{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T02:39:11Z","timestamp":1787971151137,"version":"build-2784847793"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T00:00:00Z","timestamp":1708560000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Despite evidence-based guidelines stating that lipase alone should be used in the diagnosis of suspected acute pancreatitis, health care providers continue to order amylase or amylase and lipase together. The purpose of this study was to assess the utilization of appropriate laboratory testing related to the diagnosis of acute pancreatitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The study used a retrospective cross-sectional design. The timeframe was from January 1, 2020, to December 31, 2020. A retrospective chart review was used to collect data for the following: patient-provider encounter notes, patient demographics, provider demographics, differential and final diagnosis, and laboratory test results. Data analysis include stratification of categorical variables and calculation of cost savings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>For the 12-month period, this study found 2567 (9.3%) of all amylase and lipase tests to be unnecessary. Amylase tests (1881; 73.2%) made up the most unnecessary tests followed by lipase tests (686; 26.7%). An analysis of test-ordering behavior by providers revealed that 81.5% of all unnecessary tests were ordered by MDs. Finally, this study estimated a total cost savings of $128,350 if all unnecessary tests were eliminated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Our study demonstrated that amylase and lipase tests have been overutilized in the diagnosis of acute pancreatitis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/labmed\/lmae008","type":"journal-article","created":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T21:43:26Z","timestamp":1708638206000},"page":"566-570","source":"Crossref","is-referenced-by-count":4,"title":["Assessment of appropriate use of amylase and lipase testing in the diagnosis of acute pancreatitis at an academic teaching hospital"],"prefix":"10.1093","volume":"55","author":[{"given":"Valerie","family":"Ryholt","sequence":"first","affiliation":[{"name":"Department of Clinical Laboratory Sciences , Galveston, TX , US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Soder","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory Sciences , Galveston, TX , US"},{"name":"Department of Pathology, University of Texas Medical Branch , Galveston, TX , US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Enderle","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory Sciences , Galveston, TX , US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4012-9848","authenticated-orcid":false,"given":"Rajkumar","family":"Rajendran","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory Sciences"},{"name":"Department of Pathology, University of Texas Medical Branch , Galveston, TX , US"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,2,22]]},"reference":[{"issue":"6","key":"2024090405514825700_CIT0001","first-page":"598","article-title":"Acute pancreatitis","volume":"1","author":"Forsmark Ch","year":"2017","journal-title":"N Engl J Med."},{"issue":"3","key":"2024090405514825700_CIT0002","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1148\/rg.2019194003","article-title":"Revised Atlanta Classification for acute pancreatitis: a pictorial essay-erratum","volume":"39","author":"Foster","year":"2019","journal-title":"Radiographics."},{"issue":"3","key":"2024090405514825700_CIT0003","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.pan.2017.02.010","article-title":"\u201cTreat the cause\u201d: lessons from the NCEPOD report on acute pancreatitis","volume":"17","author":"O\u2019Reilly","year":"2017","journal-title":"Pancreatology"},{"issue":"5","key":"2024090405514825700_CIT0004","first-page":"1082","article-title":"Outcome of patients with acute pancreatitis requiring intensive care admission: a retrospective study from a tertiary care center of Pakistan","volume":"34","author":"Shafiq","year":"2018","journal-title":"Pak J Med Sci"},{"issue":"9","key":"2024090405514825700_CIT0005","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.1038\/ajg.2013.218","article-title":"American College of Gastroenterology guideline: management of acute pancreatitis","volume":"108","author":"Tenner","year":"2013","journal-title":"Am J Gastroenterol."},{"issue":"1","key":"2024090405514825700_CIT0006","doi-asserted-by":"crossref","first-page":"18","DOI":"10.3109\/10408363.2012.658354","article-title":"Laboratory diagnosis of acute pancreatitis: in search of the Holy Grail","volume":"49","author":"Lippi","year":"2012","journal-title":"Crit Rev Clin Lab Sci."},{"issue":"18","key":"2024090405514825700_CIT0007","doi-asserted-by":"crossref","first-page":"1275","DOI":"10.1016\/j.clinbiochem.2017.07.003","article-title":"Lipase or amylase for the diagnosis of acute pancreatitis","volume":"50","author":"Ismail","year":"2017","journal-title":"Clin Biochem."},{"issue":"27","key":"2024090405514825700_CIT0008","first-page":"1","article-title":"2019 WSES guidelines for the management of severe acute pancreatitis. 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