美国FDA对实验室开发的测试提出的规则:对临床实验室测试的影响
Leslie Smith1, Lisa A Carricaburu1, Jonathan R Genzen1,2
1ARUP Laboratories, 500 Chipeta Way, Salt Lake City, UT, 84108, USA.
Practical laboratory medicine
|June 24, 2024
概括
大多数接受调查的临床实验室工作者反对美国食品和药物管理局 (FDA) 提出的实验室开发测试 (LDT) 规则. 他们认为,由于资源不足,该规则将对他们的实验室和患者对测试的访问产生负面影响.
科学领域:
- 临床实验室科学 临床实验室科学
- 监管事务 监管事务
- 医疗器械规则 医疗器械规则
背景情况:
- 美国食品和药物管理局 (FDA) 提出了一项规则,将实验室开发的测试 (LDT) 作为医疗器械进行监管.
- 这项拟议的法规对美国各地的临床实验室有重大影响.
研究的目的:
- 收集临床实验室对FDA关于LDT的拟议规则的可量化的反.
- 评估拟议法规对实验室操作,资源和患者护理的潜在影响.
主要方法:
- 开发了一份由十项组成的问卷,并分发给ARUP实验室的客户.
- 该调查针对临床实验室专业人员,以征求他们对FDA拟议的LDT监管框架的意见.
主要成果:
- 在503名受访者中,只有8%的人支持FDA提出的规则.
- 84%的进行LDT的实验室员工认为该规则将对他们的实验室产生负面影响,其中61%预计将删除测试菜单.
- 超过80%的人对该规则对患者获取,资源,创新和成本的影响表示严重担忧.
结论:
- 大多数接受调查的临床实验室人员不支持FDA对LDT提出的规则.
- 受访者报告说,他们没有足够的资源来遵守拟议的法规,这引发了对财务和人事影响的担忧.
- 预计拟议的规则将对实验室操作,创新和患者获得基本诊断测试的机会产生负面影响.
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