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Diffuse Reflectance Spectroscopy: Getting the Capillary Refill Test Under One's Thumb
06:50

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Published on: December 2, 2017

Reflective testing: adding value to laboratory testing.

Wilhelmine P H G Verboeket-van de Venne1, Kristin M Aakre, Joseph Watine

  • 1Department of Clinical Chemistry, Atrium Medical Centre, Heerlen, The Netherlands. wvenne@atriummc.nl

Clinical Chemistry and Laboratory Medicine
|August 2, 2012
PubMed
Summary
This summary is machine-generated.

Reflective testing, where lab specialists add tests post-review, aids diagnosis. While clinicians find it useful, robust evidence on patient management effectiveness is still needed.

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Area of Science:

  • Clinical Chemistry
  • Laboratory Medicine
  • Diagnostic Procedures

Background:

  • Reflective testing involves laboratory specialists adding tests or comments after reviewing initial results.
  • This process extends the authorization of laboratory tests, allowing for inspection before physician reporting.
  • It addresses inconclusive results, potentially aiding in accurate patient diagnosis.

Purpose of the Study:

  • To evaluate the role and perceived usefulness of reflective testing in clinical practice.
  • To assess the existing scientific evidence regarding the effectiveness of reflective testing in patient management.
  • To identify areas for future research, including randomized clinical trials and cost-effectiveness analyses.

Main Methods:

  • Review of existing literature on reflective testing, including studies on clinician and patient perspectives.
  • Identification of research gaps, particularly concerning high-quality evidence on patient management.
  • Mention of an ongoing randomized clinical trial to investigate effectiveness.

Main Results:

  • Reflective testing is generally perceived by clinicians as a useful tool for improving diagnosis and treatment.
  • There is limited high-quality scientific evidence to support its effectiveness in patient management.
  • Cost-effectiveness remains to be determined.

Conclusions:

  • Reflective testing represents an advancement in clinical chemistry services for primary healthcare.
  • Further research, especially randomized controlled trials, is necessary to establish its definitive impact on patient management.
  • The procedure holds promise but requires more scientific validation.