“…An understanding of how the results generated from the different HIV-1 RNA assays compare is critical for all HIV-1 subtypes, especially since the genetic diversity of HIV-1 continues to evolve and underquantitation of HIV-1 continues to be documented (4,11,13,23). Surveillance and comparative studies worldwide (2,17,22,25,30,31) are extremely important for documenting potential problems and forcing manufacturers to improve their assays in response to deficiencies (6,7,14). The high cost associated with the full automation of new real-time PCR assays has forced manufacturers to offer manual versions of the assays, but the impact of using manual extraction methods on precision across laboratories is not fully understood (5,19).…”