Point-of-care testing: state-of-the art and perspectives

检测点注意事项 软件可移植性 考试(生物学) 风险分析(工程) 质量(理念) 注意事项 医学 医疗保健 医学物理学 计算机科学 病理 程序设计语言 哲学 经济增长 古生物学 认识论 经济 生物
作者
Mario Plebani,James H. Nichols,Peter B. Luppa,Dina N. Greene,Laura Sciacovelli,Julie Shaw,Adil I. Khan,Paolo Carraro,Guido Freckmann,Wayne Dimech,Martina Zaninotto,Michael Spannagl,Jim F. Huggett,Gerald J. Kost,Tommaso Trenti,Andrea Padoan,Annette Thomas,Giuseppe Banfi,Giuseppe Lippi
出处
期刊:Clinical Chemistry and Laboratory Medicine [De Gruyter]
卷期号:63 (1): 35-51 被引量:40
标识
DOI:10.1515/cclm-2024-0675
摘要

Abstract Point-of-care testing (POCT) is becoming an increasingly popular way to perform laboratory tests closer to the patient. This option has several recognized advantages, such as accessibility, portability, speed, convenience, ease of use, ever-growing test panels, lower cumulative healthcare costs when used within appropriate clinical pathways, better patient empowerment and engagement, and reduction of certain pre-analytical errors, especially those related to specimen transportation. On the other hand, POCT also poses some limitations and risks, namely the risk of lower accuracy and reliability compared to traditional laboratory tests, quality control and connectivity issues, high dependence on operators (with varying levels of expertise or training), challenges related to patient data management, higher costs per individual test, regulatory and compliance issues such as the need for appropriate validation prior to clinical use (especially for rapid diagnostic tests; RDTs), as well as additional preanalytical sources of error that may remain undetected in this type of testing, which is usually based on whole blood samples (i.e., presence of interfering substances, clotting, hemolysis, etc.). There is no doubt that POCT is a breakthrough innovation in laboratory medicine, but the discussion on its appropriate use requires further debate and initiatives. This collective opinion paper, composed of abstracts of the lectures presented at the two-day expert meeting “Point-Of-Care-Testing: State of the Art and Perspective” (Venice, April 4–5, 2024), aims to provide a thoughtful overview of the state-of-the-art in POCT, its current applications, advantages and potential limitations, as well as some interesting reflections on the future perspectives of this particular field of laboratory medicine.

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