The results of external quality assessment programme on urine leukocyte and erythrocyte counting in Poland

Introduction: Urine particle analysis is an important diagnostic tool. The aim of this study was to evaluate the quality of urine leukocyte (WBC) and erythrocyte (RBC) counting results obtained with manual and automated methods in Polish laboratories participating in the international external quali...

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Permalink: http://skupni.nsk.hr/Record/nsk.NSK01001102476/Details
Matična publikacija: Biochemia medica (Online)
30 (2020), 2 ; str. 278-286
Glavni autori: Ćwiklińska, Agnieszka (Author), Kowalski, Robert, Kortas-Stempak, Barbara, Kuchta, Agnieszka, Fijałkowska, Aleksandra, Bednarczuk, Gabriela, Jankowski, Maciej
Vrsta građe: e-članak
Jezik: eng
Predmet:
Online pristup: https://doi.org/10.11613/BM.2020.020707
Biochemia medica (Online)
Hrčak
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024 7 |2 doi  |a 10.11613/BM.2020.020707 
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044 |a ci  |c hr 
080 1 |a 577  |2 2011 
080 1 |a 61  |2 2011 
100 1 |a Ćwiklińska, Agnieszka  |4 aut  |9 HR-ZaNSK 
245 1 4 |a The results of external quality assessment programme on urine leukocyte and erythrocyte counting in Poland  |h [Elektronička građa] /  |c Agnieszka Ćwiklińska, Robert Kowalski, Barbara Kortas-Stempak, Agnieszka Kuchta, Aleksandra Fijałkowska, Gabriela Bednarczuk, Maciej Jankowski. 
300 |b Graf. prikazi. 
504 |a Bibliografija: 23 jed. 
504 |a Summary. 
520 |a Introduction: Urine particle analysis is an important diagnostic tool. The aim of this study was to evaluate the quality of urine leukocyte (WBC) and erythrocyte (RBC) counting results obtained with manual and automated methods in Polish laboratories participating in the international external quality assessment (EQA) programme. Materials and methods: 1400 WBC and RBC counting results were obtained from 183 laboratories in EQA surveys organised by Labquality (Helsinki, Finland) from 2017 to 2019. The between-laboratory coefficient of variation (CV), the percentage difference between the laboratories' results and target values (Q-score (%)), as well as modified Youden plots were analysed. Results: For automated method groups, the medians of inter-laboratory CVs varied from 14% to 33% for WBC counting and from 10% to 39% for RBC counting. For manual method groups, the medians of CV varied from 53% to 71% (WBC) and from 55% to 70% (RBC), and they were significantly higher, in comparison to CVs for most automated method groups (P <0.001). The highest percentage of results outside the target limits (36%) and the highest range of Q-score (%) (from - 93% to 706%) were observed for laboratories which participated in the surveys for the first or second time. The percentage of deviating results and the ranges of Q-score decreased with an increased frequency of laboratories’ participation in the surveys. Conclusions: The quality of manual methods of urine WBC and RBC counting is unsatisfactory. There is an urgent need to take actions to improve laboratories’ performance and to increase harmonisation of the results. 
653 0 |a Urin  |a Eritrociti  |a Leukociti  |a Kontrola kvalitete  |a Standardizacija 
653 5 |a Poljska 
700 1 |a Kowalski, Robert  |4 aut  |9 HR-ZaNSK 
700 1 |a Kortas-Stempak, Barbara  |4 aut  |9 HR-ZaNSK 
700 1 |a Kuchta, Agnieszka  |4 aut  |9 HR-ZaNSK 
700 1 |a Fijałkowska, Aleksandra  |4 aut  |9 HR-ZaNSK 
700 1 |a Bednarczuk, Gabriela  |4 aut  |9 HR-ZaNSK 
700 1 |a Jankowski, Maciej  |4 aut  |9 HR-ZaNSK 
773 0 |t Biochemia medica (Online)  |x 1846-7482  |g 30 (2020), 2 ; str. 278-286  |w nsk.(HR-ZaNSK)000655372 
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856 4 0 |u https://doi.org/10.11613/BM.2020.020707 
856 4 0 |u https://www.biochemia-medica.com/en/journal/30/2/10.11613/BM.2020.020707  |y Biochemia medica (Online) 
856 4 1 |y Digitalna.nsk.hr 
856 4 0 |u https://hrcak.srce.hr/238910  |y Hrčak