使用外部质量评估数据对实验室测试项目现实世界协调状态的定量评估
Sollip Kim1, Tae-Dong Jeong2, Kyunghoon Lee3
1Department of Laboratory Medicine, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea.
Annals of laboratory medicine
|June 26, 2024
概括
一个新的现实世界协调指数 (RWHI) 使用外部质量评估数据量化实验室测试协调. 该指数显示了常见临床试验的不同协调水平,有助于大数据应用.
科学领域:
- 临床化学 临床化学
- 实验室医学 实验室医学
- 生物统计学 生物统计学
背景情况:
- 临床实验室结果的分析质量有了显著的改善.
- 利用大数据和机器学习需要理解测试协调.
- 需要一个定量指数来评估现实世界的实验室测试协调.
研究的目的:
- 开发实践实验室测试的量化协调指数.
- 评估共同的临床实验室试验的协调状态.
主要方法:
- 收集了2021-2022年八项常见测试的外部质量评估 (EQA) 数据.
- 根据同行组内偏差%和CV%计算的总分析误差.
- 开发了真实世界协调指数 (RWHI),通过将分析误差与在最低,可取和最佳水平的生物变异中获得的允许误差划分.
主要成果:
- 总胆固醇,甘油三和CEA显示出最佳的协调 (RWHI ≤1).
- HDL-胆固醇,AFP和PSA显示了可取的协调.
- 肌素达到最低协调水平,而HbA1c没有达到最低协调水平.
结论:
- 通过使用区域EQA数据成功开发了定量RWHI.
- RWHI提供了一个指标,反映了临床实践中实验室试验的实际协调水平.
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