point of care testing of fecal calprotectin as a substitute for routine laboratory analysis
;Julie Hejl;Klaus Theede;Brian Møllgren;Kirsten Vikkelsø Madsen;Ashraf Heidari;Anna á Steig;Mogens Fenger
biochemia medica2018Vol. 10pp. 10-14
304
hejl2018practicalpoint
Abstract
Objectives: Fecal calprotectin (FC) is widely used to monitor the activity of inflammatory bowel disease (IBD) and to tailor medical treatment to disease activity. Laboratory testing of fecal samples may have a turnaround time of 1–2 weeks, whereas FC home testing allows results within hours and thus enables a rapid response to clinical deterioration.
Design and methods: Fifty-five stool samples were analyzed by the IBDoc® Calprotectin Home Testing kit and the BÜHLMANN fCAL® turbo assay on a Roche Cobas 6000 c501. The correlation between the assays was assessed using Spearman's Rho correlation coefficient and the intermediate imprecision of both assays was calculated.
Results: We found a strong correlation coefficient of 0.887 between FC measured on IBDoc® and the laboratory assay BÜHLMANN fCAL® turbo. The coefficients of variation (CVs) at three different FC levels were in the range 2.3–5.5% (BÜHLMANN fCAL® turbo) and in the range of 4.8–26.6% (IBDoc®).
Conclusions: This study suggests that IBDoc® is a suitable alternative for the assessment of disease activity in IBD patients.