Comparison of four methods (L/S ratio, TDx FLM, lamellar bodies, PG) for fetal lung maturity using meta-analysis

J. R. Petersen, E. Smith, Anthony Okorodudu, M. G. Bissell

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Multiple factors in the past encouraged physicians to order laboratory tests excessively and perhaps even abusively. The shift in the financing of health care to managed care and capitation will create an environment where physicians will be more receptive to laboratory efforts to influence their test-ordering behavior toward cost-effectiveness. Various strategies to modify physicians' test-ordering behavior have met with only mixed success due to lack of data to support the desired result: reducing laboratory tests that are not specifically indicated for a particular patient. The current dynamics in the healthcare industry in general and in the clinical laboratory in particular place increasing value on information about the overall process of health-care delivery. This information can be derived from data from what were formerly considered discrete, transactional events, i.e., specific publications. Combining data from articles dealing with the same subject (meta-analysis) is increasingly being used to assess the value of the overall process of delivery (the outcome). Although considered 'arm chair' research, meta-analysis is an important tool in evaluating the worth of a method in patient care. We chose to evaluate, given the current literature, which laboratory test-lecithin/sphingomyelin ratio, surfactant/albumin ratio, lamellar bodies, or phosphatidylglycerol-is the best and most cost effective method to screen for fetal lung maturity. We identified all pertinent literature from 1966 to the present using a search of Medline.

Original languageEnglish (US)
Pages (from-to)169-175
Number of pages7
JournalClinical Laboratory Management Review
Volume10
Issue number2
StatePublished - 1996

Fingerprint

Meta-Analysis
Lung
Physicians
Delivery of Health Care
Phosphatidylglycerols
Health Care Sector
Sphingomyelins
Lecithins
Managed Care Programs
Surface-Active Agents
Cost-Benefit Analysis
Publications
Albumins
Patient Care
Costs and Cost Analysis
Research

ASJC Scopus subject areas

  • Leadership and Management

Cite this

Comparison of four methods (L/S ratio, TDx FLM, lamellar bodies, PG) for fetal lung maturity using meta-analysis. / Petersen, J. R.; Smith, E.; Okorodudu, Anthony; Bissell, M. G.

In: Clinical Laboratory Management Review, Vol. 10, No. 2, 1996, p. 169-175.

Research output: Contribution to journalArticle

@article{3578e1233b304a3d8846a2d73f6bb188,
title = "Comparison of four methods (L/S ratio, TDx FLM, lamellar bodies, PG) for fetal lung maturity using meta-analysis",
abstract = "Multiple factors in the past encouraged physicians to order laboratory tests excessively and perhaps even abusively. The shift in the financing of health care to managed care and capitation will create an environment where physicians will be more receptive to laboratory efforts to influence their test-ordering behavior toward cost-effectiveness. Various strategies to modify physicians' test-ordering behavior have met with only mixed success due to lack of data to support the desired result: reducing laboratory tests that are not specifically indicated for a particular patient. The current dynamics in the healthcare industry in general and in the clinical laboratory in particular place increasing value on information about the overall process of health-care delivery. This information can be derived from data from what were formerly considered discrete, transactional events, i.e., specific publications. Combining data from articles dealing with the same subject (meta-analysis) is increasingly being used to assess the value of the overall process of delivery (the outcome). Although considered 'arm chair' research, meta-analysis is an important tool in evaluating the worth of a method in patient care. We chose to evaluate, given the current literature, which laboratory test-lecithin/sphingomyelin ratio, surfactant/albumin ratio, lamellar bodies, or phosphatidylglycerol-is the best and most cost effective method to screen for fetal lung maturity. We identified all pertinent literature from 1966 to the present using a search of Medline.",
author = "Petersen, {J. R.} and E. Smith and Anthony Okorodudu and Bissell, {M. G.}",
year = "1996",
language = "English (US)",
volume = "10",
pages = "169--175",
journal = "Clinical laboratory management review : official publication of the Clinical Laboratory Management Association / CLMA",
issn = "0888-7950",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Comparison of four methods (L/S ratio, TDx FLM, lamellar bodies, PG) for fetal lung maturity using meta-analysis

AU - Petersen, J. R.

AU - Smith, E.

AU - Okorodudu, Anthony

AU - Bissell, M. G.

PY - 1996

Y1 - 1996

N2 - Multiple factors in the past encouraged physicians to order laboratory tests excessively and perhaps even abusively. The shift in the financing of health care to managed care and capitation will create an environment where physicians will be more receptive to laboratory efforts to influence their test-ordering behavior toward cost-effectiveness. Various strategies to modify physicians' test-ordering behavior have met with only mixed success due to lack of data to support the desired result: reducing laboratory tests that are not specifically indicated for a particular patient. The current dynamics in the healthcare industry in general and in the clinical laboratory in particular place increasing value on information about the overall process of health-care delivery. This information can be derived from data from what were formerly considered discrete, transactional events, i.e., specific publications. Combining data from articles dealing with the same subject (meta-analysis) is increasingly being used to assess the value of the overall process of delivery (the outcome). Although considered 'arm chair' research, meta-analysis is an important tool in evaluating the worth of a method in patient care. We chose to evaluate, given the current literature, which laboratory test-lecithin/sphingomyelin ratio, surfactant/albumin ratio, lamellar bodies, or phosphatidylglycerol-is the best and most cost effective method to screen for fetal lung maturity. We identified all pertinent literature from 1966 to the present using a search of Medline.

AB - Multiple factors in the past encouraged physicians to order laboratory tests excessively and perhaps even abusively. The shift in the financing of health care to managed care and capitation will create an environment where physicians will be more receptive to laboratory efforts to influence their test-ordering behavior toward cost-effectiveness. Various strategies to modify physicians' test-ordering behavior have met with only mixed success due to lack of data to support the desired result: reducing laboratory tests that are not specifically indicated for a particular patient. The current dynamics in the healthcare industry in general and in the clinical laboratory in particular place increasing value on information about the overall process of health-care delivery. This information can be derived from data from what were formerly considered discrete, transactional events, i.e., specific publications. Combining data from articles dealing with the same subject (meta-analysis) is increasingly being used to assess the value of the overall process of delivery (the outcome). Although considered 'arm chair' research, meta-analysis is an important tool in evaluating the worth of a method in patient care. We chose to evaluate, given the current literature, which laboratory test-lecithin/sphingomyelin ratio, surfactant/albumin ratio, lamellar bodies, or phosphatidylglycerol-is the best and most cost effective method to screen for fetal lung maturity. We identified all pertinent literature from 1966 to the present using a search of Medline.

UR - http://www.scopus.com/inward/record.url?scp=0029879337&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029879337&partnerID=8YFLogxK

M3 - Article

VL - 10

SP - 169

EP - 175

JO - Clinical laboratory management review : official publication of the Clinical Laboratory Management Association / CLMA

JF - Clinical laboratory management review : official publication of the Clinical Laboratory Management Association / CLMA

SN - 0888-7950

IS - 2

ER -