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Quality management system in PGD/PGS: now is the time

  • GENETICS
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Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose

Governments and international authorities require an accreditation of the PGD/PGS laboratories in order to ensure the safety and reproducibility of these analytical procedures. The implementation of a Quality Management System is the first mandatory step prior to accreditation. Our aim is to offer a detailed guidance to the PGD/PGS community that would like to implement this system in the future.

Methods

The certification was based on the norm ISO 9001:2000 and requires the identification of procedures, definition of the flowchart, documentation of the processes, recognition of the critical control points, establishment of quality controls, performance of validation and audit system.

Results

The achievement of ISO certification with the specific scope of “preimplantation genetic diagnosis”.

Conclusion

Certification of PGD/PGS allows to achieve evaluation of the efficiency to ensure the sensitivity and a continuous improvement of the genetic diagnosis of embryonic single cells.

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References

  1. Pastor A, Noblejas M, Ramos LA, Elejabeitia A, Leis P, Garre JA, et al. The Quality in the health sector. In Certification and normalization in the health sector. Madrid, Spain: AENOR Editions; 2006. p. 37–49.

    Google Scholar 

  2. ISO 9001. Quality management systems-requirements. Geneva: International Organization for Standarization; 2000.

    Google Scholar 

  3. Recommendations of the European Societies of Human Genetics an Human Reproduction and Embryology. The need for interaction between assisted reproduction technology and genetics. Eur J Hum Genet. 2005;14:509–11. doi:10.1038/sj.ejhg.5201600.

    Google Scholar 

  4. Sioni S, Ibarreta D, Anastasiadou V, Aymé S, Braga S, Cornel M, et al. The interface between assisted reproductive technologies and genetics: technical, social, ethical and legal issues. Eur J Hum Genet. 2006;14:588–645. doi:10.1038/sj.ejhg.5201598.

    Article  Google Scholar 

  5. The Practice Committee of American Society for Reproductive Medicine. Preimplantation Genetic Diagnosis. Fertil Steril. 2004;82:S120–2.

    Google Scholar 

  6. Thornhill AR, deDie-Smulders CE, Geraedts JP, Harper JC, Harton GL, Lavery SA, et al. ESHRE PGD Consortium Best practice guidelines for clinical preimplantation genetic diagnosis (PGD) and preimplantation genetic screening (PGS). Hum Reprod. 2005;20:35–48. doi:10.1093/humrep/deh579.

    Article  PubMed  CAS  Google Scholar 

  7. The Preimplantation Genetic Diagnosis International Society (PGDIS). Guidelines for good practice in PGD. RBM Online. 2004;9:430–4.

    Google Scholar 

  8. The Preimplantation Genetic Diagnosis International Society (PGDIS). Guidelines for good practice in PGD: programme requirements and laboratory quality assurance. RBM Online. 2007;16:134–47.

    Google Scholar 

  9. Handyside AH, Kontogianni EH, Hardy K, Winston RM. Pregnancies from biopsied human preimplantation embryos sexed by Y-specific DNA amplification. Nature. 1990;344:768–70. doi:10.1038/344768a0.

    Article  PubMed  CAS  Google Scholar 

  10. Harper JC, de Die-Smulders C, Goossens V, Harton G, Moutou C, Repping S, et al. ESHRE PGD consortium data collection VII: cycles from January to December 2004 with pregnancy follow-up to October 2005. Hum Reprod. 2008;23:741–55. doi:10.1093/humrep/dem354.

    Article  PubMed  CAS  Google Scholar 

  11. Fiorentino F, Biricik A, Nuccitelli A, De Palma R, Kahraman S, Iacobelli M, et al. Strategies and clinical outcome of 250 cycles of Preimplantation Genetic Diagnosis for single gene disorders. Hum Reprod. 2006;21:670–84. doi:10.1093/humrep/dei382.

    Article  PubMed  CAS  Google Scholar 

  12. Verlinsky Y, Cieslak J, Ivakhnenko V, Evsikov S, Wolf G, White M, et al. Prevention of age-related aneuploidies by polar body testing of oocytes. J Assist Reprod Genet. 1999;16:165–9. doi:10.1023/A:1020304621338.

    Article  PubMed  CAS  Google Scholar 

  13. Munné S, Cohen J, Sable D. Preimplantation genetic diagnosis for advanced maternal age and other indications. Fertil Steril. 2002;78:234–6. doi:10.1016/S0015-0282(02) 03239-9.

    Article  PubMed  Google Scholar 

  14. Rubio C, Simón C, Vidal F, Rodrigo L, Pehlivan T, Remohí J, et al. Chromosomal abnormalities and embryo development in recurrent miscarriage couples. Hum Reprod. 2003;18:182–8. doi:10.1093/humrep/deg015.

    Article  PubMed  CAS  Google Scholar 

  15. Verlinsky Y. Preimplantation genetic diagnosis for Pelizaeus-Merzbacher disease with testing for age-related aneuploidies. RBM Online. 2006;12:83–8.

    PubMed  CAS  Google Scholar 

  16. Verlinsky Y, Rechitsky S, Schoolcraft W, Strom C, Kuliev A. Preimplantation diagnosis for Fanconi anemia combined with HLA matching. JAMA. 2001;285:3130–3. doi:10.1001/jama.285.24.3130.

    Article  PubMed  CAS  Google Scholar 

  17. Fiorentino F, Biricik A, Karadayi H, Berkil H, Karlikaya G, Sertyel S, et al. Development and clinical application of a strategy for preimplantation genetic diagnosis of single gene disorders combined with HLA matching. Mol Hum Reprod. 2004;10:445–60. doi:10.1093/molehr/gah055.

    Article  PubMed  CAS  Google Scholar 

  18. Fiorentino F, Kahraman S, Karadayi H, Biricik A, Sertyel S, Karlikaya G, et al. Short tandem repeats haplotyping of the HLA region in preimplatation HLA matching. Eur J Hum Genet. 2005;13:953–8. doi:10.1038/sj.ejhg.5201435.

    Article  PubMed  CAS  Google Scholar 

  19. Rechitsky S. Preimplantation HLA typing with aneuploidy testing. RBMOnline. 2006;12:89–100.

    CAS  Google Scholar 

  20. Corveleyn A, Morris MA, Dequeker E, Sermon K, Davies JL, Antiñolo G, et al. Provision and quality assurance of preimplantation genetic diagnosis in Europe. Eur J Hum Genet. 2008;16:290–9. doi:10.1038/sj.ejhg.5201976.

    Article  PubMed  Google Scholar 

  21. ISO 17025. General requirements for the competence of testing and calibration laboratories. Geneva: International Organization for Standarization; 2005.

    Google Scholar 

  22. Kastrop P. Quality management in the ART laboratory. RBMOnline. 2003;6:691–4.

    Google Scholar 

  23. Magli M, Van den Abbeel E, Lundin K, et al. Committee of Special Interest Group on Embryology. Hum Reprod. 2008;23:1253–62. doi:10.1093/humrep/den068.

    Article  PubMed  Google Scholar 

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Correspondence to Xavier Vendrell.

Additional information

A detailed exposition of quality management system implementation in an external PGD/PGS laboratory based on the firsts international standards.

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Vendrell, X., Carrero, R., Alberola, T. et al. Quality management system in PGD/PGS: now is the time. J Assist Reprod Genet 26, 197–204 (2009). https://doi.org/10.1007/s10815-009-9307-9

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  • DOI: https://doi.org/10.1007/s10815-009-9307-9

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