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OpenSampling

2013 · Bioanalysis · paywalled

Hemato-critical issues in quantitative analysis of dried blood spots: challenges and solutions

De Kesel et al.

The finding, in our words

The canonical review of the haematocrit effect, decomposing it into recovery bias, matrix effects, spot-size/homogeneity variation and analyte-distribution bias.

A paraphrase to the Library’s standard, never the abstract. The source is one link away and is always the authority.

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  1. 2026

    In AML and CLL, 91% of VAMS venetoclax results fell within 20% of plasma after individualised haematocrit correction; in home sampling, 18 of 21 patients self-sampled independently and 76% of returned samples were analysable, which shows home microsampling is workable, though the authors ask for multicentre validation.

    Clinical Validation of Venetoclax Volumetric Microsampling in Leukemia, with Whole-Blood-to-Plasma Conversion and Self-Microsampling FeasibilityLevens et al., Clinical Pharmacokinetics (paywalled) · source ↗

    • vams
    • venous-agreement
    • blood
    • dbs
    • tdm
    • self-collection
    • haematocrit
    • dried
    • oncology
    • capillary
    • validation
  2. 2026

    This review found that volumetric microsampling devices, such as Mitra, HemaPEN, HemaXis DB10, and Tasso-M20, overcome haematocrit bias, whilst Telimmune plasma separation cards enable direct plasma collection without centrifugation. These technologies support patient-centric, decentralised sampling, though the authors note that clinical validation remains limited across different drugs and patient populations.

    A Review of Blood-Based Microsampling Devices for Patient-Centered Application in Therapeutic Drug MonitoringHuhn & Scherf-Clavel, Therapeutic drug monitoring (paywalled) · source ↗

    • vams
    • volumetric
    • acceptability
    • neoteryx-mitra
    • blood
    • dbs
    • tdm
    • self-collection
    • haematocrit
    • dried
    • capillary
    • validation
  3. 2026

    Capillary dried blood spots, after haematocrit-dependent conversion, showed good agreement with plasma for 25-hydroxyvitamin D quantification, with 90 per cent of results within 20 per cent of plasma and substantial to almost perfect agreement in status classification, supporting reliable home self-collection for large-scale vitamin D monitoring.

    Clinical validation of a DBS-based LC-MS/MS method for 25-hydroxyvitamin D: from lab sampling to home samplingHeughebaert et al., Clinical chemistry and laboratory medicine (paywalled) · source ↗

    • venous-agreement
    • blood
    • dbs
    • self-collection
    • haematocrit
    • dried
    • capillary
    • validation
    • biomarkers
  4. 2026

    Capillary finger-stick dried blood spots demonstrated strong analytical agreement with venous serum for prostate-specific antigen (R² = 0.987) and remained stable for 31 days across a wide temperature range. This less invasive microsampling approach enables at-home self-collection, supporting decentralised screening and tele-diagnostics for prostate cancer.

    Accessible Prostate-Specific Antigen Testing through Finger-Stick Dried Blood Spots and Routine Laboratory Analyzersvan Vugt et al., The journal of applied laboratory medicine (paywalled) · source ↗

    • blood
    • dried
    • capillary
    • dbs
    • self-collection
    • validation
    • venous-agreement
    • haematocrit
    • biomarkers
  5. 2026

    Finger-stick dried blood spots produce creatinine measurements that correlate strongly with venous plasma (R² = 0.97), with 91% sensitivity and 96% specificity for detecting reduced eGFR. Creatinine stays stable in dried spots for up to one month at refrigerated or frozen temperatures, supporting accurate home-based kidney function screening, patient follow-up, and medication management.

    Creatinine measurement from finger stick dried blood spots with a routine chemistry analyzer for estimation of GFRvan Dam et al., Clinical chemistry and laboratory medicine (paywalled) · source ↗

    • blood
    • dried
    • capillary
    • dbs
    • self-collection
    • validation
    • venous-agreement
    • haematocrit