The new Quality Control Program in Immunophenotyping for Central Europ
e (CEQUAL) was created in 1993, Its first formal send-around proficien
cy exercise, consisting of a stained stabilised preparation of leukocy
tes, took place in November 1993. Forty-one laboratories from Slovakia
, Poland, Hungary, and the Czech Republic participated. Eighty-three p
ercent of member laboratories returned results and list mode files. Th
e results for each cell population were evaluated for central tendenci
es, variability, and overall distribution patterns, Extreme outliers w
ere identified and list mode files reviewed for clues to the aberreran
t values, When found these reasons were communicated back to member la
bs. When extreme outlier values were removed, all coefficient of varia
tions (CVs) for lymphocyte populations were below 10%, except for NK c
ells, which had a CV of 14.8%. In future send-arounds, unstained and p
athologic specimens will be used, This CEQUAL program is the first to
function on such a broad international basis. (C) 1996 Wiley-Liss, Inc
.