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J Clin Pathol 57:273-275 doi:10.1136/jcp.2003.010108
  • Original article

Reflective testing: how useful is the practice of adding on tests by laboratory clinicians?

Table 1

An investigation into the value of adding on iron studies and vitamin D to detect haemochromatosis and vitamin D deficiency (reflective testing) in the routine clinical reporting practice of a consultant medical biochemist

Tests added on Total number of relevant reports authorised Number of add on tests (% of total number of reports) Number of abnormal add on test results (% of the number of tests added on)
*Serum total iron binding capacity percentage saturation ⩾55% and 50% for men (n = 21) and women (n = 7), respectively; **Serum vitamin D concentration ⩽20 nmol/litre (10 patients had values ⩽10 nmol/litre).
Iron studies 16 798 150 (0.89%) 28 (18.7%)*
Vitamin D 5760 134 (2.3%) 31(23.1%)**

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