Evaluation of switch from satellite laboratory to central laboratory for testing of intraoperative parathyroid hormone.
Clinical chemistry tests
Clinical laboratory services
Intraoperative care
Parathyroid hormone
Parathyroidectomy
Journal
Practical laboratory medicine
ISSN: 2352-5517
Titre abrégé: Pract Lab Med
Pays: Netherlands
ID NLM: 101690848
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
28
04
2020
accepted:
17
08
2020
entrez:
14
9
2020
pubmed:
15
9
2020
medline:
15
9
2020
Statut:
epublish
Résumé
The aim of this study was to evaluate testing turnaround time (TAT) and incision to close time in parathyroid surgeries before and after switching intraoperative parathyroid hormone (PTH) testing from a near point of care location to a central clinical laboratory. This retrospective study covered a ten-year period. Both testing locations used the same Roche Diagnostics PTH immunoassay but on different analyzers. The predominant site for surgeries was the main operating rooms (ORs) in an adjacent building, with a limited number of parathyroid surgeries performed at a more distant ambulatory surgery center (ASC). Under ideal conditions, TAT for near point-of-care testing was 20 min, although multiple factors could increase TAT. Incision to close time from the electronic health record was used to define time of surgery. A total of 897 unique patients were identified for which 3031 orders for intraoperative PTH were placed (383 unique patients and 1244 orders after switch in testing site). The average total TAT times for testing (mean ± SD) in the central laboratory were 23.9 ± 16.0 min (median, 22 min) for all specimens, 22.8 ± 7.9 min (median, 21 min) for main OR specimens, and 26.4 ± 7.1 min (median, 25 min) for ASC specimens. Incision to close time for parathyroidectomies showed decreases in mean, median, and standard deviation following testing change. Surgery time for parathyroidectomies may remain consistent or decrease if intraoperative PTH testing is moved from a near point of care to a central laboratory.
Identifiants
pubmed: 32923573
doi: 10.1016/j.plabm.2020.e00176
pii: S2352-5517(20)30139-6
pii: e00176
pmc: PMC7476061
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e00176Informations de copyright
© 2020 The Author(s).
Déclaration de conflit d'intérêts
None of the authors have any conflict to report.
Références
J Endocrinol Invest. 2008 Jan;31(1):62-7
pubmed: 18296907
J Pathol Inform. 2017 Dec 14;8:47
pubmed: 29387505
J Pathol Inform. 2016 Feb 05;7:7
pubmed: 26955505
Ann Clin Biochem. 1990 Jan;27 ( Pt 1):65-8
pubmed: 2310158
Am J Surg. 1991 Oct;162(4):299-302
pubmed: 1683177
J Appl Lab Med. 2019 Mar;3(5):788-798
pubmed: 31639754
Clin Chem. 2001 May;47(5):919-25
pubmed: 11325897
J Surg Res. 2020 Feb;246:139-144
pubmed: 31569035
Surgery. 2005 Dec;138(6):1159-64; discussion 1164-5
pubmed: 16360404
Clin Lab Med. 2004 Mar;24(1):199-216
pubmed: 15157563
Hormones (Athens). 2016 Jul;15(3):355-367
pubmed: 27838605
Pract Lab Med. 2017 Feb 03;8:1-9
pubmed: 28856220
World J Surg. 2002 Aug;26(8):1074-7
pubmed: 12016487
Crit Rev Clin Lab Sci. 2018 Mar;55(2):115-128
pubmed: 29357735
Curr Opin Anaesthesiol. 2010 Dec;23(6):741-8
pubmed: 20881483
Clin Chem. 2004 Jul;50(7):1126-35
pubmed: 15117855
J Otolaryngol Head Neck Surg. 2008 Feb;37(1):91-7
pubmed: 18479634
Surgery. 1993 Dec;114(6):1019-22; discussion 1022-3
pubmed: 8256205
Clin Chem. 2000 Oct;46(10):1662-8
pubmed: 11017947
Ann Surg. 2003 May;237(5):722-30; discussion 730-1
pubmed: 12724639
Surgery. 2004 Dec;136(6):1303-9
pubmed: 15657591
J Pathol Inform. 2014 Mar 28;5(1):13
pubmed: 24843824