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临床与实验室改进修正案豁免环境下糖尿病即时检测的临床需求

Clinical Need for Point-of-Care Testing for Diabetes in Clinical and Laboratory Improvement Amendments-Waived Settings.

作者信息

Kushner Pamela R, Fonseca Vivian, Nichols James H, Shubrook Jay H, Miller Eden, Wright Eugene, DeFilippi Christopher, Vassalotti Joseph A

机构信息

University of California, Irvine, Irvine, CA.

Tulane University Health Sciences Center, New Orleans, LA.

出版信息

Clin Diabetes. 2024 Oct 30;43(2):227-239. doi: 10.2337/cd24-0071. eCollection 2025 Spring.

Abstract

Point-of-care testing (POCT) has been used in multiple care settings for acute disease and, to a lesser extent, chronic disease testing. All POCT is regulated under the Clinical and Laboratory Improvement Amendments of 1988 (CLIA). CLIA-waived POCT requires no proficiency testing and can be carried out by nonlaboratory personnel. This review describes the benefits and limitations of POCT for cardiometabolic diseases and related conditions. It also explores the current U.S. regulatory environment for CLIA-waived POCT, highlighting the need for increased access.

摘要

即时检验(POCT)已在多种医疗环境中用于急性疾病检测,在较小程度上也用于慢性疾病检测。所有即时检验均受1988年《临床实验室改进修正案》(CLIA)监管。获CLIA豁免的即时检验无需进行能力验证测试,可由非实验室人员进行。本综述描述了即时检验在心脏代谢疾病及相关病症方面的益处和局限性。它还探讨了美国目前针对获CLIA豁免的即时检验的监管环境,强调了增加可及性的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1a7/12019004/79e59ee4fa5c/diaclincd240071f1.jpg

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