We do not offer Trf routinely and received 3 requests in 2002-3 and 1 in
2001-2.
Neither do we offer TIBC or UIBC which I sometimes have pangs of conscience
about, but I do feel that the proper assessment of anaemia is not the domain
of Bichemistry alone even if we measure the haematinics, haematology is
crucial for proper diagnosis and treatment.
best wishes
Richard
Richard Mainwaring-Burton
Consultant Biochemist
Queen Mary's Hospital
Sidcup, Kent
DA14 6LT
020-8308-3084
-----Original Message-----
From: james falconer smith [mailto:[log in to unmask]]
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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------ACB discussion List Information--------
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