Evaluation of equations for calculating LDL-cholesterol in patients with concomitant hypertriglyceridemia and low LDL-cholesterol: Is there a preferred equation? (notice n° 135295)

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041 ## - LANGUAGE CODE
Language code of text/sound track or separate title fre
042 ## - AUTHENTICATION CODE
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100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Barakett-Hamadé, Vanda
Relator term author
245 00 - TITLE STATEMENT
Title Evaluation of equations for calculating LDL-cholesterol in patients with concomitant hypertriglyceridemia and low LDL-cholesterol: Is there a preferred equation?
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2023.<br/>
500 ## - GENERAL NOTE
General note 35
520 ## - SUMMARY, ETC.
Summary, etc. It is crucial to be able to reliably estimate low-density lipoprotein cholesterol (LDL-C) in patients with concomitant hypertriglyceridemia and low LDL-C. We retrospectively compared the performances of the Friedewald (LDL-F), Martin-Hopkins (LDL-MH), and Sampson (LDL-SA) equations against a direct homogeneous LDL-C assay (dLDL-C) on observations presenting mild hypertriglyceridemia (triglycerides between 1.69 and 3.9 mmol/L) and low LDL-C (&lt; 2.58 mmol/L). Observations were stratified according to their LDL-C. Agreement of the equations with dLDL-C was assessed using intraclass correlation coefficients (ICCs) with an agreement cut-off of 0.9, and analysis of Bland–Altman plots. Independently of the LDL-C stratum evaluated, the three equations failed to meet the 0.9 ICC cut-off, although their agreement with dLDL-C improved as LDL-C increased. Analysis of Bland–Altman plots showed a downwards discordance of LDL-F with dLDL-C, and an upwards discordance of LDL-MH and LDL-SA with direct LDL-C. LDL-MH resulted in the fewest number of observations outside the Bland–Altman limits of agreement. While no equation can be deemed satisfactory enough to replace direct assays in patients with low LDL-C and concomitant hypertriglyceridemia, LDL-MH seems to perform better than the other equations in estimating LDL-C in these patients.
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Ghayad, Jean-Pierre
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Sleilaty, Ghassan
Relator term author
786 0# - DATA SOURCE ENTRY
Note Annales de Biologie Clinique | 81 | 1 | 2023-01-01 | p. 35-43 | 0003-3898
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Uniform Resource Identifier <a href="https://shs.cairn.info/journal-annales-de-biologie-clinique-2023-1-page-35?lang=en">https://shs.cairn.info/journal-annales-de-biologie-clinique-2023-1-page-35?lang=en</a>

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