Academic and nonacademic laboratories perform equally on CIQC immunohistochemistry proficiency testing

Am J Clin Pathol. 2013 Jul;140(1):55-60. doi: 10.1309/AJCPHBL59MWBVYRD.

Abstract

Objectives: To test whether academic centers (ACs) are more successful than nonacademic centers (NACs) in immunohistochemistry (IHC) external quality assessment challenges in the Canadian Immunohistochemistry Quality Control (CIQC) program.

Methods: Results of 9 CIQC challenges for breast cancer marker (BM) and various non-breast cancer marker (NBM) tests were examined. Success rates were compared between AC/NAC laboratories and those located in small or large cities. Performance was also correlated with annual IHC case volumes.

Results: There was no statistically significant difference in performance in any of the comparisons. However, overall performance on BM was significantly better (P < .0001, t test) than on NBM tests regardless of AC/NAC nature or city size. The mean failure rate on NBM was approximately twice that of BM tests.

Conclusion: Our results suggest that recent emphasis on breast hormone IHC quality assurance has led to improved test quality.

Keywords: Academic center; External quality assessment; Immunohistochemistry; Proficiency testing.

Publication types

  • Comparative Study

MeSH terms

  • Academic Medical Centers
  • Biomarkers, Tumor / analysis*
  • Breast Neoplasms / diagnosis*
  • Canada
  • Data Collection
  • Female
  • Hospitals, Rural
  • Hospitals, Urban
  • Humans
  • Immunohistochemistry / standards*
  • Laboratories / standards*
  • Laboratory Proficiency Testing / standards*
  • Paraffin Embedding
  • Pathology / standards*
  • Quality Assurance, Health Care
  • Reproducibility of Results
  • Tissue Array Analysis
  • Workload

Substances

  • Biomarkers, Tumor