title: A 10-year human hepatitis B virus nucleic test external quality assessment in China: continual improvement.
abstract: BACKGROUND
  Remarkable progress has been made in the quality assurance of Hepatitis B virus (HBV) DNA nucleic amplification techniques (NAT) during the past decade. And this report presents a 10-year external quality assessment (EQA) program performed by National Center for Clinical Laboratories in China since 2003.
  
  
  METHODS
  EQA panels were produced using freeze-dried HBV plasma or negative controls and then calibrated against the first International Standard for HBV DNA.
  
  
  RESULTS
  By 2012, total 35,570 qualitative EQA reports and 56,826 quantitative reports have been collected. The overall correct recognition rate in qualitative test increased from 95.15% in 2003 to 97.99% in 2012. The proportion of participants with acceptable quantitative results also rose to 87.99% in 2012 compared with that of 27.53% in 2003. Besides, we observed a satisfactory reproducibility of <5% in all parallel samples. However, some laboratories still had difficulties in exact quantification of some low viral loads, which near to the limits of the dynamic range of the assays.
  
  
  CONCLUSIONS
  Taking together, current EQA program showed an encouraging improvement of HBV DNA NAT in China. Distributing more challenging samples and increasing the subtypes are still needed in the future.
authors.affiliation: National Center for Clinical Laboratories, Beijing Hospital, Beijing, China.
authors.forename: Lunan
authors.initials: L
authors.lastname: Wang
authors.forename: Yang
authors.initials: Y
authors.lastname: Pan
authors.forename: Kuo
authors.initials: K
authors.lastname: Zhang
authors.forename: Rui
authors.initials: R
authors.lastname: Zhang
authors.forename: Yu
authors.initials: Y
authors.lastname: Sun
authors.forename: Jiehong
authors.initials: J
authors.lastname: Xie
authors.forename: Jinming
authors.initials: J
authors.lastname: Li
mesh_terms: D002681:China; D004279:DNA, Viral / Q000097:blood* / Q000235:genetics; D006515:Hepatitis B virus / Q000235:genetics / Q000302:isolation & purification*; D019694:Hepatitis B, Chronic / Q000097:blood / Q000175:diagnosis* / Q000821:virology; D006801:Humans; D007753:Laboratories; D016133:Polymerase Chain Reaction / Q000592:standards*; D011786:Quality Control; D011933:Reagent Kits, Diagnostic / Q000592:standards; D012015:Reference Standards; D015203:Reproducibility of Results; D019562:Viral Load
chemical_list: D004279:DNA, Viral; D011933:Reagent Kits, Diagnostic
keywords: EQA; External quality assessment; Hepatitis B virus; Molecular diagnosis; NAT; NCCL; National Center for Clinical Laboratories; Nucleic amplification techniques; Real-time quantitative PCR