Is African-Caribbean the same thing as African-American in this context,
since the original data specifies African-American ?
I think not - certainly if you asked the question in the Caribbean.
with best wishes
Richard
Richard Mainwaring-Burton
Consultant Biochemist
Queen Mary's Hospital
Sidcup, Kent
020-8308-3084
-----Original Message-----
From: Paul Waller [mailto:[log in to unmask]]
Sent: 22 June 2006 17:09
To: [log in to unmask]
Subject: Re: e-GFR and ethnic origin.
Alan
Like you, we're sure that the ethnic origin of our patients is not correctly
reported; analysis of 1 months creatinine requests showed that the most
common ethnic group was 'unknown'.
We have taken the decision to report eGFR results with a comment "If the
patient is of African-Caribbean origin, the eGFR result must be multiplied
by 1.212"
Your GP has raised good points about automatic filing and searches, but the
DH guidelines are quite clear
"If the ethnic origin of the patient is unknown, or the patient is not
Caucasian or African-Caribbean, an assumption of Caucasian ethnicity can be
made"
"Laboratories should communicate to their users(possibly using the
laboratory report) the following
information:
2. that eGFR should be multiplied by 1.212 for African-Caribbean patients,
unless ethnic origin was available to the laboratory and this correction has
already been applied"
Paul Waller
Laboratory Manager, Department of Clinical Biochemistry
North West London Hospitals NHS Trust
020 8869 2122 (Northwick Park Hospital)
020 8453 2613 (Central Middlesex Hospital)
0772 0896868 (Mobile)
[log in to unmask]
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]]On Behalf Of Alan Munday
Sent: 22 June 2006 15:54
To: [log in to unmask]
Subject: e-GFR and ethnic origin.
Hi,
Because we do not believe that we get the patients' ethnic origin
reported accurately (or at all) on a significant proportion of requests,
we had taken the decision to report estimated GFR without making the
correction for ethnic origin and to add a comment to this effect to all
reports.
However, a local GP has pointed out that if we report this
electronically and his practice computer system files it automatically,
there is then an incorrect result on a number of patients' records.
While this may be picked up when reading the patient's record,
electronic searches of the system for purposes such as QOF etc. will
produce inaccurate results. Most importantly of course, a patient's
record has the 'wrong' result in it.
How are others dealing with the inaccurate reporting of ethnic origin
in requests, for renal function or any other investigation ?
Cheers
Alan
Alan Munday
Senior Biomedical Scientist/
GP IT Co-ordinator
Clinical Biochemistry
University Hospital Lewisham
[log in to unmask]
Tel: 020 8333 3030 Ext. 6257
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