Skip to main content
Log in

Quality management for the collection of biological samples in multicentre studies

  • METHODS
  • Published:
European Journal of Epidemiology Aims and scope Submit manuscript

Abstract

Large scale international multicentre studies require sophisticated quality management for the collection, processing and logistics of biological samples to ensure a maximum degree of standardisation across different environmental conditions and settings. This paper describes a quality management system for the collection of biological samples (QMS-BS) which was applied during IDEFICS, a large European multicentre study. The application was evaluated by several criteria like response rates for the different types of biological samples, measures of sample quality, compliance with the QMS-BS and efficiency of the document and sample control and of the quality assurance system. Response rates varied from 56.6% for venous blood collection to 90.1% for saliva collection. All sample types were associated with problems of sample quality (e.g. haemolysis of blood samples, lack of cooling for urine samples or desiccation of saliva samples). Overall compliance with the QMS-BS was good, with some exceptions mainly related to sample control. In conclusion the QMS-BS is a valuable tool for the management of biological sample collection in epidemiological multicentre studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

Abbreviations

ADR:

Agreement concerning the International Carriage of Dangerous Goods by Road

DNA:

Deoxyribonucleic acid

FA:

Fatty acid

GEP:

Good epidemiological practice

IATA:

International air transport association

ICAO:

International civil aviation organization

IDEFICS:

Identification and prevention of dietary—and lifestyle—induced health Effects in Children and infantS

IEA:

International epidemiological association

INRS:

Institut National de Recherche et de Securite

ISO:

International organization for standardization

QMS:

Quality management system

QMS-BS:

Quality management system for biological samples

RFID:

Radio-frequency identification

RNA:

Ribonucleic acid

SOP:

Standard operation procedure

References

  1. Vineis P, Matullo G, Berwick M. Molecular epidemiology. In: Ahrens W, Pigeot I, editors. Handbook of epidemiology. Berlin: Springer; 2005.

    Google Scholar 

  2. Grandjean P. Biomarkers in epidemiology. Clin Chem. 1995;41(12 Pt 2):1800.

    CAS  PubMed  Google Scholar 

  3. Kelly SJ, Young R, Sweeting H, Fischer JE, West P. Levels and confounders of morning cortisol collected from adolescents in anaturalistic (school) setting. Psychoneuroendocrinology. 2008;33(9):1257–68.

    Article  CAS  PubMed  Google Scholar 

  4. Deacon S, Arendt J. Posture influences melatonin concentrations in plasma and saliva in humans. Neurosci Lett. 1994;167(1–2):191–4.

    Article  CAS  PubMed  Google Scholar 

  5. González-Gross M, Breidenassel C, Gómez-Martínez S, Ferrari M, Béghin L, Spinneker A, Díaz LE, Maiani G, Demailly A, Al-Tahan J, Albers U, Wärnberg J, Stoffel-Wagner B, Jiménez-Pavón D, Libersa C, Pietrzik K, Marcos A, Stehle P. Sampling and processing of fresh blood samples within a European multicenter nutritional study: evaluation of biomarker stability during transport and storage. Int J Obes (Lond). 2008; 32 Suppl 5: S66–75.

    Google Scholar 

  6. Holland NT, Smith MT, Eskenazi B, Bastaki M. Biological sample collection and processing for molecular epidemiological studies. Mutat Res. 2003;543(3):217–34.

    Article  CAS  PubMed  Google Scholar 

  7. ISO International Organization for Standardization. Management standards, 2009. http://www.iso.org/iso/iso_catalogue/management_standards.htm. Retrieved 16 May 2009.

  8. International Epidemiological Association (IEA). Good Epidemiological Practice guidelines for proper conduct of epidemiological research. 2007. http://www.dundee.ac.uk/iea/GEP07.htm. Retrieved 13 May 2009.

  9. Rajaraman, Samet. Quality control and good epidemiological practice. In: Ahrens, Pigeot, editors. Handbook of epidemiology. Berlin Heidelberg: Springer; 2005.

    Google Scholar 

  10. Moulin JJ, Clavel T, Chouaniere D, Massin N, Wild P. Implementation of ISO 9002 for research in occupational epidemiology. Accred Qual Assur. 1998;3:S488–96.

    Article  Google Scholar 

  11. Holland NT, Pfleger L, Berger E, Ho A, Bastaki M. Molecular epidemiology biomarkers—sample collection and processing considerations. Toxicol Appl Pharmacol. 2005;206(2):261–8.

    Article  CAS  PubMed  Google Scholar 

  12. International Conference on Harmonization (ICH). Guidance for Industry, E6 Good Clinical Practice: Consolidated Guidance, 1996. http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM073122.pdf. Retrieved 01 June 2010.

  13. ISO International Organization for Standardization. ISO 15189:2007 Medical laboratories—Particular requirements for quality and competence. http://www.iso.org/iso/catalogue_detail.htm?csnumber=42641. Retrieved 08 July 2009.

  14. United Nations Economic Commission for Europe (UNECE): European Agreement concerning the International Carriage of Dangerous Goods by Road (ADR); ECE/TRANS/202, Vol. I and II; 2009 edition http://www.unece.org/trans/danger/publi/adr/adr_e.html. Retrieved 13 June 2009.

  15. International Civil Aviation Organization (ICAO). Technical Instructions for the Safe Transport of Dangerous Goods by Air; Guidance document for Infectious Substances; Doc 9248; and subsequent corrigenda/addenda; 2005. http://www.icao.int/icaonet/dcs/9284/guidance_doc_infectious_substances.pdf. Retrieved 13 May 2009.

  16. Ahrens W, Bammann K, de Henauw S, Halford J, Palou A, Pigeot I, Siani A, Sjöström M, European Consortium of the IDEFICS Project. Understanding and preventing childhood obesity and related disorders —IDEFICS: a European multilevel epidemiological approach. Nutr Metab Cardiovasc Dis. 2006; 16(4):302–8 (Epub 2006 Apr 27).

  17. Bammann K, Peplies J, Pigeot I, Ahrens W. IDEFICS: a multicenter European project on diet- and lifestyle-related disorders in children. Med Klin (Munich). 2007;102(3):230–5.

    Article  Google Scholar 

  18. Panz VR, Raal FJ, Paiker J, Immelman R, Miles H. Performance of the CardioChek PA and Cholestech LDX point-of-care analysers compared to clinical diagnostic laboratory methods for the measurement of lipids. Cardiovasc J S Afr. 2005;16(2):112–7.

    CAS  PubMed  Google Scholar 

  19. Marangoni F, Colombo C, Galli C. A method for the direct evaluation of the fatty acid status in a drop of blood from a fingertip in humans: applicability to nutritional and epidemiological studies. Anal Biochem. 2004;326:267–72.

    Article  CAS  PubMed  Google Scholar 

  20. Rainen L, Oelmueller U, Jurgensen S, Wyrich R, Ballas C, Schram J, Herdman C, Bankaitis-Davis D, Nicholls N, Trollinger D, Tryon V. Stabilization of mRNA expression in whole blood samples. Clin Chem. 2002;48(11):1883–90.

    CAS  PubMed  Google Scholar 

  21. Rogers NL, Cole SA, Lan HC, Crossa A, Demerath EW. New saliva DNA collection method compared to buccal cell collection techniques for epidemiological studies. Am J Hum Biol. 2007;19(3):319–26.

    Article  PubMed  Google Scholar 

  22. Thamm M, Ellert U, Thierfelder W, Liesenkötter KP, Völzke H. Iodine intake in Germany. Results of iodine monitoring in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007;50(5-6):744–9. (German).

    Article  CAS  PubMed  Google Scholar 

  23. Schulz C, Wolf U, Becker K, Conrad A, Hünken A, Lüdecke A, Müssig-Zufika M, Riedel S, Seiffert I, Seiwert M, Kolossa-Gehring M. German Environmental Survey for Children (GerES IV) in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). First results. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007;50(5–6):889–94. (German).

    Google Scholar 

  24. Krockenberger K, Luntz SP, Knaup P. Usage and usability of standard operating procedures (SOPs) among the coordination centers for clinical trials (KKS). Methods Inf Med. 2008;47(6):505–10.

    CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This work was done as part of the IDEFICS Study (www.idefics.eu). We gratefully acknowledge the financial support of the European Community within the Sixth RTD Framework Programme Contract No. 016181 (FOOD). The authors are indebted to the IDEFICS survey centres for their work in gathering the data. We also thank Wolfgang Ahrens for helpful suggestions on the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J. Peplies.

Additional information

This article is written on behalf of the IDEFICS consortium.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Peplies, J., Fraterman, A., Scott, R. et al. Quality management for the collection of biological samples in multicentre studies. Eur J Epidemiol 25, 607–617 (2010). https://doi.org/10.1007/s10654-010-9481-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10654-010-9481-1

Keywords

Navigation