Current landscape and new paradigms of proficiency testing and external quality assessment for molecular genetics

Participation in proficiency testing (PT) or external quality assessment (EQA) programs allows the assessment and comparison of test performance among different clinical laboratories and technologies. In addition to the approximately 2300 tests for individual genetic disorders, recent advances in te...

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Veröffentlicht in:Archives of pathology & laboratory medicine (1976) 2013-07, Vol.137 (7), p.983-988
Hauptverfasser: Kalman, Lisa V, Lubin, Ira M, Barker, Shannon, du Sart, Desiree, Elles, Rob, Grody, Wayne W, Pazzagli, Mario, Richards, Sue, Schrijver, Iris, Zehnbauer, Barbara
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container_end_page 988
container_issue 7
container_start_page 983
container_title Archives of pathology & laboratory medicine (1976)
container_volume 137
creator Kalman, Lisa V
Lubin, Ira M
Barker, Shannon
du Sart, Desiree
Elles, Rob
Grody, Wayne W
Pazzagli, Mario
Richards, Sue
Schrijver, Iris
Zehnbauer, Barbara
description Participation in proficiency testing (PT) or external quality assessment (EQA) programs allows the assessment and comparison of test performance among different clinical laboratories and technologies. In addition to the approximately 2300 tests for individual genetic disorders, recent advances in technology have enabled the development of clinical tests that quickly and economically analyze the entire human genome. New PT/EQA approaches are needed to ensure the continued quality of these complex tests. To review the availability and scope of PT/EQA for molecular genetic testing for inherited conditions in Europe, Australasia, and the United States; to evaluate the successes and demonstrated value of available PT/EQA programs; and to examine the challenges to the provision of comprehensive PT/EQA posed by new laboratory practices and methodologies. The available literature on this topic was reviewed and supplemented with personal experiences of several PT/EQA providers. Proficiency testing/EQA schemes are available for common genetic disorders tested in many clinical laboratories but are not available for most genetic tests offered by only one or a few laboratories. Provision of broad, method-based PT schemes, such as DNA sequencing, would allow assessment of many tests for which formal PT is not currently available. Participation in PT/EQA improves the quality of testing by identifying inaccuracies that laboratories can trace to errors in their testing processes. Areas of research and development to ensure that PT/EQA programs can meet the needs of new and evolving genetic tests and technologies are identified and discussed.
doi_str_mv 10.5858/arpa.2012-0311-RA
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source MEDLINE; Allen Press Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Analysis
Disease
DNA sequencing
Genetic Diseases, Inborn - diagnosis
Genetic disorders
Genetic screening
Genetic testing
Humans
Laboratory Proficiency Testing - methods
Molecular Diagnostic Techniques - standards
Nucleotide sequencing
Participation
Pathology, Molecular - standards
Quality Assurance, Health Care
Quality control
Quality management
Testing laboratories
title Current landscape and new paradigms of proficiency testing and external quality assessment for molecular genetics
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