Evaluation of the Tosoh HLC-723 G7 Hemoglobin A1c Analyzer / 대한진단검사의학회지

ABSTRACT

BACKGROUND: Hemoglobin A1c (HbA1c) is widely used for the monitoring of glycemic control. A wide variety of different analytical methods is currently used by clinical laboratories. We performed this study to evaluate the newest ion-exchange high-performance liquid chromatography system, the HLC-723 G7 (Tosoh Corporation, Tokyo, Japan) automated glycohemoglobin analyzer. METHODS: HLC-723 G7 was evaluated for linearity, precision, comparison of method, and speed. HLC-723 G7 was compared with three analyzers including HLC-723 GHb V A1c 2.2, Variant II, and Cobas Integra 800. RESULTS: HLC-723 G7 showed within-run and total imprecision (CVs) of less than 2.5% and excellent linearity to at least 13.0%. HbA1c values obtained from HLC-723 G7 were strongly correlated with those from HLC-723 GHb V A1c 2.2. Comparison with two other methods showed a good correlation but revealed calibration differences throughout the analytical range. HLC-723 G7 required no sample preparation and showed a fast analytical time of 1.6 min. CONCLUSIONS: HLC-723 G7 provides high throughput and excellent precision. However, HbA1c values can differ considerably with different methods or instruments. Therefore, we should be aware of the potential problem in switching the HbA1c testing method: