[EXTERNAL] Re: [IMPROVEDX] First-ever WHO list of essential diagnostic tests to improve diagnosis and treatment outcomes

Tom Benzoni benzonit at GMAIL.COM
Fri May 18 16:06:19 UTC 2018


Degenerating into slinging hash in the name of hypersensitivity, pursuing
arguments that mean not a twit, will succeed in this group getting nothing
done.
On task, on task.
tom

On Fri, May 18, 2018 at 9:42 AM Hamm, Robert M. (HSC) <Robert-Hamm at ouhsc.edu>
wrote:

> With the increasing inequalities of income and wealth, there will be
> divisions between “first world” and “third world” care availability within
> countries, whether it be the United States (insured/uninsured) or the
> traditional “third world” (upper class/masses of poor).
>
>
>
> *From:* William Strull [mailto:William.Strull at KP.ORG]
> *Sent:* Friday, May 18, 2018 5:35 AM
> *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> *Subject:* [EXTERNAL] Re: [IMPROVEDX] First-ever WHO list of essential
> diagnostic tests to improve diagnosis and treatment outcomes
>
>
>
> I understand *LMIC* (low/middle income countries) has become the
> preferred term for such countries, rather than “third world” – and in fact
> it seems to me to be a more accurate “diagnosis” of the problem, since I’m
> not really sure what the “first world” and “second world” concepts mean in
> today’s world!
>
>
>
> *William Strull *MD, CPPS, CIP
>
> Medical Director, Quality and Patient Safety; KPNC IRB Co-Chair
>
> *Kaiser Permanente*
>
>
>
> *The Permanente Federation, LLC*
>
> One Kaiser Plaza, 23B
>
> Oakland, California 94612
>
> 510-271-5987 (office)
>
> 8-423-5987 (tie-line)
>
> 510-271-6642 (fax)
>
> 415-601-6013 (mobile phone)
>
>
>
> Debra C. Costa (assistant)
>
> debra.c.costa at kp.org
>
> 510-271-6031
>
>
>
> *From:* Ed Hoffer [mailto:ehoffer at GMAIL.COM <ehoffer at GMAIL.COM>]
> *Sent:* Thursday, May 17, 2018 6:19 AM
> *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> *Subject:* Re: [IMPROVEDX] First-ever WHO list of essential diagnostic
> tests to improve diagnosis and treatment outcomes
>
>
>
> *Caution: *This email came from outside Kaiser Permanente. Do not open
> attachments or click on links if you do not recognize the sender.
> ------------------------------
>
> Remember that this is focused on 3rd world countries where CT scans are
> fantasy and hand-held glucometers a major advance.
>
> Ed
>
> Sent from my iPhone
>
>
> On May 17, 2018, at 8:31 AM, HM Epstein <hmepstein at GMAIL.COM> wrote:
>
> This seems like big news. I can’t judge if it’s solely *good* news for
> reducing Dx error or mixed news because I don’t know if they’re either
> missing key tests or including ones that aren’t proven reliable.
>
> http://www.who.int/news-room/detail/15-05-2018-first-ever-who-list-of-essential-diagnostic-tests-to-improve-diagnosis-and-treatment-outcomes?utm_source=STAT+Newsletters&utm_campaign=4bdb5cb16f-MR&utm_medium=email&utm_term=0_8cab1d7961-4bdb5cb16f-150508981
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__www.who.int_news-2Droom_detail_15-2D05-2D2018-2Dfirst-2Dever-2Dwho-2Dlist-2Dof-2Dessential-2Ddiagnostic-2Dtests-2Dto-2Dimprove-2Ddiagnosis-2Dand-2Dtreatment-2Doutcomes-3Futm-5Fsource-3DSTAT-2BNewsletters-26utm-5Fcampaign-3D4bdb5cb16f-2DMR-26utm-5Fmedium-3Demail-26utm-5Fterm-3D0-5F8cab1d7961-2D4bdb5cb16f-2D150508981&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=q5ZFgian70E05M77DzZiHxp-ctJvvVtxNWE4gaCUJlg&e=>
> First-ever WHO list of essential diagnostic tests to improve diagnosis and
> treatment outcomes
>
> 15 May 2018
>
> Today, many people are unable to get tested for diseases because they
> cannot access diagnostic services. Many are incorrectly diagnosed. As a
> result, they do not receive the treatment they need and, in some cases, may
> actually receive the wrong treatment.
>
> For example, an estimated 46% of adults with Type 2 diabetes worldwide are
> undiagnosed, risking serious health complications and higher health costs.
> Late diagnosis of infectious diseases such as HIV and tuberculosis
> increases the risk of spread and makes them more difficult to treat.
>
> To address this gap, WHO today published its first Essential Diagnostics
> List, a catalogue of the tests needed to diagnose the most common
> conditions as well as a number of global priority diseases.
>
> “An accurate diagnosis is the first step to getting effective treatment,”
> says Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “No one should
> suffer or die because of a lack of diagnostic services, or because the
> right tests were not available.”
>
> The list concentrates on *in vitro* tests - i.e. tests of human specimens
> like blood and urine. It contains 113 products: 58 tests are listed for
> detection and diagnosis of a wide range of common conditions, providing an
> essential package that can form the basis for screening and management of
> patients.  The remaining 55 tests are designed for the detection, diagnosis
> and monitoring of “priority” diseases such as HIV, tuberculosis, malaria,
> hepatitis B and C, human papillomavirus and syphilis.
>
> Some of the tests are particularly suitable for primary health care
> facilities, where laboratory services are often poorly resourced and
> sometimes non-existent; for example, tests that can rapidly diagnose a
> child for acute malaria or glucometers to test diabetes.  These tests do
> not require electricity or trained personnel.  Other tests are more
> sophisticated and therefore intended for larger medical facilities.
>
> “Our aim is to provide a tool that can be useful to all countries, to test
> and treat better, but also to use health funds more efficiently by
> concentrating on the truly essential tests,” says Mariângela Simão, WHO
> Assistant Director-General for Access to Medicines, Vaccines and
> Pharmaceuticals. “Our other goal is to signal to countries and developers
> that the tests in the list must be of good quality, safe and affordable.”
>
> For each category of test, the Essential Diagnostics List specifies the
> type of test and intended use, format, and if appropriate for primary
> health care or for health facilities with laboratories. The list also
> provides links to WHO Guidelines or publications and, when available, to
> prequalified products.
>
> Similar to the WHO Essential Medicines List, which has been in use for
> four decades, the Essential Diagnostics List is intended to serve as a
> reference for countries to update or develop their own list of essential
> diagnostics. In order to truly benefit patients, national governments will
> need to ensure appropriate and quality-assured supplies, training of health
> care workers and safe use. To that end, WHO will provide support to
> countries as they adapt the list to the local context.
>
> The Essential Diagnostics List was developed following an extensive
> consultation within WHO and externally. The draft list was then considered
> for review by WHO’s Strategic Advisory Group of Experts on In-Vitro
> Diagnostics – a group of 19 experts with global representation.
>
> WHO will update the Essential Diagnostics List on a regular basis. In the
> coming months, WHO will issue a call for applications to add categories to
> the next edition. The list will expand significantly over the next few
> years, as it incorporates other important areas including antimicrobial
> resistance, emerging pathogens, neglected tropical diseases and additional
> noncommunicable diseases.
>
>
>
>
>
> Website
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__hmepstein.com_&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=WzZafXQFh9fLiLI73_HyYSCkumu7LI05cCUtjQjYQQE&e=>
>  Twitter
> <https://urldefense.proofpoint.com/v2/url?u=https-3A__twitter.com_hmepstein&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=vjGPZVR3pq2W17ThlhUN-d5gc5jkMMPJ01DJXI7Wzzg&e=>
>
>
> LinkedIn
> <https://urldefense.proofpoint.com/v2/url?u=https-3A__www.linkedin.com_in_helenekepstein_&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=XF4EbBYUafzWWL0ioZFj9W5cErmeY_Ibvx_RClwmiCY&e=>
>
>>
> Facebook
> <https://urldefense.proofpoint.com/v2/url?u=https-3A__www.facebook.com_HeleneEpsteinAuthor&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=_aRCj8Im2HL5rQaM-3tOMG-CYKrlN8saBK0othXw8wo&e=>
>
>
> ------------------------------
>
>
>
> To unsubscribe from IMPROVEDX: click the following link:
>
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__list.improvediagnosis.org_scripts_wa-2DIMPDIAG.exe-3FSUBED1-3DIMPROVEDX-26A-3D1&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=A6d6Q_saIzrru6E3v1D5S-2k5eFy8B1XUkbpcNwnT_s&e=>
>
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__list.improvediagnosis.org_scripts_wa-2DIMPDIAG.exe-3FINDEX&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=xxZ6RwJh7lP93FavH0dbo1B8t4k08cpYMiDT5CSYpio&e=>
>
>
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__www.improvediagnosis.org_&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=WkTcteHUKDCPRe5GiNyY5g9lH22Yg3cCOUqgus6QCWs&e=>
>
>
> ------------------------------
>
>
>
> To unsubscribe from IMPROVEDX: click the following link:
>
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__list.improvediagnosis.org_scripts_wa-2DIMPDIAG.exe-3FSUBED1-3DIMPROVEDX-26A-3D1&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=A6d6Q_saIzrru6E3v1D5S-2k5eFy8B1XUkbpcNwnT_s&e=>
>
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__list.improvediagnosis.org_scripts_wa-2DIMPDIAG.exe-3FINDEX&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=xxZ6RwJh7lP93FavH0dbo1B8t4k08cpYMiDT5CSYpio&e=>
>
>
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__www.improvediagnosis.org_&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=WkTcteHUKDCPRe5GiNyY5g9lH22Yg3cCOUqgus6QCWs&e=>
>
> *NOTICE TO RECIPIENT:*  If you are not the intended recipient of this
> e-mail, you are prohibited from sharing, copying, or otherwise using or
> disclosing its contents.  If you have received this e-mail in error, please
> notify the sender immediately by reply e-mail and permanently delete this
> e-mail and any attachments without reading, forwarding or saving them.
> Thank you.
>
>
> ------------------------------
>
>
>
> To unsubscribe from IMPROVEDX: click the following link:
>
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__list.improvediagnosis.org_scripts_wa-2DIMPDIAG.exe-3FSUBED1-3DIMPROVEDX-26A-3D1&d=DwMGaQ&c=VjzId-SM5S6aVB_cCGQ0d3uo9UfKByQ3sI6Audoy6dY&r=uk-mbUg20DlnPXUYCY2epumJmrVwlvTgZaobOap9ADg&m=PzI5fZhaGBlUHjZn9l0bxFdsx-uZ-uQQiPkt4NjDI5I&s=A6d6Q_saIzrru6E3v1D5S-2k5eFy8B1XUkbpcNwnT_s&e=>
>
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>
>
>
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
>
> ------------------------------
>
>
> To unsubscribe from IMPROVEDX: click the following link:
>
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


HTML Version:
URL: <../attachments/20180518/0386cda9/attachment.html>


More information about the Test mailing list