It seems to me that the PCTs (Primary Care Trusts for the non-UK) have the
money, the GPs are sending the tests so that they get their money, and the
PCTs would rather underfund the Labs and save their money while not paying
the GPs to do the tests in a more expensive way so the PCTs win. Mind you,
if the GPs did the tests themselves, the labs would have to take an interest
in management of the POCT so we would still get stuffed.
On a more scientific note, I expect/hope for the urine to be protein
dipsticked first since this should be done in clinic anyway, and report a
comment about protocols if the urine albumin is above 300 mg/L which is the
detection limit of the sticks. We do creat and ratio on all samples received
in case the sample is not early morning.
with best wishes
Richard
Richard Mainwaring-Burton
Consultant Biochemist
Queen Mary's Hospital
Sidcup, Kent
DA14 6LT
020-8308-3084
-----Original Message-----
From: Fry, John [mailto:[log in to unmask]]
Sent: 26 February 2004 16:23
To: [log in to unmask]
Subject: Microalbumin screening - pre analytiical
Do many laboratories or possibly GP surgeries screen for microalbumin using
either dip sticks or any other system to reduce the massive increase that
many are experiencing with microalbumin requests.
If pre-analytical screening is undertaken, what kits are used?
If laboratory analysis is then carried out, how are results reported - are
both the urine creatinine, microalbumin and then the microalbumin/creatinine
ratio reported on the results or merely the ratio?
John Fry
Worthing
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical
community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical
community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
|