In search of a home-based HbA1c point-of-care testing device that is fit-for-purpose: a non-systematic review.
Aims: Lockdown conditions and the potential for misreporting of self-monitored blood glucose levels posed challenges for monitoring outpatient diabetic children. The primary objective was to investigate clinical, analytical and technical performance of handheld point-of-care testing devices for glyc...
| Publicado en: | New Zealand Journal of Medical Laboratory Science Vol. 77; no. 2; pp. 59 - 65 |
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| Autores principales: | , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
New Zealand Institute of Medical Laboratory Science
Jul2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164790063&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164790063 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11710195 H2G jtl: New Zealand Journal of Medical Laboratory Science issn: 11710195 maglogo: N pubinfo: dt: Jul2023 vid: 77 iid: 2 pid: 12822 pub: New Zealand Institute of Medical Laboratory Science artinfo: ui: 164790063 164790063 164790063 164790063 ppf: 59 ppct: 6 formats: fmt: @attributes: type: P tig: atl: In search of a home-based HbA1c point-of-care testing device that is fit-for-purpose: a non-systematic review. aug: au: Musaad, Samarina M. A. Herd, Geoffrey C. E. Mouat, Frances affil: Te Whatu Ora Waitemata, New Zealand sug: subj: Glycated Hemoglobin Home Diagnostic Tests Point-of-Care Testing Equipment and Supplies Blood Glucose Self-Monitoring Equipment and Supplies Autoanalyzers Diabetes Mellitus In Infancy and Childhood Equipment Reliability Outpatient Service Telemedicine New Zealand Child Child: 6-12 years ab: Aims: Lockdown conditions and the potential for misreporting of self-monitored blood glucose levels posed challenges for monitoring outpatient diabetic children. The primary objective was to investigate clinical, analytical and technical performance of handheld point-of-care testing devices for glycated haemoglobin. A secondary objective was to report on a proof-of-concept comparison of HbA1c results for the A1CNow+ (PTS Diagnostics, Indianapolis, USA) and the DCA Vantage bench-top point-of-care testing analyzer (Siemens Healthcare Diagnostics, Germany) used in paediatric outpatient clinics. Methods: Four databases were interrogated in a non-systematic review of English language literature, and 14 pairs of finger-prick HbA1c results were compared in-house. Results: Sixteen evaluation studies were reviewed. Most studies omitted important elements of a comprehensive evaluation. Findings were heterogeneous and conflicting. HbA1 c results from the A1 CNow+ were approximately 80% lower than those from the DCA Vantage in the in-house comparison. Conclusions: Evidence on the performance of A1CNow+ did not support its use in our paediatric population. Evidence on the performance of a second device, the A1c EZ 2.0 (BioHermes, Wuxi, China), was limited. No studies on other devices were found. Paediatricians need to be aware of the limitations of home-based point of care HbA1c testing for monitoring and decision making. Standardization of reporting of evaluation studies for point-of-care testing and improvement in statistical analyses is needed. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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