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Status and perspective of lab-on-a-chip systems for common diseases: a systematic review from 2003 to 2013
Alexander Gebauer1, Silke Schmidt1, Wolfgang Hoffmann1
1Institute for Community Medicine, Section Epidemiology of Healthcare & Community Health, University Medicine Greifswald, Germany.
Background:
Lab-on-a-chip systems (LOCs) are a useful aid for the individualization of therapeutic algorithms at the point-of-care.
Materials & Methods:
We performed a systematic literature review on LOCs for diseases with a global impact for healthcare.
Results:
A total of 1007 articles matched the previously specified search criteria, thereof 65 studies could be included in this review. A total of 55 different LOCs were evaluated, most for diagnosis or monitoring of cancer (n = 24). For other diseases we found considerably less analyzed LOCs. The analytical performance of the LOCs was usually very good, 37 (67%) LOCs had a sensitivity higher than 90%.
Conclusion:
Although LOC systems performance has been positively evaluated in the great majority of studies, the testing was mostly limited to the research laboratory setting rather than real-world scenarios.
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