This is an area where CPA & pathology harmony could develop together.
We should also consider the impact of units change on the users as they may need sometime to adjust to new numbers (x1000 larger), e.g a troponin of 10.8 ug/L reported as 1080 ng/L, but it can be done as happened with the successful recent changes to HbA1c and haemoglobin reporting units. Mohammad
--- On Wed, 29/5/13, David James <[log in to unmask]> wrote: From: David James <[log in to unmask]> Subject: RE: Units for Troponin reporting To: "'Mohammad Al-Jubouri'" <[log in to unmask]>, "[log in to unmask]" <[log in to unmask]> Date: Wednesday,
29 May, 2013, 9:48
Also via WEQAS, RIQAS and BioRad……………..
Think difficulty will be that although recommendation was widely supported, there are no teeth. Bear in mind that accreditation of clinical labs in UK is
not mandatory!
For those being accredited, where in standards does it state that units must be X or that path harmony must be complied with??
dj
From: Clinical biochemistry discussion list [mailto:[log in to unmask]]
On Behalf Of Mohammad Al-Jubouri
Sent: 29 May 2013 08:55
To: [log in to unmask]
Subject: Re: Units for Troponin reporting
Thanks Julian,
There are two possible ways to communicate this and effect implementation:
1. via CPA: compliance with pathology harmony is monitored.
2. via NEQAS: all returns should be in ng/L for troponins.
Mohammad
--- On Tue, 28/5/13, Julian Barth <[log in to unmask]">[log in to unmask]> wrote:
From: Julian Barth <[log in to unmask]">[log in to unmask]>
Subject: Re: Units for Troponin reporting
To: [log in to unmask]">[log in to unmask], "Mohammad Al-Jubouri" <[log in to unmask]">[log in to unmask]>
Date: Tuesday, 28 May, 2013, 10:02
Pathology Harmony made this recommendation 2.5 years ago and was supported by ACB, IBMS and RCPath. Despite this endorsement, it is a pity that colleagues do not think that harmonisation across the country is an important aim.
Julian H Barth
Chair, Clinical Reference Group for Obesity, NHS England
Consultant Chemical Pathologist
Leeds General Infirmary
Leeds LS1 3EX
tel 0113 392 3607
fax 0113 392 5174
>>> Mohammad Al-Jubouri <[log in to unmask]">[log in to unmask]> 24 May 2013 15:13 >>>
Thanks Paul,
But according to a recent UKNEQAS poll,
TnI: 84 labs reporting in ng/L and 124 labs in ug/L.
TnT: 146 labs reporting in ng/L and 31 labs in ug/L
So is this being picked up by pathology harmony?
--- On Fri, 24/5/13, Paul Collinson <[log in to unmask]">[log in to unmask]> wrote:
From: Paul Collinson <[log in to unmask]">[log in to unmask]>
Subject: RE: Units for Troponin reporting
To: "'Mohammad Al-Jubouri'" <[log in to unmask]">[log in to unmask]>, "[log in to unmask]">[log in to unmask]" <[log in to unmask]">[log in to unmask]>
Date: Friday, 24 May, 2013, 15:02
The recommendation is ng/L
Professor Paul Collinson
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T: +44 (0)208 725 5934 sec (0)208 725 5923
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Consultant Chemical Pathologist and Professor of Cardiovascular Biomarkers
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F: +44 (0)208 725 5868
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Clinical Blood Sciences
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E: [log in to unmask]">[log in to unmask]
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St. George's Healthcare
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Dear All,
I know that labs who offer Hs-TnT are reporting in ng/L, how about labs offering ultra sensitive TnI, are they reporting in ug/L or ng/L and which one we should follow according to pathology harmony?
Mohammad
Dr. M A Al-Jubouri, MB ChB, MSc, EurClinChem, FRCP Edin, FRCPath
Consultant Chemical Pathologist
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