraction procedure were evaluated in comparison with a cotinine immunoassay as the "gold standard." Among these, the best overall performance was achieved with the qualitative test (sensitivity 95%; specificity 100%). The quantitative measurement of total nicotine metabolites performed less well (sensitivity 92%; specificity 97%) but could be improved by incorporating a blank extraction (sensitivity 98%; specificity 98%). Allowance for diuresis appeared to offer no advantage over the other methods. These results support previous findings regarding the use of these colorimetric procedures in nondiabetic subjects and, contrary to other recent observations, their performance was not impaired in diabetic patients.
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current)
subjects Biological and medical sciences
Colorimetry - methods
Creatinine - urine
Diabetes Mellitus - urine
Humans
Medical sciences
Nicotine - urine
Regression Analysis
Sensitivity and Specificity
Smoking - urine
Thiobarbiturates - urine
Tobacco, tobacco smoking
Toxicology
title Assessment of simple colorimetric procedures to determine smoking status of diabetic subjects
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