Evidence map›Paper›PMID 33686511›Full record

ArticleVirchows Archiv : an international journal of pathology2021

Evaluation of a worldwide EQA scheme for complex clonality analysis of clinical lymphoproliferative cases demonstrates a learning effect.

Cleo Keppens, Elke Boone, Paula Gameiro, Véronique Tack, Elisabeth Moreau, Elizabeth Hodges, Paul Evans, Monika Brüggemann, Ian Carter, Dido Lenze and 5 more

Abstract readComparative StudyEvaluation StudyMulticenter Study
In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Cleo KeppensDepartment of Public Health and Primary Care, Biomedical Quality Assurance Research Unit, University of Leuven, Kapucijnenvoer 35 block d, 1st floor, box 7001, 3000, Leuven, Belgium.ORCID https://orcid.org/0000-0002-4498-8386
Elke BooneAZ Delta vzw - Laboratorium Moleculaire Diagnostiek, Deltalaan 1, 8800, Roeselare, Belgium.
Paula GameiroLaboratory of Hemato-Oncology, Portuguese Institute of Oncology of Lisbon, Rua Prof Lima Basto, 1099-023, Lisboa, Portugal.ORCID https://orcid.org/0000-0002-3761-7050
Véronique TackDepartment of Public Health and Primary Care, Biomedical Quality Assurance Research Unit, University of Leuven, Kapucijnenvoer 35 block d, 1st floor, box 7001, 3000, Leuven, Belgium.ORCID https://orcid.org/0000-0001-8464-9541
Elisabeth MoreauAZ Delta vzw - Laboratorium Moleculaire Diagnostiek, Deltalaan 1, 8800, Roeselare, Belgium.
Elizabeth HodgesPrecision Medicine Centre, Queen's University Belfast, Health Science Building, 97 Lisburn Road, Belfast, BT9 7AE, UK.
Paul EvansHMDS, Leeds Institute of Oncology, St. James University Hospital, Level 3 Bexley Wing Leeds, Leeds, LS9 7TF, UK.ORCID https://orcid.org/0000-0002-7915-0946
Monika BrüggemannDepartment of Hematology, University Hospital Schleswig-Holstein, Langer Segen 8-10, 24105, Kiel, Germany.
Ian CarterMolecular Diagnostics, Histopathology, Nottingham University Hospitals NHS Trust, City Campus, Hucknall Rd., Nottingham, NG5 1PB, UK.
Dido LenzeInstitut für Pathologie, Molekularpathologie, Charité -Universitätsmedizin Berlin, Chariteplatz 1, 10117, Berlin, Germany.
Maria Eugenia SarasqueteLaboratorio Biología Molecular, Servicio de Hematología, Hospital Universitario de Salamanca, Paseo de San Vicente, 58-182, 37007, Salamanca, Spain.ORCID https://orcid.org/0000-0001-7335-3657
Markus MöbsInstitut für Pathologie, Molekularpathologie, Charité -Universitätsmedizin Berlin, Chariteplatz 1, 10117, Berlin, Germany.ORCID https://orcid.org/0000-0002-1502-3032
Hongxiang LiuMolecular Malignancy Laboratory, Haematopathology and Oncology Diagnostic Service (HODS), Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Box 234, Hills Road, Cambridge, CB2 0QQ, UK.
Elisabeth M C DequekerDepartment of Public Health and Primary Care, Biomedical Quality Assurance Research Unit, University of Leuven, Kapucijnenvoer 35 block d, 1st floor, box 7001, 3000, Leuven, Belgium.
Patricia J T A GroenenDepartment of Pathology, Radboud University Medical Centre Nijmegen, Geert Grooteplein Zuid 10, 6525, GA, Nijmegen, The Netherlands. patricia.groenen@radboudumc.nl.ORCID http://orcid.org/0000-0003-4314-228X

Funding

EuroClonality Foundation N/A
6 · The paper itself

Abstract

Clonality analysis of immunoglobulin (IG) or T-cell receptor (TR) gene rearrangements is routine practice to assist diagnosis of lymphoid malignancies. Participation in external quality assessment (EQA) aids laboratories in identifying systematic shortcomings. The aim of this study was to evaluate laboratories' improvement in IG/TR analysis and interpretation during five EQA rounds between 2014 and 2018. Each year, participants received a total of five cases for IG and five cases for TR testing. Paper-based cases were included for analysis of the final molecular conclusion that should be interpreted based on the integration of the individual PCR results. Wet cases were distributed for analysis of their routine protocol as well as evaluation of the final molecular conclusion. In total, 94.9% (506/533) of wet tests and 97.9% (829/847) of paper tests were correctly analyzed for IG, and 96.8% (507/524) wet tests and 93.2% (765/821) paper tests were correctly analyzed for TR. Analysis scores significantly improved when laboratories participated to more EQA rounds (p=0.001). Overall performance was significantly lower (p=0.008) for non-EuroClonality laboratories (95% for IG and 93% for TR) compared to EuroClonality laboratories (99% for IG and 97% for TR). The difference was not related to the EQA scheme year, anatomic origin of the sample, or final clinical diagnosis. This evaluation showed that repeated EQA participation helps to reduce performance differences between laboratories (EuroClonality versus non-EuroClonality) and between sample types (paper versus wet). The difficulties in interpreting oligoclonal cases highlighted the need for continued education by meetings and EQA schemes.

Indexed as

Gene RearrangementGenes, ImmunoglobulinGenes, T-Cell ReceptorMolecular Diagnostic TechniquesPolymerase Chain ReactionHumansLaboratory Proficiency TestingLymphoproliferative DisordersObserver VariationPredictive Value of TestsQuality Assurance, Health CareQuality ControlReproducibility of ResultsClonality analysisExternal quality assessmentIG rearrangementsTCR rearrangements

Identifiers

PMID33686511
PMCPMC8364525

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.