Analytical Performance of 4 Automated Assays for Measurement of Cystatin C

Abstract

Although all assays were acceptable for clinical use, their diagnostic performances were not optimal. Limitations include imprecision greater than claimed, overrecovery for the Roche assay on low concentration samples, and differences in results for patient samples. The latter situation requires assay-specific cystatin C-based glomerular filtration rate prediction equations at least until calibration is standardized using the international cystatin C calibrator now being developed.