Impact of Academia-Government Collaboration on Laboratory Medicine Standardization in South Korea: analysis of eight years creatinine proficiency testing experience

To evaluate the performance of the Academia-Government Collaboration for Laboratory Medicine Standardization in Korea (KR-STDZN) based on data from KR-STDZN proficiency testing (KR-STDZN-PT) for creatinine over eight years (2015-2022). We used KR-STDZN-PT data of creatinine tests from 2015 to 2022....

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Veröffentlicht in:Clinical chemistry and laboratory medicine 2024-04, Vol.62 (5), p.861-869
Hauptverfasser: Lee, Seunghoo, Yu, Joonsang, Cho, Chan-Ik, Cho, Eun-Jung, Jeong, Tae-Dong, Kim, Sollip, Lee, Woochang, Chun, Sail, Min, Won-Ki
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container_issue 5
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container_title Clinical chemistry and laboratory medicine
container_volume 62
creator Lee, Seunghoo
Yu, Joonsang
Cho, Chan-Ik
Cho, Eun-Jung
Jeong, Tae-Dong
Kim, Sollip
Lee, Woochang
Chun, Sail
Min, Won-Ki
description To evaluate the performance of the Academia-Government Collaboration for Laboratory Medicine Standardization in Korea (KR-STDZN) based on data from KR-STDZN proficiency testing (KR-STDZN-PT) for creatinine over eight years (2015-2022). We used KR-STDZN-PT data of creatinine tests from 2015 to 2022. Acceptance of the participating institutions' test results was assessed by calculating the acceptance performance as absolute bias (absBias%), total coefficient of variance (tCV%), and total error (TE%) for each sample using six measurements from each institution and true values of each reference material. The test result was considered acceptable when absBias%, tCV%, and TE% were
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We used KR-STDZN-PT data of creatinine tests from 2015 to 2022. Acceptance of the participating institutions' test results was assessed by calculating the acceptance performance as absolute bias (absBias%), total coefficient of variance (tCV%), and total error (TE%) for each sample using six measurements from each institution and true values of each reference material. The test result was considered acceptable when absBias%, tCV%, and TE% were &lt;5.10, &lt;3.20, and &lt;11.40 %, respectively. The proportion of acceptable institutions among all participating institutions in each round was defined as the acceptance rate. Improvements in absBias%, tCV%, and TE% were analyzed using creatinine concentration ranges in samples. The number of participating institutions increased from 2015 to 2017 but remained consistent since 2018. The acceptance rates for absBias% and TE% increased from 52.2 and 77.6 %, in 2015 and to 90.7 and 96.3 %, in 2022, respectively. The acceptance rate for tCV% remained in the 90 % range for eight years. When creatinine &lt;3 mg/dL, mean absBias%, and mean TE% improved significantly in 2021-2022 compared to 2015-2016 (p&lt;0.05). When creatinine &gt;3 mg/dL, acceptance performance did not improve. Mean tCV% remained consistent annually regardless of creatinine concentration. No significant variations in test methods were observed. The collaboration between academia and the government improved creatinine testing quality. Nevertheless, KR-STDZN must be expanded and refined.</description><identifier>ISSN: 1434-6621</identifier><identifier>EISSN: 1437-4331</identifier><identifier>DOI: 10.1515/cclm-2023-1160</identifier><identifier>PMID: 37999449</identifier><language>eng</language><publisher>Germany: De Gruyter</publisher><subject>Academia ; Acceptance ; Accuracy ; Analytical chemistry ; bias ; chronic kidney disease ; Collaboration ; Cooperation ; Creatinine ; Government ; Humans ; Institutions ; Laboratory Proficiency Testing ; Mathematical analysis ; Performance evaluation ; proficiency testing ; Quality control ; Reference Standards ; Standardization</subject><ispartof>Clinical chemistry and laboratory medicine, 2024-04, Vol.62 (5), p.861-869</ispartof><rights>2023 Walter de Gruyter GmbH, Berlin/Boston.</rights><rights>2023 Walter de Gruyter GmbH, Berlin/Boston</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c331t-bfc9b349dbee3bc54837c52462b4505e946434bd25615cfae425a82cfeb9cb8c3</cites><orcidid>0000-0003-3956-6397 ; 0000-0002-5792-973X ; 0000-0003-1907-9639 ; 0000-0002-3271-9306 ; 0000-0003-0474-5897 ; 0000-0002-3873-3117 ; 0000-0002-5378-6794 ; 0000-0001-5344-763X ; 0000-0002-5158-2130</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.degruyter.com/document/doi/10.1515/cclm-2023-1160/pdf$$EPDF$$P50$$Gwalterdegruyter$$H</linktopdf><linktohtml>$$Uhttps://www.degruyter.com/document/doi/10.1515/cclm-2023-1160/html$$EHTML$$P50$$Gwalterdegruyter$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,66524,68308</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37999449$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Seunghoo</creatorcontrib><creatorcontrib>Yu, Joonsang</creatorcontrib><creatorcontrib>Cho, Chan-Ik</creatorcontrib><creatorcontrib>Cho, Eun-Jung</creatorcontrib><creatorcontrib>Jeong, Tae-Dong</creatorcontrib><creatorcontrib>Kim, Sollip</creatorcontrib><creatorcontrib>Lee, Woochang</creatorcontrib><creatorcontrib>Chun, Sail</creatorcontrib><creatorcontrib>Min, Won-Ki</creatorcontrib><title>Impact of Academia-Government Collaboration on Laboratory Medicine Standardization in South Korea: analysis of eight years creatinine proficiency testing experience</title><title>Clinical chemistry and laboratory medicine</title><addtitle>Clin Chem Lab Med</addtitle><description>To evaluate the performance of the Academia-Government Collaboration for Laboratory Medicine Standardization in Korea (KR-STDZN) based on data from KR-STDZN proficiency testing (KR-STDZN-PT) for creatinine over eight years (2015-2022). 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The acceptance rate for tCV% remained in the 90 % range for eight years. When creatinine &lt;3 mg/dL, mean absBias%, and mean TE% improved significantly in 2021-2022 compared to 2015-2016 (p&lt;0.05). When creatinine &gt;3 mg/dL, acceptance performance did not improve. Mean tCV% remained consistent annually regardless of creatinine concentration. No significant variations in test methods were observed. The collaboration between academia and the government improved creatinine testing quality. 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We used KR-STDZN-PT data of creatinine tests from 2015 to 2022. Acceptance of the participating institutions' test results was assessed by calculating the acceptance performance as absolute bias (absBias%), total coefficient of variance (tCV%), and total error (TE%) for each sample using six measurements from each institution and true values of each reference material. The test result was considered acceptable when absBias%, tCV%, and TE% were &lt;5.10, &lt;3.20, and &lt;11.40 %, respectively. The proportion of acceptable institutions among all participating institutions in each round was defined as the acceptance rate. Improvements in absBias%, tCV%, and TE% were analyzed using creatinine concentration ranges in samples. The number of participating institutions increased from 2015 to 2017 but remained consistent since 2018. The acceptance rates for absBias% and TE% increased from 52.2 and 77.6 %, in 2015 and to 90.7 and 96.3 %, in 2022, respectively. The acceptance rate for tCV% remained in the 90 % range for eight years. When creatinine &lt;3 mg/dL, mean absBias%, and mean TE% improved significantly in 2021-2022 compared to 2015-2016 (p&lt;0.05). When creatinine &gt;3 mg/dL, acceptance performance did not improve. Mean tCV% remained consistent annually regardless of creatinine concentration. No significant variations in test methods were observed. The collaboration between academia and the government improved creatinine testing quality. 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source MEDLINE; De Gruyter journals
subjects Academia
Acceptance
Accuracy
Analytical chemistry
bias
chronic kidney disease
Collaboration
Cooperation
Creatinine
Government
Humans
Institutions
Laboratory Proficiency Testing
Mathematical analysis
Performance evaluation
proficiency testing
Quality control
Reference Standards
Standardization
title Impact of Academia-Government Collaboration on Laboratory Medicine Standardization in South Korea: analysis of eight years creatinine proficiency testing experience
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