Laboratory-developed test regulation and the immunocompromised patient: uncertainty ahead.
Curr Opin Infect Dis
; 33(4): 304-311, 2020 08.
Artículo
en Inglés
| MEDLINE | ID: covidwho-643197
ABSTRACT
PURPOSE OF THE REVIEW Laboratory-developed tests (LDTs) are essential for the clinical care of immunocompromised individuals. These patients often require specialized testing not available from commercial manufacturers and are therefore dependent on the laboratory to create, validate, and perform these assays. Recent paradigm-shifting legislation could alter the way that LDTs are operationalized and regulated. RECENT FINDINGS:
On March 5th, 2020 the Verifying Accurate and Leading-Edge In-Vitro Clinical Tests Development Act (VALID) was introduced in the US Congress. This statute would overhaul existing regulatory framework by unifying the oversight of LDTs and commercial in-vitro diagnostic tests (IVDs) through the FDA. If enacted, LDTs would be subject to regulatory requirements like those found in commercial submissions for market review. Stakeholders continue to discuss the details and scope of the proposed legislation in the setting of the Severe Acute Respiratory Syndrome Coronavirus 2 pandemic, where LDTs are integral to the national COVID-19 response.SUMMARY:
Congressional lawmakers have introduced legislation to alter the regulatory framework governing LDTs. Moving forward, a balance must be struck to ensure the availability of safe and accurate testing without delays or overregulation that could be harmful to patients. The downstream implications of how VALID and other legislation will impact laboratories, clinicians, and patients warrant close examination.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
United States Food and Drug Administration
/
Laboratorios de Hospital
/
Huésped Inmunocomprometido
/
Infecciones por Coronavirus
/
Técnicas de Laboratorio Clínico
/
Incertidumbre
/
Servicios de Laboratorio Clínico
Tipo de estudio:
Estudios diagnósticos
/
Estudio pronóstico
/
Investigación cualitativa
Límite:
Humanos
País/Región como asunto:
America del Norte
Idioma:
Inglés
Revista:
Curr Opin Infect Dis
Asunto de la revista:
Enfermedades Transmisibles
Año:
2020
Tipo del documento:
Artículo
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