Before kicking too many bits of journalist's anatomy there is an area where the guidance possibly impacts the external perception of the profession by reminding us to act on previous guidance. That has not been specifically mentioned in Dr Dawnay's brief summary - See page 180 in the full guidance PDF.
"Analytical accuracy and specificity in the measurement of creatinine and the related estimation of GFR is discussed in NICE Clinical guideline 73 on CKD. It advises using creatinine assays with calibration traceable to a standardised reference material, and ideally that are specific and zero-biased compared to IDMS, a view endorsed by the Association for Clinical Biochemistry in 2010. It was felt that ideally laboratories should move to enzymatic assays for creatinine measurement: as a minimum, the use of traditional kinetic Jaffe assays should cease and be replaced with
'compensated' Jaffe methods. "
So, how many laboratories have been able to follow the scientific guidance and how many still use an assay based on the Jaffe method ?
Regards
Richard
Dr R Stott
Principal Clinical Scientist
Doncaster and Bassetlaw Hospitals NHS Foundation Trust
-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Anne Dawnay
Sent: 30 August 2013 08:57
To: [log in to unmask]
Subject: Re: NICE AKI
NICE are fully aware of the disinformation but then what can you do about the Daily Mail? NICE media relations have been doing their utmost to prevent such hysterical and inaccurate coverage and clinicians have been talking to the media but there do seem to be sections of the press that can't wait to pounce on the NHS. Compared with some Daily Mail coverage of NICE guidelines I'm told they were relatively restrained!
best wishes
Anne
Dr Anne Dawnay PhD FRCPath
Clinical Lead for Clinical Biochemistry
020 344 72954
-----Original Message-----
From: David Bullock [mailto:[log in to unmask]]
Sent: 29 August 2013 21:42
To: Dawnay,Anne; [log in to unmask]
Subject: RE: NICE AKI
Anne:
There was an item on AKI in BBC News last night, apparently from Derby City Hospital and introduced by some standard 'automated laboratory analyser footage'
However, please also see yesterday's Daily Mail front page - they really surpassed themselves with "Thousands die of thirst in the NHS", followed in the text by "use of a simple urine test to assess serum creatine [sic]", or essentially similar wordings . . .
In the interests of reliable UK patient care and to put an end to their persistent peddling of disinformation regarding "simple blood tests"
etc, perhaps someone needs to take them aside and give them a
(scientifically-justified) substantive k**k in the b******s?
Yours in frustration - I haven't checked NHS Choices on this, but prevention is better than repeated rebuttals (which their readers won't ever see)
David
________________________________
From: Clinical biochemistry discussion list [[log in to unmask]] on behalf of Anne Dawnay [[log in to unmask]]
Sent: 29 August 2013 20:51
To: [log in to unmask]
Subject: NICE AKI
http://guidance.nice.org.uk/CG169
NICE CG169 on Acute kidney injury: Prevention, detection and management of acute kidney injury up to the point of renal replacement therapy was published yesterday. Items of interest to many labs (e-alerts, creatinine-related issues) were not in scope and therefore not subjects for review, but they are discussed in the recommendations and link to evidence section of chapter 7 on the detection of AKI in the full guideline.
best wishes
Anne
Dr Anne Dawnay PhD FRCPath
Clinical Lead for Clinical Biochemistry
020 344 72954
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