Quality in the extra-analytical phases of urinalysis
; U.O. Diagnostica Ematochimica, Azienda Ospedaliero, Universitaria di Parma, Italy
Fabio Manoni ; Dipartimento Patologia Clinica - Azienda ULSS 17 Este - Monselice (PD), Italy
Maria Grazia Alessio ; U.O. Laboratorio Analisi Chimico-Cliniche, Azienda Ospedaliera Ospedali Riuniti di Bergamo, Bergamo, Italy
Cosimo Ottomano ; U.O. Laboratorio Analisi Chimico-Cliniche, Azienda Ospedaliera Ospedali Riuniti di Bergamo, Bergamo, Italy
Giuseppe Lippi ; U.O. Diagnostica Ematochimica, Azienda Ospedaliero, Universitaria di Parma, Italy
The chemical, physical and morphologic urine examination has undergone radical changes over the last few years, so that the time has come for introducing further changes and modifications in various steps of this important test. The breakthroughs of new technologies have allowed making the laboratory report much more informative for the stakeholders. Nevertheless, important considerations for improving the quality throughout the testing process were also raised, especially in the preanalytical phase. Currently, it might be advisable to pursue consolidation and standardization of the analytical phase, as well as redefinition of clinical targets through construction of a complete, integrated and much more clinically meaningful report. This article aims to review the state of the art in urinalysis, as well as providing useful information for achieving more standardization and quality of this useful diagnostic test.
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