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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="healthcare" lang="en"><front><journal-meta><journal-id journal-id-type="publisher">IJCRR</journal-id><journal-id journal-id-type="nlm-ta">I Journ Cur Res Re</journal-id><journal-title-group><journal-title>International Journal of Current Research and Review</journal-title><abbrev-journal-title abbrev-type="pubmed">I Journ Cur Res Re</abbrev-journal-title></journal-title-group><issn pub-type="ppub">2231-2196</issn><issn pub-type="opub">0975-5241</issn><publisher><publisher-name>Radiance Research Academy</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">2703</article-id><article-id pub-id-type="doi"/><article-id pub-id-type="doi-url">http://dx.doi.org/10.31782/IJCRR.2020.12139</article-id><article-categories><subj-group subj-group-type="heading"><subject>Healthcare</subject></subj-group></article-categories><title-group><article-title>Challenges of Pre-analytical Variables in Conventional Cytogenetics - A University Teaching Hospital Experience&#13;
</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Jha</surname><given-names>Vidya</given-names></name></contrib><contrib contrib-type="author"><name><surname>G.A.</surname><given-names>Ajeesh</given-names></name></contrib><contrib contrib-type="author"><name><surname>K.S.</surname><given-names>Akhil</given-names></name></contrib></contrib-group><pub-date pub-type="ppub"><day>6</day><month>07</month><year>2020</year></pub-date><volume>3)</volume><issue/><fpage>51</fpage><lpage>55</lpage><permissions><copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement><copyright-year>2009</copyright-year><license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p></license></permissions><abstract><p>Introduction: Conventional Cytogenetics is an essential tool for the diagnosis of a neoplastic or premalignant condition and provides important prognostic and therapeutic information. The rate of unsuccessful karyotyping in hematological malignancies is reported between 10-20%.&#13;
Objective: To analyze the relationship between pre-analytical variables and associated failures with conventional karyotyping in hematological neoplasms.&#13;
Material and Methods: 1020 samples with suspected hematological malignancies received in the department of Cytogenetics from January 2018 to December 2019 were included in the study. Pre-analytical variables assessed included time from collection to sample processing, type of sample, diagnosis and sample cellularity. Statistical analysis was performed using Chi-square test to verify associations of variables with karyotyping.&#13;
Results: 86 (12%) out of 720 samples that were processed in less than 24 hours of time of collection showed an unsuccessful KT while 57/300 samples (19%) that were processed beyond 24 hours failed to yield any metaphase (p-value 0.003). 31/79 PVB (39%) and 112/941 BM (12%) were unsuccessful (p-value __ampersandsignlt;0.001). 15/287 (06%) acute myeloid leukemia cases, 64/156 (41%) acute lymphoblastic leukemia cases, 12/109 (11%) myelodysplastic syndrome, 6/34 (18%) MDS/MPN cases, 11/338 (03%) MPN cases and 35/96 (36%) from the others category did not yield any metaphase for analysis (p value 0.015. 24/819 (03%) samples with cellularity __ampersandsigngt;7 x 103/__ampersandsignmu;l and 119/201 (59%) samples with low cellularity being __ampersandsignle;7 x 103/__ampersandsignmu;l were unsuccessful (p-value __ampersandsignlt;.001).&#13;
Discussion: Rate of unsuccessful karyotyping was 14% that was significantly associated with the time to process, nature of sample and cellularity.&#13;
Conclusion: Collection of an adequate and good quality sample is of paramount importance on which success of karyotyping of hematological malignancies depends.&#13;
</p></abstract><kwd-group><kwd>Pre-analytical variables</kwd><kwd> Karyotyping</kwd><kwd> Cytogenetics</kwd><kwd> Hematological malignancies</kwd></kwd-group></article-meta></front></article>
