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Lab monitoring tests not always ordered per recommendations
Date:6/26/2014

xample, Digoxin level) were more likely to be ordered than those required more often (for example, AST/ALT levels in patients on Rifampin).

Specialists are more likely to order the recommended tests for the medications used in the study than primary care providers. Older patients, men and people already using other medications are also tested more regularly. Younger patients and people who do not often visit doctors seldom received test orders. Younger physicians and those who are familiar with the testing guidelines associated with a specific medication are also more likely to use laboratory tests to monitor their patients.

The researchers also found that the so-called "black box warnings"* on certain medications regularly alert practitioners to the need to run associated tests. These warnings can be required by the US Food and Drug Administration and are the strongest ones around in prescription drug labeling. Even so, not everyone takes heed of them.

"Interventions to improve laboratory monitoring should focus on areas with the greatest potential for improvement, such as providers who do not prescribe medication much, or those who prescribe medication to healthier and younger patients, or once-off walk-in patients," advises Fischer, who believes it is worthwhile to provide "black box warnings" on medications shown to be highest-risk to educate physicians about the importance of laboratory monitoring.


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Contact: Joan Robinson
joan.robinson@springer.com
49-622-148-78130
Springer
Source:Eurekalert

Page: 1 2

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