Evaluation of clinical cases in external quality assessment scheme (eqas) for the urinary sediment

Giovanni B. Fogazzi, Secchiero Secchiero, Giuseppe Garigali, Mario Plebani

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: The few available External Quality Assessment (EQA) programs on urinary sediment rarely include an evaluation of clinical cases. The present paper provides a descriptive analysis of clinical cases included inthe Italian EQA program on urinary sediment. Methods: Ten cases were presented over a 5-year period (2007-2011). Each clinical case included a brief clinical history, some key laboratory data and four key urinary sediment particles obtained by phase contrast microscopy. The clinical diagnoses indicated by participants, chosen among four or five proposed, were evaluated only for those who had been able to correctly identify all four urinary sediment particles. The results of each survey were then evaluated, scored and commented on. Results: The numbers of participants for the 10 surveys ranged from 268 to 325. Throughout surveys, only 63.9% ± 17.0% (range 39.6%-88.7%) of participants achieved access to clinical diagnosis. Of these, 90.2% ± 8.5% (range 73.7%-98.1%) were able to indicate the correct diagnosis. Conclusions: Our findings demonstrate that once the correct identification of urinary sediment particles is obtained, most participants are able to associate urinary findings with the respective clinical conditions, thus establishing the correct diagnosis.

Original languageEnglish
Pages (from-to)845-852
Number of pages8
JournalClinical Chemistry and Laboratory Medicine
Volume52
Issue number6
DOIs
Publication statusPublished - 2014

Fingerprint

Sediments
Phase-Contrast Microscopy
Microscopic examination
Surveys and Questionnaires

Keywords

  • Clinical cases
  • External quality assessment programs
  • Urinalysis
  • Urinary sediment

ASJC Scopus subject areas

  • Clinical Biochemistry
  • Biochemistry, medical
  • Medicine(all)

Cite this

Evaluation of clinical cases in external quality assessment scheme (eqas) for the urinary sediment. / Fogazzi, Giovanni B.; Secchiero, Secchiero; Garigali, Giuseppe; Plebani, Mario.

In: Clinical Chemistry and Laboratory Medicine, Vol. 52, No. 6, 2014, p. 845-852.

Research output: Contribution to journalArticle

Fogazzi, Giovanni B. ; Secchiero, Secchiero ; Garigali, Giuseppe ; Plebani, Mario. / Evaluation of clinical cases in external quality assessment scheme (eqas) for the urinary sediment. In: Clinical Chemistry and Laboratory Medicine. 2014 ; Vol. 52, No. 6. pp. 845-852.
@article{97780286c8e1439cabda816751ce83d5,
title = "Evaluation of clinical cases in external quality assessment scheme (eqas) for the urinary sediment",
abstract = "Background: The few available External Quality Assessment (EQA) programs on urinary sediment rarely include an evaluation of clinical cases. The present paper provides a descriptive analysis of clinical cases included inthe Italian EQA program on urinary sediment. Methods: Ten cases were presented over a 5-year period (2007-2011). Each clinical case included a brief clinical history, some key laboratory data and four key urinary sediment particles obtained by phase contrast microscopy. The clinical diagnoses indicated by participants, chosen among four or five proposed, were evaluated only for those who had been able to correctly identify all four urinary sediment particles. The results of each survey were then evaluated, scored and commented on. Results: The numbers of participants for the 10 surveys ranged from 268 to 325. Throughout surveys, only 63.9{\%} ± 17.0{\%} (range 39.6{\%}-88.7{\%}) of participants achieved access to clinical diagnosis. Of these, 90.2{\%} ± 8.5{\%} (range 73.7{\%}-98.1{\%}) were able to indicate the correct diagnosis. Conclusions: Our findings demonstrate that once the correct identification of urinary sediment particles is obtained, most participants are able to associate urinary findings with the respective clinical conditions, thus establishing the correct diagnosis.",
keywords = "Clinical cases, External quality assessment programs, Urinalysis, Urinary sediment",
author = "Fogazzi, {Giovanni B.} and Secchiero Secchiero and Giuseppe Garigali and Mario Plebani",
year = "2014",
doi = "10.1515/cclm-2013-0785",
language = "English",
volume = "52",
pages = "845--852",
journal = "Clinical Chemistry and Laboratory Medicine",
issn = "1434-6621",
publisher = "Walter de Gruyter GmbH",
number = "6",

}

TY - JOUR

T1 - Evaluation of clinical cases in external quality assessment scheme (eqas) for the urinary sediment

AU - Fogazzi, Giovanni B.

AU - Secchiero, Secchiero

AU - Garigali, Giuseppe

AU - Plebani, Mario

PY - 2014

Y1 - 2014

N2 - Background: The few available External Quality Assessment (EQA) programs on urinary sediment rarely include an evaluation of clinical cases. The present paper provides a descriptive analysis of clinical cases included inthe Italian EQA program on urinary sediment. Methods: Ten cases were presented over a 5-year period (2007-2011). Each clinical case included a brief clinical history, some key laboratory data and four key urinary sediment particles obtained by phase contrast microscopy. The clinical diagnoses indicated by participants, chosen among four or five proposed, were evaluated only for those who had been able to correctly identify all four urinary sediment particles. The results of each survey were then evaluated, scored and commented on. Results: The numbers of participants for the 10 surveys ranged from 268 to 325. Throughout surveys, only 63.9% ± 17.0% (range 39.6%-88.7%) of participants achieved access to clinical diagnosis. Of these, 90.2% ± 8.5% (range 73.7%-98.1%) were able to indicate the correct diagnosis. Conclusions: Our findings demonstrate that once the correct identification of urinary sediment particles is obtained, most participants are able to associate urinary findings with the respective clinical conditions, thus establishing the correct diagnosis.

AB - Background: The few available External Quality Assessment (EQA) programs on urinary sediment rarely include an evaluation of clinical cases. The present paper provides a descriptive analysis of clinical cases included inthe Italian EQA program on urinary sediment. Methods: Ten cases were presented over a 5-year period (2007-2011). Each clinical case included a brief clinical history, some key laboratory data and four key urinary sediment particles obtained by phase contrast microscopy. The clinical diagnoses indicated by participants, chosen among four or five proposed, were evaluated only for those who had been able to correctly identify all four urinary sediment particles. The results of each survey were then evaluated, scored and commented on. Results: The numbers of participants for the 10 surveys ranged from 268 to 325. Throughout surveys, only 63.9% ± 17.0% (range 39.6%-88.7%) of participants achieved access to clinical diagnosis. Of these, 90.2% ± 8.5% (range 73.7%-98.1%) were able to indicate the correct diagnosis. Conclusions: Our findings demonstrate that once the correct identification of urinary sediment particles is obtained, most participants are able to associate urinary findings with the respective clinical conditions, thus establishing the correct diagnosis.

KW - Clinical cases

KW - External quality assessment programs

KW - Urinalysis

KW - Urinary sediment

UR - http://www.scopus.com/inward/record.url?scp=84903648704&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84903648704&partnerID=8YFLogxK

U2 - 10.1515/cclm-2013-0785

DO - 10.1515/cclm-2013-0785

M3 - Article

VL - 52

SP - 845

EP - 852

JO - Clinical Chemistry and Laboratory Medicine

JF - Clinical Chemistry and Laboratory Medicine

SN - 1434-6621

IS - 6

ER -