December 31, 2012Archives of Pathology & Laboratory Medicine

Multiple Factors Contribute to Positive Results for Hepatitis A Virus Immunoglobulin M Antibody

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Population

Patients who underwent testing for immunoglobulin M antibody to hepatitis A virus between January 2007 and…

Design

Cohort

Authors

AAAdnan AlatoomDubai Health Authority MAM. Qasim AnsariLouis Stokes Cleveland VA Medical Center JCJennifer A. CuthbertThe University of Texas Southwestern Medical Center

Discussion

Member takes

Overview

Low IgM HAV yield signals overuse; CPOE-linked reductions remain hypothesis-generating pending prospective validation.

Structured PICO

Population

Patients who underwent testing for immunoglobulin M (IgM) antibody to hepatitis A virus (HAV) between January 2007 and December 2010, yielding 10,735 tests and 35 patients with 49 positive results.

Intervention

Review of positive HAV IgM test results and the introduction of computerized physician order entry.

Outcome

Categorization of positive results (acute, recent, resolved, or indeterminate HAV infection) and the effect of changing ordering options on test volume.

Current assays for IgM HAV antibodies are overused in the absence of clinical acute hepatitis, and computerized physician order entry can significantly reduce unnecessary testing.

Cite This Study

Alatoom et al. (2012) studied this question.

synapsesocial.com/papers/6a926df05ab1441fe3c81a11 https://doi.org/10.5858/arpa.2011-0693-oa

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December 31, 2012Archives of Pathology & Laboratory Medicine

Multiple Factors Contribute to Positive Results for Hepatitis A Virus Immunoglobulin M Antibody

View Full Paper

Ask AI

Bookmark

Population

Patients who underwent testing for immunoglobulin M antibody to hepatitis A virus between January 2007 and…

Design

Cohort

Authors

AAAdnan AlatoomDubai Health Authority MAM. Qasim AnsariLouis Stokes Cleveland VA Medical Center JCJennifer A. CuthbertThe University of Texas Southwestern Medical Center

Discussion

Member takes

Overview

Low IgM HAV yield signals overuse; CPOE-linked reductions remain hypothesis-generating pending prospective validation.

Structured PICO

Population

Patients who underwent testing for immunoglobulin M (IgM) antibody to hepatitis A virus (HAV) between January 2007 and December 2010, yielding 10,735 tests and 35 patients with 49 positive results.

Intervention

Review of positive HAV IgM test results and the introduction of computerized physician order entry.

Outcome

Categorization of positive results (acute, recent, resolved, or indeterminate HAV infection) and the effect of changing ordering options on test volume.

Current assays for IgM HAV antibodies are overused in the absence of clinical acute hepatitis, and computerized physician order entry can significantly reduce unnecessary testing.

Cite This Study

Alatoom et al. (2012) studied this question.

synapsesocial.com/papers/6a926df05ab1441fe3c81a11 https://doi.org/10.5858/arpa.2011-0693-oa

Also Consider

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