Analytical Goals for Point-of-Care Testing Used for Diabetes Management in Australian Health Care Settings Outside The Laboratory

作者: Mark D. S. Shephard

DOI:

关键词:

摘要: Diabetes mellitus is a major global health problem. Pathology testing for hemoglobin A1c (HbA1c), lipids, and urine albumin/creatinine ratio (ACR) has an important role in the management of diabetes patients. Each these markers can be performed by point-of-care (POCT). This article focuses on setting analytical goals (quality specifications) imprecision, bias, total allowable error selected POC tests public environment Australia. The reviews published data goal laboratory tests, considers factors that set POCT apart from laboratory, compares laboratory-based with state-of-the-art performance, then sets are designed to relevant nonlaboratory environment. desirable imprecision following: HbA1c, 3%; cholesterol, triglyceride, 5%; high-density lipoprotein choles- terol, 4%; low-density albumin, 10%; creatinine, 6%; ACR, 12%. 15%; 12.5%; 7.5%; 15%. recommended flexible refinable as more data, particularly clinical outcome studies, become available. They have potential adopted countries outside Australia, given limited specifically sector.

参考文章(29)
Gary L. Myers, Gerald R. Cooper, Carole L. Winn, S. Jay Smith, The Centers for Disease Control-National Heart, Lung and Blood Institute Lipid Standardization Program: An Approach to Accurate and Precise Lipid Measurements Clinics in Laboratory Medicine. ,vol. 9, pp. 105- 136 ,(1989) , 10.1016/S0272-2712(18)30645-0
Graham White, I Farrance, Uncertainty of measurement in quantitative medical testing: a laboratory implementation guide. The Clinical biochemist. Reviews / Australian Association of Clinical Biochemists. ,vol. 25, ,(2004)
Anne K Shephard, Beryl C Mazzachi, Mark D S Shephard, Glennis Barnes, Kristin J McLaughlin, Bernard Denner, The impact of point of care testing on diabetes services along Victoria's Mallee Track: results of a community-based diabetes risk assessment and management program. Rural and Remote Health. ,vol. 5, pp. 371- ,(2005) , 10.22605/RRH371
Curt Rohlfing, Hsiao-Mei Wiedmeyer, Randie Little, V Lee Grotz, Alethea Tennill, Jack England, Richard Madsen, David Goldstein, Biological Variation of Glycohemoglobin Clinical Chemistry. ,vol. 48, pp. 1116- 1118 ,(2002) , 10.1093/CLINCHEM/48.7.1116
Theodore Peters, New Form of Urinary Albumin in Early Diabetes Clinical Chemistry. ,vol. 50, pp. 2238- 2239 ,(2004) , 10.1373/CLINCHEM.2004.040998
Andrew St John, Timothy M.E. Davis, Ian Goodall, Mary Anne Townsend, Christopher P. Price, Nurse-based evaluation of point-of-care assays for glycated haemoglobin. Clinica Chimica Acta. ,vol. 365, pp. 257- 263 ,(2006) , 10.1016/J.CCA.2005.09.003