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dc.contributor.authorWilkinson, B
dc.contributor.authorWhitehead, SJ
dc.contributor.authorGeorge, E
dc.contributor.authorHorton, S
dc.contributor.authorBellaby, J
dc.contributor.authorMohamed, S
dc.contributor.authorFord, C
dc.contributor.authorMin, SS
dc.contributor.authorGama, R
dc.date.accessioned2020-08-05T12:15:54Z
dc.date.available2020-08-05T12:15:54Z
dc.date.issued2020-05-05
dc.identifier.citationWilkinson, B., Whitehead, S.J., George, E. et al. (2020) Do reflex comments on laboratory reports alter patient management? Annals of Clinical Biochemistry, 57(4), pp. 312-315.en
dc.identifier.issn0004-5632en
dc.identifier.pmid32369399 (pubmed)
dc.identifier.doi10.1177/0004563220928355en
dc.identifier.urihttp://hdl.handle.net/2436/623442
dc.descriptionThis is an accepted manuscript of an article published by SAGE in Annals of Clinical Biochemistry on 05/05/2020, available online: https://doi.org/10.1177/0004563220928355 The accepted version of the publication may differ from the final published version.en
dc.description.abstract© The Author(s) 2020. Introduction: Laboratory comments appended on clinical biochemistry reports are common in the UK. Although popular with clinicians and the public, there is little evidence that these comments influence the clinical management of patients. Methods: We provided reflex automated laboratory comments on all primary care lipid results including, if appropriate, recommendation of direct referral to the West Midlands Familial Hypercholesterolaemia service (WMFHS). Over a two-year period, the number GP referrals from the Wolverhampton City Clinical Commissioning Group (CCG) to the WMFHS were compared with four comparator CCGs of similar population size, who were not provided with reflex laboratory comments. Results: Over the study period, the WMFHS received more referrals from Wolverhampton GPs (241) than any other comparator CCG (range 8–65) and greater than the combined referrals (172) from all four comparator CCGs. Conclusion: Targeted reflex laboratory comments may influence the clinical management of patients and may have a role in the identification of individuals with familial hypercholesterolaemia.en
dc.formatapplication/pdfen
dc.languageeng
dc.language.isoenen
dc.publisherSAGE Publicationsen
dc.relation.urlhttps://journals.sagepub.com/doi/10.1177/0004563220928355en
dc.subjectinterpretative commentsen
dc.subjectfamilial hypercholesterolaemiaen
dc.subjectreflex commentsen
dc.titleDo reflex comments on laboratory reports alter patient management?en
dc.typeJournal articleen
dc.identifier.eissn1758-1001
dc.identifier.journalAnnals of Clinical Biochemistryen
dc.date.updated2020-07-28T15:35:10Z
dc.contributor.institutionBlood Sciences, Black Country Pathology Services, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.
pubs.place-of-publicationEngland
dc.date.accepted2020-05-01
rioxxterms.funderUniversity of Wolverhamptonen
rioxxterms.identifier.projectUOW05082020RGen
rioxxterms.versionAMen
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
rioxxterms.licenseref.startdate2020-08-05en
dc.source.volume57
dc.source.issue4
dc.source.beginpage312
dc.source.endpage315
dc.description.versionPublished version
refterms.dateFCD2020-08-05T11:35:02Z
refterms.versionFCDAM
refterms.dateFOA2020-08-05T12:15:54Z


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