We routinely cascade reproductive hormone profile requests (FSH, LH,
Prolactin Progesterone and Oestradiol) based on gender, age and the value
of the FSH, reflexing for the remaining hormones. Specific requests for
individual hormones are handled "off-line", outside the reflexing rules.
The rules applied originate from a mixture of sources and are
occassionally questioned, not least by ourselves in the laboratory. We
work within the limitations of our laboratory computer, and what is
possible with the Roche PSM interface. Savings on reagents are not
insignificant, but the rules need to be evidentially based laboratory
practice.
How do list members tackle the problem of inappropriate 'hormone profile'
requests? What evidence in literature supports their practice?
Awaiting exchange of views with interest
David Wright
BMS 3
NHSCT
------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/
|