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January 7, 2011Scandinavian Journal of Medicine and Science in Sports

Dependence of hemoglobin mass estimation with the optimized CO‐rebreathing method on different spectrophotometers

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Key result

Total hemoglobin mass estimation using the optimized CO-rebreathing method showed weak agreement between RapidLab and OSM3 spectrophotometers (limits of agreement 11.2%; 95% range -6.8 to +15.6%).

Why the study?

Does the choice of spectrophotometer (RapidLab vs OSM3) affect the estimation of total hemoglobin mass using the optimized CO-rebreathing method?

Population

33-37 subjects undergoing total hemoglobin mass (tHb-mass) estimation

Comparison

Measurement of carboxyhemoglobin fraction using… vs Measurement of %HbCO using OSM3 spectrophotometer

Design

Other

Follow-up

6-month intervals

Authors

GUGert UlrichStiftung Patientensicherheit SchweizJSJ StrunzHeidelberg UniversityFFFalko FreseHeidelberg University

Discussion

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Implication

Device-specific tHb-mass estimates caution against interchange; leaves open standardization needs for anti-doping reliability.

Study Design

Type

Observational (n=37)

Structured PICO

Does the choice of spectrophotometer (RapidLab vs OSM3) affect the estimation of total hemoglobin mass using the optimized CO-rebreathing method?

P
Population
33-37 subjects undergoing total hemoglobin mass (tHb-mass) estimation
I
Intervention
Measurement of carboxyhemoglobin fraction (%HbCO) using RapidLab spectrophotometer
C
Comparator
Measurement of %HbCO using OSM3 spectrophotometer
O
Outcome
Total hemoglobin mass (tHb-mass) and longitudinal alterations (ΔtHb-mass)surrogate

Main Result

Effect estimate: Limits of agreement 11.2% (95% CI -6.8 to +15.6%)

The analytical variation in tHb-mass determination with the optimized CO-rebreathing method increases considerably when using different spectrophotometers, necessitating the use of a single standardized device for anti-doping purposes.

Cite This Study

Ulrich et al. (2011) conducted an observational in Blood doping detection (n=37). RapidLab spectrophotometer vs. OSM3 spectrophotometer was evaluated on Total hemoglobin mass (tHb-mass) agreement (Limits of agreement 11.2%, 95% CI -6.8 to +15.6%). Total hemoglobin mass estimation using the optimized CO-rebreathing method showed weak agreement between RapidLab and OSM3 spectrophotometers (limits of agreement 11.2%; 95% range -6.8 to +15.6%).

synapsesocial.com/papers/6a17dc0685d86a2c3d1c8482https://doi.org/10.1111/j.1600-0838.2010.01247.x
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