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The Benefit of Using a D-dimer Assay with a High Clinical Specificity

Webinar presented by Karin Strandberg, MD, PhD, Assoc. Prof, Consultant, Labmedicine, Skåne, Sweden

This webinar is scheduled as two sessions to accomodate for participants in different time zones.

November 29, 2016 - 12:00 PM CET (Paris, Berlin, Copenhagen)

Session 1

November 29, 2016 - 4:00 PM CET (Paris, Berlin, Copenhagen)

Session 2

About this webinar

D-dimer can be used to exclude venous thromboembolism (VTE) in outpatients. Together with a low pretest probability for VTE, a negative D-dimer can safely rule out VTE in 30-50 % of patients with suspected VTE.

To date, there is no standardisation of D-dimer tests, which causes variation in results among methods.

This webinar will discuss pitfalls and limitations of the D-dimer analyte with special focus on the performance differences among methods.

The use of D-dimer requires a method with particular performance characteristics, most importantly:

  • A high sensitivity and negative predictive value (NPV) to ensure that patients with VTE are not falsely characterized as ”not sick”
  • Acceptable diagnostic specificity to minimize the number of radiological imagings on patients without VTE
  • Good reproducibility around the cut-off (decision limit) to ensure reproducibility of whether a result is ”positive” or ”negative”.

A verification of the performance of the assay in the local clinical population is also recommended, but it is a difficult and time-consuming task. Publications on comparisons between methods are therefore sometimes used to support the choice of method and the cut-off.

Besides a sensitivity and negative predictive value (NPV) as close to 100 % as possible, a high specificity is of importance to limit the number of unnecessary radiological imagings for the benefit of the patient and to improve logistics and lower the costs of the health care costs.

Who should attend?

  • ED doctors and nurses
  • Respiratory doctors
  • Lab managers
  • POC managers
  • Cardiologists
  • ICU doctors
  • Operation theater doctors and nurses

Continuing education

US participants:

  • One PACE® credit will be provided for each session
  • Each session is approved for 1 Florida CE credit
    Florida Board of Clinical Laboratory Personnel approved number:

International participants:

  • A Certificate of Attendance will be available for all sessions for international participants to submit to their appropriate accrediting agencies

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On http://acutecaretesting.org/acutecaretesting.org you will find articles on clinical issues written by international experts and healthcare professionals such as physicians, clinical chemists, point-of-care coordinators, nurses, laboratory professionals and respiratory therapists.

This ensures a high level of quality and relevance on topics surrounding acute care testing.

Knowledge creating value

Topics covered on acutecaretesting.org:

  • Blood gases, electrolytes, glucose, lactate and creatinine
  • Cardiac markers, hemostasis/coagulation and sepsis
  • Point-of-care testing, process optimization and information management
  • Quality assurance, prevention of preanalytical errors and the analytical process

http://acutecaretesting.orgacutecaretesting.org is often referenced in publications and conferences as a source of information and has more than 27,000 registered users and over 21,000 subscribers worldwide.

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Critical parameters in acute care testing