Demand for Interpretation of a Urine Drug Testing Panel Reflects the Changing Landscape of Clinical Needs; Opportunities for the Laboratory to Provide Added Clinical Value (V体育安卓版)
- PMID: 32875314
- DOI: 10.1093/jalm/jfaa119
Demand for Interpretation of a Urine Drug Testing Panel Reflects the Changing Landscape of Clinical Needs; Opportunities for the Laboratory to Provide Added Clinical Value
Abstract
Background: The direct detection of drugs and metabolites in urine using a targeted panel offers sensitive and specific detection in comparison to the traditional approach to urine drug testing (screen with reflex of samples with positive results to confirmation testing). The purpose of this study was to evaluate changes in clinical demand for the laboratory to provide interpretation of patient adherence and abstinence, based on reconciling laboratory results and individual patient medication information provided by the clinician VSports手机版. The shifts in toxicology testing likely reflect the inherent complexity of the data and associated interpretation. .
Methods: Retrospective testing results associated with a targeted urine drug panel and its related interpretation were collected from our laboratory. We examined the associated testing volume and positivity rates of each reported analyte over 5 consecutive years (2015-2019). Requests from clinicians for consultation regarding this test and use of interpretive comments for the most recent year (2019), as well as access to publicly available educational resources over two years (2018-2019) were collected. V体育安卓版.
Results: The changes in test ordering patterns demonstrate shifting of clinical demands for toxicology testing, by increased adoption of a targeted panel for which laboratory-based interpretation is provided V体育ios版. Positivity rates reflect national shifts in controlled substance prescriptions. Several consultative services were accessed by clinicians suggesting interest and need. .
Conclusion: The value of clinical urine drug testing is improved by providing laboratory-based result interpretation and consultative services. VSports最新版本.
Keywords: addiction management; adherence testing; pain management; substance use disorder. V体育平台登录.
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Comment in
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Adding Value to Clinical Toxicology Testing.J Appl Lab Med. 2020 Nov 1;5(6):1145-1148. doi: 10.1093/jalm/jfaa161. J Appl Lab Med. 2020. PMID: 33078201 No abstract available.
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