12
Referenzinstitut für Bioanalytik Survey directors Prof. Dr. C. Knabbe Prof. Dr. Dr. K.P. Kohse Prof. Dr. M. Neumaier Head of RfB Dr. W. J. Geilenkeuser Dr. A. Kessler Bonn, 23. May 2018 Referenzinstitut für Bioanalytik - Friesdorfer Str. 153 - D-53175 Bonn Tel. 0228 / 926895 - 0 - Fax 0228 / 926895-29 - Web: www.rfb.bio - E-Mail: [email protected] Tijen Tanyalcin MD,PH Tanyalcin Tip laboratuvari Kizilkanat Sag lik Sitisi B Blok kat 1 1359 sokak no 4/3 35220 ALSANCAK, IZMIR TURKEY Survey: NBS2/18 month: May 2018 Participant-No: 9900667 date of issue: 05.05.18 TSH (2) 17-OH-progesterone (2) IRT (2) The number in parentheses characterizes the analytical method used. The assignment of the number to the respective method and/or the respective instrument is to be taken from the total evaluation. Participation certificate We confirm that you have participated in the survey for neonatal screening. The analytes determined by you are as follows:

Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

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Page 1: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Referenzinstitut für Bioanalytik

Survey directorsProf. Dr. C. Knabbe

Prof. Dr. Dr. K.P. KohseProf. Dr. M. Neumaier

Head of RfBDr. W. J. Geilenkeuser

Dr. A. Kessler

Bonn, 23. May 2018

Referenzinstitut für Bioanalytik - Friesdorfer Str. 153 - D-53175 BonnTel. 0228 / 926895 - 0 - Fax 0228 / 926895-29 - Web: www.rfb.bio - E-Mail: [email protected]

Tijen Tanyalcin MD,PHTanyalcin Tip laboratuvariKizilkanat Sag lik Sitisi B Blok kat 11359 sokak no 4/335220 ALSANCAK, IZMIRTURKEY

Survey: NBS2/18month: May 2018Participant-No: 9900667date of issue: 05.05.18

TSH (2) 17-OH-progesterone (2) IRT (2)

The number in parentheses characterizes the analytical method used.The assignment of the number to the respective method and/or the respective instrumentis to be taken from the total evaluation.

Participation certificateWe confirm that you have participated in the survey for neonatal screening.

The analytes determined by you are as follows:

Page 2: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Survey: NBS2/18month: May 2018Participant-No: 9900667

Listing and Evaluation of all your results

Explanations

CertificateA certificate is issued (given) for an analyte only if the basis for an evaluation of the accuracy is given by the guidelines of theGerman Medical Association and/or if an evaluation is possible in analogy to these guidelines (see comments on the evaluation)and, if both results for an analyte are within the given acceptance limits. (marked as '+' below C)

Certificate of participationIn the participation certificate all analytes which are included in the list on this page are listed.If all analytes are listed on the certificate no participation certificate is printed.

C M R D/Dmax T LL UL

Legend: C=Certification, M=No of method, R=your result, D=difference (R-T)Dmax= maximum allowable amount of difference in measurement, partly given byannax 1 of the guideline of the BÄK (Dt. Ärzteblatt 111, Heft 38, 19.9.2014).T = target value, either reference method value or assigned value, LL | UL = lower resp. upper limit

Certification: + = fulfilled ( quotient | D/Dmax | <= 1.0 )- = not fulfilled (quotient | D/Dmax | > 1.0± = certification cancelled because of technicaland/or analytical reasons

TSH[mU/l]

± 2 A 3.40 -1.02 5.85 3.45 8.25B 36.2 -0.40 41.2 28.8 53.6

17-OH-progesterone[nmol/l]

± 2 A 30.8 -1.26 49.5 34.6 64.4B 15.2 -0.52 18.0 12.6 23.4

IRT[µg/l]

± 2 A 79.2 -0.68 99.7 69.7 130B 15.3 -1.17 23.6 16.5 30.7

Page 3: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Findings NBS2/18 -May 2018-Neonatal - Screening, TSH, Sample A

Participant No 9900667

Legend: NXMSDCVM

=====

number of resultsmean valuestandard deviationcoefficient of variationmethod number

r n

r n r n

r n r n

=

=

=

result box/result code no.

normal | CH/AGS/CF possible

CH/AGS/CF evident | other

= 16. bis 84. percentile with medianCH = congenital hypothyroidismAGS = adrenogen. syndromeCF = cystic fibrosisr n = marks your result box

3 3,8 4,6 5,4 6,2 7 7,8 8,6 9,4 10,2 11 11,8 12,6 mU/l

11 2 3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63 64

65

66

67

68

69

Descriptive Statistics Statistics of classifications Statistics of Implications, related to Classificationsnone new card plasma sample other

NXMSDCV

====

696,9 mU/l1,4 mU/l20,2 %

normalCH/AGS/CF possibleCH/AGS/CF evidentother

57 54 15 52 2

Kit Evaluation for Sample A

M Kit N Min 16.P 50.P 84.P Max 2 4 6 8 10 12

All Kits 69 3.40 6.00 6.83 7.86 154

Kit Classifications

57 5 2 03 99 3 6.44 7.41 154 1 0 1 03 350 2 6.90 9.85 12.8 1 0 0 04 91 2 6.40 6.73 7.05 1 0 0 04 245 22 5.50 5.84 6.50 7.23 47.7 20 1 1 04 246 7 5.40 6.32 8.65 6 1 0 04 247 19 5.10 5.82 7.00 7.50 8.00 17 2 0 05 77 8 6.00 6.10 7.01 11.2 12.8 7 0 0 05 111 2 8.29 8.79 9.29 1 0 0 0

Other Kits: 1 77(1),2 2(1),2 99(1),4 99(1),The deviation of your result from the total median M M Muand from the median of the corresponding sub-collective (kit) Mu is:

Page 4: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Findings NBS2/18 -May 2018-Neonatal - Screening, TSH, Sample B

Participant No 9900667

Legend: NXMSDCVM

=====

number of resultsmean valuestandard deviationcoefficient of variationmethod number

r n

r n r n

r n r n

=

=

=

result box/result code no.

normal | CH/AGS/CF possible

CH/AGS/CF evident | other

= 16. bis 84. percentile with medianCH = congenital hypothyroidismAGS = adrenogen. syndromeCF = cystic fibrosisr n = marks your result box

8 14 20 26 32 38 44 50 56 62 68 74 80 mU/l

69 68 66

5

2

7

37

18

15

11

13

31

56

16

53

23

28

17

29

11

6

4

12

8

26

47

33

52

14

19

27

63

9

22

45

32

38

55

44

59

35

50

21

41

46

20

51

36

3

25

57

42

54

30

24

43

48

10

49

40

62

65

60

39

67

58

34

61 64

Descriptive Statistics Statistics of classifications Statistics of Implications, related to Classificationsnone new card plasma sample other

NXMSDCV

====

6940,0 mU/l5,6 mU/l14,0 %

normalCH/AGS/CF possibleCH/AGS/CF evidentother

1 120 11 843 2 37 2

Kit Evaluation for Sample B

M Kit N Min 16.P 50.P 84.P Max 20 40 60

All Kits 69 8.20 34.4 39.3 45.4 56.4

Kit Classifications

1 20 43 03 99 3 8.20 35.2 42.8 1 1 0 03 350 2 49.0 49.4 49.8 0 0 1 04 91 2 39.9 42.0 44.0 0 0 1 04 245 22 15.7 32.2 37.5 40.3 50.6 0 6 16 04 246 7 32.0 35.3 42.3 0 4 3 04 247 19 31.2 35.3 39.3 44.1 49.0 0 6 13 05 77 8 30.6 33.9 41.8 51.5 56.4 0 2 5 05 111 2 47.7 51.3 55.0 0 0 1 0

Other Kits: 1 77(1),2 2(1),2 99(1),4 99(1),The deviation of your result from the total median M M Muand from the median of the corresponding sub-collective (kit) Mu is:

Page 5: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Findings NBS2/18 -May 2018-Neonatal - Screening, 17-OHP, Sample A

Participant No 9900667

Legend: NXMSDCVM

=====

number of resultsmean valuestandard deviationcoefficient of variationmethod number

r n

r n r n

r n r n

=

=

=

result box/result code no.

normal | CH/AGS/CF possible

CH/AGS/CF evident | other

= 16. bis 84. percentile with medianCH = congenital hypothyroidismAGS = adrenogen. syndromeCF = cystic fibrosisr n = marks your result box

6 18 30 42 54 66 78 90 102 114 126 138 150 nmol/l

68

65

11

8

24

6

22

70

21

66

40

43

13

38

17

54

51

56

52

60

2

9

71

48

47

39

49

34

35

15

7

19

50

27

14

31

72

44

18

29

32

42

30

33

73

46

37

63

69

59

36

41

20

61

64 67 74

Descriptive Statistics Statistics of classifications Statistics of Implications, related to Classificationsnone new card plasma sample other

NXMSDCV

====

5749,2 nmol/l12,3 nmol/l25,1 %

normalCH/AGS/CF possibleCH/AGS/CF evidentother

3 328 24 3 114 4 9

1 1

Kit Evaluation for Sample A

M Kit N Min 16.P 50.P 84.P Max 0 50 100

All Kits 57 6.84 43.2 49.5 58.4 87.0

Kit Classifications

3 28 14 13 350 2 47.9 61.9 75.8 0 0 1 04 91 2 35.4 43.3 51.2 0 1 0 04 245 23 6.84 44.5 51.0 61.0 87.0 1 13 2 14 246 6 42.5 50.4 58.2 0 2 4 04 247 18 33.4 40.1 45.6 51.1 54.0 0 10 7 05 111 2 8.02 36.4 64.8 1 0 0 0

Other Kits: 2 99(1),3 99(1),4 99(1),6 99(1),The deviation of your result from the total median M M Muand from the median of the corresponding sub-collective (kit) Mu is:

Page 6: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Findings NBS2/18 -May 2018-Neonatal - Screening, 17-OHP, Sample B

Participant No 9900667

Legend: NXMSDCVM

=====

number of resultsmean valuestandard deviationcoefficient of variationmethod number

r n

r n r n

r n r n

=

=

=

result box/result code no.

normal | CH/AGS/CF possible

CH/AGS/CF evident | other

= 16. bis 84. percentile with medianCH = congenital hypothyroidismAGS = adrenogen. syndromeCF = cystic fibrosisr n = marks your result box

2 6 10 14 18 22 26 30 34 38 42 46 50 nmol/l

65 8

21

67

47

70

2

24

6

54

73

11

56

71

40

22

43

52

51

17

15

60

72

9

37

44

39

66

18

29

27

48

7

34

19

31

32

38

14

50

36

49

69

46

30

35

13

64

42

63

20

33

41

59

61 74 68

Descriptive Statistics Statistics of classifications Statistics of Implications, related to Classificationsnone new card plasma sample other

NXMSDCV

====

5718,3 nmol/l5,1 nmol/l28,0 %

normalCH/AGS/CF possibleCH/AGS/CF evidentother

44 42 12 2

Kit Evaluation for Sample B

M Kit N Min 16.P 50.P 84.P Max 0 10 20 30 40 50

All Kits 57 2.74 14.6 18.0 21.0 41.2

Kit Classifications

45 2 0 03 350 2 13.6 15.7 17.8 1 0 0 04 91 2 14.1 15.7 17.3 1 0 0 04 245 23 17.2 18.0 19.5 25.0 41.2 16 2 0 04 246 6 14.0 17.1 21.3 6 0 0 04 247 18 12.5 13.6 16.0 18.7 21.0 17 0 0 05 111 2 2.74 15.1 27.4 1 0 0 0

Other Kits: 2 99(1),3 99(1),4 99(1),6 99(1),The deviation of your result from the total median M M Muand from the median of the corresponding sub-collective (kit) Mu is:

Page 7: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Findings NBS2/18 -May 2018-Neonatal - Screening, IRT, Sample A

Participant No 9900667

Legend: NXMSDCVM

=====

number of resultsmean valuestandard deviationcoefficient of variationmethod number

r n

r n r n

r n r n

=

=

=

result box/result code no.

normal | CH/AGS/CF possible

CH/AGS/CF evident | other

= 16. bis 84. percentile with medianCH = congenital hypothyroidismAGS = adrenogen. syndromeCF = cystic fibrosisr n = marks your result box

6 26 46 66 86 106 126 146 166 186 206 226 246 µg/l

69 11 32

44

17

65

35

7

22

26

75

62

37

31

33

61

28

29

45

16

8

14

6

34

63

40

41

50

27

21

24

43

68

52

42

47

67

51

11

38

56

54 59

Descriptive Statistics Statistics of classifications Statistics of Implications, related to Classificationsnone new card plasma sample other

NXMSDCV

====

43131,7 µg/l15,5 µg/l11,8 %

normalCH/AGS/CF possibleCH/AGS/CF evidentother

1 112 7 528 2 3 22

Kit Evaluation for Sample A

M Kit N Min 16.P 50.P 84.P Max 50 100 150 200

All Kits 43 6.92 114 132 144 167

Kit Classifications

1 12 28 02 52 2 79.2 99.7 120 0 2 0 04 91 2 99.4 119 139 0 1 0 04 245 16 114 117 131 144 167 0 5 11 04 246 4 100 130 147 0 1 3 04 247 15 96.4 116 139 150 157 0 3 12 05 111 2 109 117 125 0 0 1 0

Other Kits: 3 99(1),3 350(1),The deviation of your result from the total median M M Muand from the median of the corresponding sub-collective (kit) Mu is: -40 % -20.56 %

Page 8: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Findings NBS2/18 -May 2018-Neonatal - Screening, IRT, Sample B

Participant No 9900667

Legend: NXMSDCVM

=====

number of resultsmean valuestandard deviationcoefficient of variationmethod number

r n

r n r n

r n r n

=

=

=

result box/result code no.

normal | CH/AGS/CF possible

CH/AGS/CF evident | other

= 16. bis 84. percentile with medianCH = congenital hypothyroidismAGS = adrenogen. syndromeCF = cystic fibrosisr n = marks your result box

4 4,8 5,6 6,4 7,2 8 8,8 9,6 10,4 11,2 12 12,8 13,6 µg/l

7 44 50 37

16

27

11

34

41

67

75

45

24

68

59

17

35

38

56

28

29

51 21

6

31

33

22

26

42

14

32

52

47

54

40

63

8

43

61

65 11

62

69

Descriptive Statistics Statistics of classifications Statistics of Implications, related to Classificationsnone new card plasma sample other

NXMSDCV

====

437,3 µg/l1,5 µg/l20,6 %

normalCH/AGS/CF possibleCH/AGS/CF evidentother

40 38 11 1

Kit Evaluation for Sample B

M Kit N Min 16.P 50.P 84.P Max 5 10

All Kits 43 4.50 5.90 7.30 9.50 37.3

Kit Classifications

40 1 0 02 52 2 15.3 23.6 31.9 2 0 0 04 91 2 4.95 5.68 6.40 1 0 0 04 245 16 4.50 5.84 6.50 7.93 9.50 16 0 0 04 246 4 5.50 5.75 6.50 4 0 0 04 247 15 7.00 7.47 8.00 9.22 10.0 15 0 0 05 111 2 10.3 10.7 11.2 1 0 0 0

Other Kits: 3 99(1),3 350(1),The deviation of your result from the total median M M Muand from the median of the corresponding sub-collective (kit) Mu is: 110 % -35.17 %

Page 9: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Findings NBS2/18 -May 2018-Neonatal - Screening, PAP, Sample A

Participant No 9900667

Legend: NXMSDCVM

=====

number of resultsmean valuestandard deviationcoefficient of variationmethod number

r n

r n r n

r n r n

=

=

=

result box/result code no.

normal | CH/AGS/CF possible

CH/AGS/CF evident | other

= 16. bis 84. percentile with medianCH = congenital hypothyroidismAGS = adrenogen. syndromeCF = cystic fibrosisr n = marks your result box

1 1,2 1,4 1,6 1,8 2 2,2 2,4 2,6 2,8 3 3,2 3,4 µg/l

50 38 75

42

43

33

54

40

41

22

52

76

59

63

31

35 37

Descriptive Statistics Statistics of classifications Statistics of Implications, related to Classificationsnone new card plasma sample other

NXMSDCV

====

171,4 µg/l0,1 µg/l11,6 %

normalCH/AGS/CF possibleCH/AGS/CF evidentother

14 141 1

Kit Evaluation for Sample A

M Kit N Min 16.P 50.P 84.P Max 0,5 1 1,5 2 2,5

All Kits 17 1.10 1.38 1.50 1.68 1.83

Kit Classifications

14 1 0 02 255 3 1.21 1.40 1.50 3 0 0 04 255 14 1.10 1.40 1.50 1.70 1.83 11 1 0 0

Other Kits:

Page 10: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Findings NBS2/18 -May 2018-Neonatal - Screening, PAP, Sample B

Participant No 9900667

Legend: NXMSDCVM

=====

number of resultsmean valuestandard deviationcoefficient of variationmethod number

r n

r n r n

r n r n

=

=

=

result box/result code no.

normal | CH/AGS/CF possible

CH/AGS/CF evident | other

= 16. bis 84. percentile with medianCH = congenital hypothyroidismAGS = adrenogen. syndromeCF = cystic fibrosisr n = marks your result box

4 4,4 4,8 5,2 5,6 6 6,4 6,8 7,2 7,6 8 8,4 8,8 µg/l

50

42

33 41 75

63

31

43

76

22

52

35

40

54 59 37

38

Descriptive Statistics Statistics of classifications Statistics of Implications, related to Classificationsnone new card plasma sample other

NXMSDCV

====

174,7 µg/l0,4 µg/l8,6 %

normalCH/AGS/CF possibleCH/AGS/CF evidentother

1 17 1 67 7

Kit Evaluation for Sample B

M Kit N Min 16.P 50.P 84.P Max 2 4 6 8

All Kits 17 4.00 4.26 4.74 5.24 5.43

Kit Classifications

1 7 7 02 255 3 4.30 4.50 5.43 0 2 1 04 255 14 4.00 4.24 4.77 5.17 5.40 1 5 6 0

Other Kits:

Page 11: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Youden plots NBS2/18, Participant No 9900667, page 1 of 2

Analyte

Method

TSHall methods

success rate 88,4 % out of range 2

No of participants 69sample/unit A BmU/lmeanstandard deviationcoefficient of variation

6.92 40.11.40 5.6220.2 14.0

Sample A [mU/l]

2 4 6 8 10 12M Kit N Min 16.P 50.P 84.P Max

Alle 69 3.40 6.00 6.83 7.86 1543 99 3 6.44 7.41 1544 245 22 5.50 5.84 6.50 7.23 47.74 246 7 5.40 6.32 8.654 247 19 5.10 5.82 7.00 7.50 8.005 77 8 6.00 6.10 7.01 11.2 12.8

M Kit N Min 16.P 50.P 84.P Max

Sample B [mU/l]

20 40 60

Alle 69 8.20 34.4 39.3 45.4 56.43 99 3 8.20 35.2 42.84 245 22 15.7 32.2 37.5 40.3 50.64 246 7 32.0 35.3 42.34 247 19 31.2 35.3 39.3 44.1 49.05 77 8 30.6 33.9 41.8 51.5 56.4

Other kits (number):1-77(1), 2-02(1), > 2-99(1)<, 3-350(2), 4-91(2), 4-99(1), 5-111(2),

Analyte

Method

17-OH-progesteroneall methods

success rate 87,7 % out of range 0

No of participants 57sample/unit A Bnmol/lmeanstandard deviationcoefficient of variation

49.2 18.312.4 5.1525.2 28.1

Sample A [nmol/l]

0 50 100M Kit N Min 16.P 50.P 84.P Max

Alle 57 6.84 43.2 49.5 58.4 87.04 245 23 6.84 44.5 51.0 61.0 87.04 246 6 42.5 50.4 58.24 247 18 33.4 40.1 45.6 51.1 54.0

M Kit N Min 16.P 50.P 84.P Max

Sample B [nmol/l]

0 10 20 30 40 50

Alle 57 2.74 14.6 18.0 21.0 41.24 245 23 17.2 18.0 19.5 25.0 41.24 246 6 14.0 17.1 21.34 247 18 12.5 13.6 16.0 18.7 21.0

Other kits (number):> 2-99(1)<, 3-99(1), 3-350(2), 4-91(2), 4-99(1), 5-111(2), 6-99(1),

Page 12: Participation certificate 2018_2.pdf · In the participation certificate all analytes which are included in the list on this page are listed. If all analytes are listed on the certificate

Youden plots NBS2/18, Participant No 9900667, page 2 of 2

Analyte

Method

IRTall methods

success rate 83,7 % out of range 3

No of participants 43sample/unit A Bµg/lmeanstandard deviationcoefficient of variation

132 7.3715.6 1.5211.8 20.7

Sample A [µg/l]

50 100 150 200M Kit N Min 16.P 50.P 84.P Max

Alle 43 6.92 114 132 144 1672 52 2 79.2 99.7 1204 91 2 99.4 119 1394 245 16 114 117 131 144 1674 246 4 100 130 1474 247 15 96.4 116 139 150 1575 111 2 109 117 125

M Kit N Min 16.P 50.P 84.P Max

Sample B [µg/l]

5 10

Alle 43 4.50 5.90 7.30 9.50 37.32 52 2 15.3 23.6 31.94 91 2 4.95 5.68 6.404 245 16 4.50 5.84 6.50 7.93 9.504 246 4 5.50 5.75 6.504 247 15 7.00 7.47 8.00 9.22 10.05 111 2 10.3 10.7 11.2The deviation of your results from the median of the corresponding sub-collective (kit) is:

A-20.56 %B-35.17 %

Other kits (number):3-99(1), 3-350(1),