Does volumetric absorptive microsampling eliminate the hematocrit bias for caffeine and paraxanthine in dried blood samples? A comparative study
De Kesel, Lambert & Stove
The finding, in our words
VAMS eliminated the variable haematocrit bias seen with DBS, but a residual haematocrit-dependent recovery effect persisted at high haematocrit: the nuance that assays still need per-analyte validation.
A paraphrase to the Library’s standard, never the abstract. The source is one link away and is always the authority.
This study compared four dried blood spot devices for glucocorticoid detection, finding that the Mitra VAMS device offered the best combination of analytical recovery and user usability, whilst the HemaXis DB10 showed the least bias compared to whole blood.
Chen et al., Analytica chimica acta (paywalled) · source ↗
A 2025 review maps 28 microsampling devices, from dried spots and volumetric absorptive tips to upper-arm liquid capillary collectors, and names what a laboratory must control before their results are used: the haematocrit effect in non-volumetric dried samples, interstitial fluid from finger milking, volume, haemolysis and transport stability. Regulators on both sides of the Atlantic ask for the same two things, a device the patient can use safely and a sample fit for the test.
This narrative review evaluates microsampling devices for therapeutic drug monitoring, concluding that techniques such as volumetric absorptive microsampling and dried blood spots offer reliable, less invasive alternatives to venous sampling when paired with high-sensitivity mass spectrometry, which supports implementation in routine clinical practice.
Microsampling reduces sample volume, invasiveness, logistics and biohazard risk while improving stability and enabling at-home self-sampling, yet clinical adoption remains slow and requires standardisation and harmonisation to realise its patient-centric and decentralised potential.
Thangavelu et al., Analytical science advances · source ↗
The study developed and validated an LC-MS/MS method for THC, its metabolites and synthetic cannabinoids in both dried blood spots and VAMS, showing that VAMS eliminates the haematocrit effect that limits DBS accuracy, thereby providing a reliable tool for toxicological and anti-doping analysis in decentralised settings.
Protti et al., Journal of chromatography. B, Analytical technologies in the biomedical and life sciences (paywalled) · source ↗