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ACB-CLIN-CHEM-GEN  2006

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Subject:

Re: e-GFR and ethnic origin.

From:

David Robertshaw <[log in to unmask]>

Reply-To:

David Robertshaw <[log in to unmask]>

Date:

Fri, 23 Jun 2006 10:03:57 +0100

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (126 lines)

Why don't we let GPs do there own calculations, (there are plenty of
formulae on the Internet). So long as they have the appropriate factor
from the Lab relevant to the Creatinine method the GP will have all the
information they need ie Height, Weight, (for surface area) sex, age and
ethnicity. That way the GP will get the right answerand it won't cost
the Labs money for extra paper reports, (which we shouldn't be sending
out anyway), explaining the limitations of result they are getting.  

>>> "Colley, Michael" <[log in to unmask]> 22/06/06
17:08:36 >>>
Perhaps we should just report the calculated eGFR without ethnic
allowance
then the GP computer, which will know the "ethnicity" of the patient
(?!)
can do the appropriate calculation.

M.

-----Original Message-----
From: Alan Munday [mailto:[log in to unmask]] 
Sent: 22 June 2006 15:54
To: [log in to unmask] 
Subject: e-GFR and ethnic origin.


Hi,

Because we do not believe that we get the patients' ethnic origin
reported accurately (or at all) on a significant proportion of
requests,
we had taken the decision to report estimated GFR without making the
correction for ethnic origin and to add a comment to this effect to
all
reports.

However, a local GP has pointed out that if we report this
electronically and his practice computer system files it
automatically,
there is then an incorrect result on a number of patients' records.
While this may be picked up when reading the patient's record,
electronic searches of the system for purposes such as QOF etc. will
produce inaccurate results. Most importantly of course, a patient's
record has the 'wrong' result in it.

How are others dealing with the inaccurate reporting of ethnic origin
in requests, for renal function or any other investigation ?

Cheers

Alan


Alan Munday
Senior Biomedical Scientist/
GP IT Co-ordinator
Clinical Biochemistry
University Hospital Lewisham
[log in to unmask] 
Tel: 020 8333 3030 Ext. 6257

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