Haneder S, Gutfleisch A, Meier C, Brade J, Hannak D, Schoenberg SO, Becker CR, Michaely HJ. Evaluation of a handheld creatinine measurement device for real-time determination of serum creatinine in radiology departments. World J Radiol 2012; 4(7): 328-334 [PMID: 22900135 DOI: 10.4329/wjr.v4.i7.328]
Corresponding Author of This Article
Stefan Haneder, MD, Institute of Clinical Radiology and Nuclear Medicine, University Medical Centre Mannheim, Heidelberg University, Thoedor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany. stefan.haneder@umm.de
Article-Type of This Article
Brief Article
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World J Radiol. Jul 28, 2012; 4(7): 328-334 Published online Jul 28, 2012. doi: 10.4329/wjr.v4.i7.328
Table 1 Means, standard deviations, calculated difference between the measured serum creatinine level (mg/dL) using StatSensor™ creatinine and the laboratory reference, Pearson's correlation coefficients, paired t-test and Maloney-Rastogi test, subdivided by study centre, pre- and post-offset correction
Centre 1
Centre 2
Mean (centre 1 +2)
Pearson correlation coefficient
P value (paired t-test)
P value (Maloney-Rastogi-test)
StatSensor™
cSCr
Pre offset
Device A
0.80 ± 0.34
0.89 ± 0.27
0.85 ± 0.31
Inter-device evaluation (Device A vs B)
Device B
0.81 ± 0.34
0.89 ± 0.26
0.85 ± 0.30
Center 1 = 0.97
Center 1 = 0.404
Center 1 = 0.480
Difference between Device A vs B
-0.01 ± 0.09
0.00 ± 0.09
Center 2 = 0.95
Center 2 = 0.689
Center 2 = 0.521
Mean (Device A + B)
0.80 ± 0.34
0.89 ± 0.26
0.85 ± 0.31
Post offset
Device A
0.97 ± 0.50
Device B
0.96 ± 0.50
Laboratory reference
vSCr
0.96 ± 0.42
1.02 ± 0.26
0.99 ± 0.35
Inter-method evaluation (cSCr vs vSCr)
Difference
cSCr - vSCr
Pre offset
Mean (Device A + B)
-0.16 ± 0.16a
-0.14 ± 0.15b
-0.15 ± 0.15c
< 0.0001a,b,c
< 0.0001a,c; 0.9962b
Device A
-0.16 ± 0.16
0.93
< 0.0001
< 0.0001
Device B
-0.15 ± 0.17
0.92
< 0.0001
< 0.0001
Post offset
Device A
0.01 ± 0.19
0.93
0.638
< 0.0001
Device B
0.00 ± 0.20
0.92
0.955
< 0.0001
Table 2 Pearson's correlation coefficients for creatinine values measured using the laboratory reference (venous serum creatinine) and StatSensor™ creatinine, subdivided by study centre, renal function and gender
vSCr (laboratory) vs
cSCr (StatSensor™)
Overall
Device A
Device B
Study centre
Centre 1
0.93
0.92
0.93
Centre 2
0.85
0.82
0.84
Overall
0.90
0.88
0.89
Renal function
vSCr < 1.2 mg/dL
0.66
0.59
0.63
vSCr > 1.2 mg/dL
0.91
0.90
0.91
Gender
Male
0.91
0.89
0.90
Female
0.81
0.78
0.80
Table 3 Results of the re-analysed data from centre 1 (n = 201), shown pre- and post-implementation of the curve offset, separated for the two devicespre- and post-offset correction
Device
Slope
Intercept (mg/dL)
r2
Mean difference (mg/dL) (method-difference)
STDV of differences (method-difference)
% bias
Pre offset
A
0.765
0.065
0.870
-0.16
0.16
-15.54
B
0.745
0.089
0.845
-0.16
0.17
-14.76
Post offset
A
1.110
-0.099
0.870
0.01
0.19
0.39
B
1.088
-0.084
0.845
0.00
0.20
-0.02
Table 4 Sensitivity, specificity, positive predictive value, negative predictive value and mean values for the cut-off value of 1.2 mg/dL, of the re-analysed data from centre 1 (n = 201), shown pre- and post-implementation of the curve offset, separated for the two devices (%)
Device
Sensitivity
Specificity
PPV
NPV
Pre offset
A
35.48
99.41
91.67
89.42
B
41.94
99.41
92.86
90.37
Post offset
A
80.65
98.26
89.29
95.57
B
70.97
94.12
68.75
94.67
Mean (A + B)
77.42
94.71
72.37
95.83
Citation: Haneder S, Gutfleisch A, Meier C, Brade J, Hannak D, Schoenberg SO, Becker CR, Michaely HJ. Evaluation of a handheld creatinine measurement device for real-time determination of serum creatinine in radiology departments. World J Radiol 2012; 4(7): 328-334