PMID- 24456626 OWN - NLM STAT- MEDLINE DCOM- 20141009 LR - 20211021 IS - 1872-7905 (Electronic) IS - 0022-1759 (Print) IS - 0022-1759 (Linking) VI - 409 DP - 2014 Jul TI - Statistical methods for the assessment of EQAPOL proficiency testing: ELISpot, Luminex, and Flow Cytometry. PG - 72-81 LID - S0022-1759(14)00017-9 [pii] LID - 10.1016/j.jim.2014.01.007 [doi] AB - In September 2011 Duke University was awarded a contract to develop the National Institutes of Health/National Institute of Allergy and Infectious Diseases (NIH/NIAID) External Quality Assurance Program Oversight Laboratory (EQAPOL). Through EQAPOL, proficiency testing programs are administered for Interferon-gamma (IFN-gamma) Enzyme-linked immunosorbent spot (ELISpot), Intracellular Cytokine Staining Flow Cytometry (ICS) and Luminex-based cytokine assays. One of the charges of the EQAPOL program was to apply statistical methods to determine overall site performance. We utilized various statistical methods for each program to find the most appropriate for assessing laboratory performance using the consensus average as the target value. Accuracy ranges were calculated based on Wald-type confidence intervals, exact Poisson confidence intervals, or via simulations. Given the nature of proficiency testing data, which has repeated measures within donor/sample made across several laboratories; the use of mixed effects models with alpha adjustments for multiple comparisons was also explored. Mixed effects models were found to be the most useful method to assess laboratory performance with respect to accuracy to the consensus. Model based approaches to the proficiency testing data in EQAPOL will continue to be utilized. Mixed effects models also provided a means of performing more complex analyses that would address secondary research questions regarding within and between laboratory variability as well as longitudinal analyses. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Rountree, Wes AU - Rountree W AD - Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC, USA. Electronic address: wes.rountree@dm.duke.edu. FAU - Vandergrift, Nathan AU - Vandergrift N AD - Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC, USA. FAU - Bainbridge, John AU - Bainbridge J AD - Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC, USA. FAU - Sanchez, Ana M AU - Sanchez AM AD - Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC, USA. FAU - Denny, Thomas N AU - Denny TN AD - Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC, USA. LA - eng GR - HHSN272201000045C/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20140120 PL - Netherlands TA - J Immunol Methods JT - Journal of immunological methods JID - 1305440 RN - 0 (Biomarkers) RN - 0 (Cytokines) SB - IM MH - Biomarkers/blood MH - Cytokines/*blood MH - Data Interpretation, Statistical MH - Enzyme-Linked Immunospot Assay/*standards/statistics & numerical data MH - Flow Cytometry/*standards/statistics & numerical data MH - Guideline Adherence/standards MH - Humans MH - Interferon-gamma Release Tests/*standards/statistics & numerical data MH - Laboratories/*standards/statistics & numerical data MH - Laboratory Proficiency Testing/*standards/statistics & numerical data MH - *Models, Statistical MH - Monitoring, Immunologic/*standards/statistics & numerical data MH - Observer Variation MH - Practice Guidelines as Topic/standards MH - Predictive Value of Tests MH - Program Development MH - Program Evaluation MH - Quality Control MH - Quality Indicators, Health Care/standards MH - Reproducibility of Results MH - Specimen Handling/standards PMC - PMC4104253 MID - NIHMS562543 OTO - NOTNLM OT - ELISpot OT - Flow Cytometry OT - Luminex OT - Mixed effects models OT - Poisson OT - Proficiency testing EDAT- 2014/01/25 06:00 MHDA- 2014/10/10 06:00 PMCR- 2015/07/01 CRDT- 2014/01/25 06:00 PHST- 2013/09/06 00:00 [received] PHST- 2013/11/20 00:00 [revised] PHST- 2014/01/10 00:00 [accepted] PHST- 2014/01/25 06:00 [entrez] PHST- 2014/01/25 06:00 [pubmed] PHST- 2014/10/10 06:00 [medline] PHST- 2015/07/01 00:00 [pmc-release] AID - S0022-1759(14)00017-9 [pii] AID - 10.1016/j.jim.2014.01.007 [doi] PST - ppublish SO - J Immunol Methods. 2014 Jul;409:72-81. doi: 10.1016/j.jim.2014.01.007. Epub 2014 Jan 20.