Maintaining consistency of results over time is a challenge in laboratory medicine. Lot-to-lot reagent changes are a major threat to consistency of results. Analyses of discarded patient samples were...
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It is not purely considered choice laboratory profession, but conjointly laboratory regulations and accreditation standards be short of the assessment of each imaginative reagent everything until to ingest. In the clinical laboratory, immunoassays entertain out-of-date reported to be more liable to lot-to-lot variability than all-inclusive chemistry tests. Multiple factors can influence scene of a modern reagent straws, including changes in a decisive reagent papers or in resoluteness of the reagents, reagent mutilate throughout transportation or storage, or inexact calibration.XxGamergurlxX: What about German?
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Crawford, Chi Tran, Tammy L.
Verification of new lot reagent's suitability is necessary to ensure that results for patients' samples are consistent before and after reagent lot changes. A typical procedure is to measure results of some patients' samples along with quality control QC materials.
In this study, the results of patients' samples and QC materials in reagent lot changes were analysed.
In addition, the opinion regarding QC target range adjustment along with reagent lot changes was proposed. Patients' sample and QC material results of reagent lot change events involving 61 analytes and eight instrument platforms were analysed. The size of the between-lot differences in the QC data was calculated as multiples of standard deviation SD.
This frequency was not affected by the assay principle or the QC material source.
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Assuring lot-to-lot consistency is particularly critical when an analyte is used for long-term follow-up of patients, as in the case with tumor markers, when small changes in concentration might trigger further laboratory testing, imaging, or other clinical interventions. Last, clinical laboratory testing is about providing results that allow optimal patient care. Data are the slopes of Passing—Bablok regression equations relating the IGF-1 concentrations measured with the new and then-current lots of reagent in a minimum of 20 serum samples.
With EPA, laboratories will be able to adapt a standardized and practical process for lot-to-lot verification, in keeping with resource constraint limits of the current healthcare environment. Am J Clin Pathol ; All authors confirmed they have contributed to the intellectual content of this paper and have met the following 3 requirements:
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Validating New Reagents: Roadmaps Through the Wilderness | Laboratory Medicine | Oxford Academic
Close mobile search navigation Article navigation. We divide laboratory tests into 3 types, 1 tests for which the analysis of QC specimens is sufficient, 2 tests which demonstrate between reagent lot shifts infrequently, and 3 tests with between lot variation. Variation in measurement of prostate-specific antigen: IGF-1 is measured to diagnose over- and underproduction of growth hormone and monitor growth hormone therapy 4 — 6. Some of these can be expected to lead to follow-up appointments or further testing and, ultimately, increased financial burden and anxiety for patients.