Does that mean the 'ref range' can be used as a 'therapeutic range'? And
what about those on alfacalcidol which is not detected by the 25HD
assay, certainly not by RIA which we use here
Rgds
Ahmed Waise
Laboratory Medicine
York Hospital
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of King Samantha
Sent: 27 July 2011 09:25
To: [log in to unmask]
Subject: Re: Demand management of 25-hydoxy vitamin D requests
Hi Wayne,
We currently block repeat requests within 3 months based on the 2010 BMJ
Best Practice Guidelines: Vitamin D Deficiency. The guideline recommends
repeating 25-hydroxy vitamin D 2-3 months after initiating therapy to
ensure deficiency has been treated.
Samantha King
Barts and the London NHS Trust
________________________________
From: Clinical biochemistry discussion list on behalf of Bradbury Wayne
(RNL) North Cumbria University Hospitals
Sent: Tue 26/07/2011 15:54
To: [log in to unmask]
Subject: Demand management of 25-hydoxy vitamin D requests
Hello list members,
We currently have a rule in our LIS which blocks repeat requests for
25-hydoxy vitamin D within 3 months.
Prof. Fraser presented some data at FOCUS suggesting that it takes up to
6 months for
circulating levels to reach a new steady once a patient has been started
on oral supplements.
Is it reasonable to block repeat requests within 6 months?
What are you all doing out there to cope with the surge in requests and
have you got any published
evidence to support your approach?
Wayne Bradbury.
Mr WH Bradbury
Consultant Biochemist
Biochemistry Department
Cumberland Infirmary
CARLISLE
Cumbria
CA2 7HY
Tel: 01228 814521
Fax: 01228 814831
E-mail: [log in to unmask]
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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.
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