Collinson, P
(2017)
Laboratory Medicine is Faced with the Evolution of Medical Practice.
JOURNAL OF MEDICAL BIOCHEMISTRY, 36 (3).
pp. 211-215.
ISSN 1452-8258
https://doi.org/10.1515/jomb-2017-0032
SGUL Authors: Collinson, Paul
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Abstract
Laboratory medicine and clinical medicine are co-dependent components of medicine. Laboratory medicine functions most effectively when focused through a clinical lens. Me dical practice as a whole undergoes change. New drugs, treatments and changes in management strategies are introduced. New techniques, new technologies and new tests are developed. These changes may be either clinically or laboratory initiated, and so their introduction requires dialogue and interaction between clinical and laboratory medicine specialists. Treatment monitoring is integral to laboratory medicine, varying from direct drug measurement to monitoring cholesterol levels in response to treatment. The current trend to »personalised medicine« is an extension of this process with the development of companion diagnostics. Technological innovation forms part of modern laboratory practice. Introduction of new technology both facilitates standard laboratory approaches and permits introduction of new tests and testing strategies previously confined to the research laboratory only. The revolution in cardiac biomarker testing has been largely a laboratory led change. Flexibility in service provision in response to changing clinical practice or evolving technology provides a significant laboratory management challenge in the light of increasing expectations, shifts in population demographics and constraint in resource availability. Laboratory medicine practitioners are adept at meeting these challenges. One thing remains constant, that there will be a constant need laboratory medicine to meet the challenges of novel clinical challenges from infectious diseases to medical conditions developing from lifestyle and longevity.
Item Type: | Article | ||||||||
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Additional Information: | © 2017 Paul Collinson, published by De Gruyter Open. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. CC BY-NC-ND 3.0 (http://creativecommons.org/licenses/by-nc-nd/3.0) | ||||||||
Keywords: | evidence based medicine, drug monitoring, analytical methods, infection, cardiac biomarkers, point of care testing, 0601 Biochemistry And Cell Biology | ||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) > Cardiac (INCCCA) |
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Journal or Publication Title: | JOURNAL OF MEDICAL BIOCHEMISTRY | ||||||||
ISSN: | 1452-8258 | ||||||||
Dates: |
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Publisher License: | Creative Commons: Attribution-Noncommercial-No Derivative Works 3.0 | ||||||||
Web of Science ID: | WOS:000405624000002 | ||||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/109050 | ||||||||
Publisher's version: | https://doi.org/10.1515/jomb-2017-0032 |
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