Thanks for that. I was expecting something a bit more hard-hitting!
However, there is plenty of rubbish to be chewed over e.g. NICE's
recomendations not to measure B12 and folate unless the FBC and MCV
show a macrocytosis.
i.e. wait until the subject may have irreversible neurological damage
before taking steps to do something about it. And what about levels of
B12 and folate de-saturation that are insufficient to produce a
macrocytosis but sufficient to have other adverse effects?
I will leave the field clear for others to point out specifics where
NICE is guided by cost-saving rather than science in their choice of
On 10 February 2011 08:59, Nic Law <[log in to unmask]> wrote:
> Dear Colleagues
> One of the unadvertised resources on the NICE website is a database of
> activities that are discouraged as there is no evidence to support them. A
> considerable number of these are diagnostic tests. I append a spreadsheet of
> these that have been distilled by Geoff Lester and hope that you find them
> Best wishes
> Julian Barth
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