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Table 1. Performance characteristics of cobalt in quality control material. Seronorm™ trace element controls were used as internal controls. Exter- nal quality assurance data are presented from the 2018 rounds of the Royal College of Pathologists of Australasia Quality Assurance Program (RCPAQAP) and Quebec Multi-Element Quality Assurance Scheme (QMEQAS). Method accuracy is indicated by average bias. The coefficient of varia- tion (CV) and z’-score provide a measurement of method imprecision  between the different cobalt measures were obtained (Table 2). For all statistical analyses, a P value of <0.05 was considered significant.  Table 2. Correlation analysis of cobalt concentration between different sample matrices. Calculations performed on results from the 14 sample collection points for the 6 treatment horses  As a horse’s overall level of hydration changes, homeostatic balance is maintained by regulating the amount of water excreted in the urine. To allow for variations in the water content and dilution of cobalt in urine, a creatinine adjustment was performed. Creatinine-adjusted urinary cobalt concentrations were calculated by dividing the total urinary cobalt concentration by the urine creatinine concentration.

Table 1 Performance characteristics of cobalt in quality control material. Seronorm™ trace element controls were used as internal controls. Exter- nal quality assurance data are presented from the 2018 rounds of the Royal College of Pathologists of Australasia Quality Assurance Program (RCPAQAP) and Quebec Multi-Element Quality Assurance Scheme (QMEQAS). Method accuracy is indicated by average bias. The coefficient of varia- tion (CV) and z’-score provide a measurement of method imprecision between the different cobalt measures were obtained (Table 2). For all statistical analyses, a P value of <0.05 was considered significant. Table 2. Correlation analysis of cobalt concentration between different sample matrices. Calculations performed on results from the 14 sample collection points for the 6 treatment horses As a horse’s overall level of hydration changes, homeostatic balance is maintained by regulating the amount of water excreted in the urine. To allow for variations in the water content and dilution of cobalt in urine, a creatinine adjustment was performed. Creatinine-adjusted urinary cobalt concentrations were calculated by dividing the total urinary cobalt concentration by the urine creatinine concentration.