Dear James,
I also feel that haematinic tests should be done by Haematology. But I have
been singularly unsuccessful in getting this agreed by our haematologists.
The haematologists are much better able to diagnose anaemia and its
particular cause because they also have the benefit of the blood film.
They, in their turn, are put at a disadvantage if they cannot readily see
the iron, transferrin, ferritin, etc. results when looking at the film.
David L. Williams
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]]On Behalf Of David Williams
Sent: 23 June 2003 09:52
To: [log in to unmask]
Subject: Re: overuse of haematinic tests
Dear James,
I also feel that haematinic tests should be done by Haematology. But I have
been singularly unsuccessful in getting this agreed by our haematologists.
The haematologists are much better able to diagnose anaemia and its
particular cause because they also have the benefit of the blood film.
They, in their turn, are put at a disadvantage if they cannot readily see
the iron, transferrin, ferritin, etc. results when looking at the film.
David L. Williams
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]]On Behalf Of james falconer
smith
Sent: 20 June 2003 14:38
To: [log in to unmask]
Subject: overuse of haematinic tests
The annual round of attempted cut backs is here again.
Do any chemistry labs analyse B12, folate, ferritin, serum iron,
transferrin?
Do you have any clinical criteria about the use of these tests?
We are thinking of dropping transferrin - the saving is worthwhile
25000 uk pounds per annum and little clinical impact (we believe).
If anybody has any guidelines for the requesting of haematinics i would be
delighted to see them.
A survey showed they were requested in 30-40% of all admissions - that
seems excessive from the lab perspective. Many of these patients are not
anaemic.
thanks
james falconer smith
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