Optimal Utilization of Laboratory Testing

Anti–Single–Stranded DNA: Another Misused Test^4,5,6

November 2011

Here's the anti-single-stranded DNA. It's another misused test. Now this one has strong literature support to say that it's non-specific and of little clinical utility in patients with connective tissue diseases. There's nothing special about this particular test, but I do want to point out this point, that there is no CAP (College of American Pathologists) proficiency testing for this particular test. So if you are currently offering tests in your armamentarium that do not have CAP proficiency. It's a good reason to look at that test as being over-utilized.

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Anti–Single–Stranded DNA

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Jump to section:

• Introduction
• Objectives
• Assumptions to Forego
• Roger's Adopter Categories Based on Degree of Innovativeness¹
• Changes to Manual Requisitions^2,7
• Is This Test Misused?
• Overused/Misused Tests: Good Literature Support
• Bleeding Time³
• Anti–Single–Stranded DNA: Another Misused Test^4,5,6
• Use of Algorithms
• Laboratory Test Utilization
• Thyroid Testing Guidelines
• Thyroid Function Ordering Algorithm
• Pernicious Anemia Testing Guidelines
• Pernicious Anemia Testing Cascade
• Diarrhea Work Up Guidelines
• Parasitic Investigation of Stool Specimens Algorithm
• Obsolete Tests: Laboratory Directors' Opinions⁷
• Overused/Misused Tests — Opinion
• Frequency of Testing
• Newer Tests and Panels on the Horizon
• Hints on Improving Lab Utilization
• Hints on Improving Lab Utilization (2)
• Interventions to Improve Lab Utilization⁷
• Algorithm for Assessing Send–out Tests
• Improved Test Utilization: Assistance from Clinical Practice Committee
• Other Benefits of Clinical Practice Committee
• Summary
• References
• I Welcome Your Questions
• Questions?