在内分泌疾病的诊断中,测试和参考间隔之间的差异的影响
Nathan Lorde1, Ahmed Elgharably1, Tejas Kalaria1
1Black Country Pathology Services, The Royal Wolverhampton NHS Trust, Wolverhampton WV10 0QP, UK.
Diagnostics (Basel, Switzerland)
|November 24, 2023
概括
实验室方法的变化显著影响内分泌疾病的诊断和患者的护理. 了解和减轻这些不一致性对于准确的临床决策和防止患者受到伤害至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 临床实验室科学 临床实验室科学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 临床实验室中激素测量方法和参考间隔的变化往往被低估.
- 这些不一致性可能导致误诊,不适当的患者管理和潜在的伤害.
研究的目的:
- 审查实验室变异性对内分泌疾病评估的来源和影响.
- 突出发现和减轻这些不一致的策略.
主要方法:
- 对实验室不一致的历史和科学背景的文献综述.
- 讨论已发表的示例,说明方法,参考区间和临床决策值不一致的影响.
主要成果:
- 变性影响了许多内分泌疾病的诊断和监测,包括生长激素,甲状腺,甲状腺侧腺,雄激素,淋巴腺和葡萄糖皮质体疾病,以及糖尿病.
- 鉴定到的不一致性可能会引起混,并导致过度或不充分的患者调查.
结论:
- 临床实验室必须承认并解决测量变量的问题.
- 虽然取得了进展,但需要进一步努力,以确保准确可靠的内分泌检测.
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