Effective Test Utilization Recommendations

Repeat Serum Protein Electrophoresis (SPEP) testing is discouraged for at least 25 days from the previous result for patients with actively treated disease

Immunology

For patients with acute or actively treated disease, a minimum retesting interval of 25 days is recommended1. For patients without actively treated disease, a minimum retesting interval of 3 months is recommended2.

Certain high-risk patients with aggressive diseases may warrant more frequent testing. Considering the underlying pathophysiology of monoclonal gammopathies, it is unlikely that SPEP results would change on a weekly basis in most cases3. For most patients who are undergoing active treatments, a monthly monitoring is appropriate3.

REFERENCES

  1. Choosing Wisely Canada / Canada’s Drug and Health Technology Agency. Advisory Panel Guidance on Minimum Retesting Intervals for Lab Tests. Ottawa (ON): CADTH; 2024. hc0078-minimum-retesting-intervals-guidance_for-feedback.pdf
  2. UK NICE Guideline: NG35 Myeloma: diagnosis and management. https://www.nice.org.uk/guidance/ng35/chapter/Recommendations#monitoring
  3. Monitoring Multiple Myeloma. Clin Adv Hematol Oncol. 2017 Dec;15 (12): 951 – 961. PMID: 29315287.
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