RE: Judging by the buys of the last few mins a major player14 Aug 2024 09:08
Stu, " the most important aspect of nice following scotlands lead to develop national lab testing over poc, when having considered poc cost and time savings is undoubtedly the elephant in the room !!"
You miss the point. NICE prefer lab testing but sometimes there is the necessity of speed. To quote Professor Bill Newman: "To ensure that patients receive the correct treatment to reduce the risk of them having a further stroke after an initial episode, we need to use a rapid genetic test. The development of this new point-of-care diagnostic has the potential to significantly improve care for tens of thousands of patients after a stroke."
Then there is the question of availability. From the NICE final recommendation: "Use the Genedrive CYP2C19 ID Kit point-of-care test for CYP2C19 genotype testing when laboratory-based testing is not available"
"There are likely to be considerable barriers to implementing laboratory-based testing for everyone who has had an ischaemic stroke or a TIA. If laboratory-based testing is not available, or it will take a long time to develop capacity to provide it, then point-of-care tests could be used. So, the Genedrive CYP2C19 ID Kit should be used when laboratory-based testing is not available."
And NICE make it clear that the guidelines do not overrule the judgement of the clinician. "The guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer."
You're also forgetting GDR has the AIHL test of which you make no mention.