External quality control for embryology laboratories.

Abstract:

:Participation in external quality control (EQC) programmes is recommended by various scientific societies. Results from an EQC programme for embryology laboratories are presented. This 5-year programme consisted of the annual delivery of (i) materials to test toxicity and (ii) a DVD/CD-ROM with images of zygotes and embryos on days 2 and 3, on the basis of which the participants were asked to judge the embryo quality and to take a clinical decision. A high degree of agreement was considered achieved when over 75% of the laboratories produced similar classifications. With respect to the materials analysed, the specificity was 68% and the sensitivity was 83%. Concerning embryo classification, the proportion of embryos on which a high degree of agreement was achieved increased during this period from 35% to 55%. No improvement was observed in the degree of agreement on the clinical decision to be taken. Day-3 embryos produced a higher degree of agreement (58%) than did day-2 embryos (32%) (P<0.05). Participation in EQC increased the degree of inter-laboratory agreement on embryo classification, but not the corresponding agreement on clinical decision taking. It is necessary to introduce measures aimed at standardizing decision taking procedures in embryology laboratories.

journal_name

Reprod Biomed Online

authors

Castilla JA,Ruiz de Assín R,Gonzalvo MC,Clavero A,Ramírez JP,Vergara F,Martínez L

doi

10.1016/j.rbmo.2009.09.033

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

68-74

issue

1

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(09)00148-5

journal_volume

20

pub_type

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