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Published Online First: 11 May 2007. doi:10.1136/jcp.2007.048512
Journal of Clinical Pathology 2007;60:1195-1204
Copyright © 2007 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

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REVIEWS

Best practice in primary care pathology: review 10

W S A Smellie1, N Shaw2, R Bowley2, M F Stewart3, A M Kelly4, P J Twomey5, P R Chadwick6, J B Houghton7, J P Ng8, A J McCulloch9

1 Department of Chemical Pathology, Bishop Auckland General Hospital, Bishop Auckland, UK
2 Sowerby Centre for Health Informatics, Newcastle upon Tyne, UK
3 Dept of Clinical Biochemistry, Salford Royal NHS Foundation Trust, Salford, UK
4 Department of Chemical Pathology, Wythenshawe Hospital, Manchester, UK
5 Department of Chemical Pathology, Ipswich Hospital, Ipswich, UK
6 Department of Microbiology, Salford Royal NHS Foundation Trust, Salford, UK
7 Department of Haematology, Salford Royal NHS Foundation Trust, Salford, UK
8 Department of Haematology, Barnsley Hospital NHS Foundation Trust, Barnsley, UK
9 Department of Medicine, Bishop Auckland General Hospital, Bishop Auckland, UK

Correspondence to:
Dr W S A Smellie, Department of Chemical Pathology, Bishop Auckland General Hospital, Cockton Hill Road, Bishop Auckland, County Durham DL14 6AD, UK; info{at}smellie.com


ABSTRACT
This tenth best practice review examines four series of common primary care questions in laboratory medicine: (i) antenatal testing in pregnant women; (ii) estimated glomerular filtration rate calculation; (iii) safety testing for methotrexate; and (iv) blood glucose measurement in diabetes. The review is presented in question–answer format, referenced for each question series. The recommendations represent a précis of guidance found using a standardised literature search of national and international guidance notes, consensus statements, health policy documents and evidence-based medicine reviews, supplemented by Medline Embase searches to identify relevant primary research documents. They are not standards but form a guide to be set in the clinical context. Most are consensus rather than evidence-based. They will be updated periodically to take account of new information.


Keywords: best practice; evidence-based medicine; interdisciplinary; primary care




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J. Clin. Pathol.Home page
W S A Smellie, M P J Vanderpump, W D Fraser, R Bowley, and N Shaw
Best practice in primary care pathology: review 11
J. Clin. Pathol., April 1, 2008; 61(4): 410 - 418.
[Abstract] [Full Text] [PDF]




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