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Which panels are actually worth drawing at baseline?

Asked 12 Sept 2025Modified 6 months agoViewed 5.3k times
5

I have the full paper rather than the abstract, and the supplementary appendix.

I have read the obvious sources and they disagree with each other, so I would rather ask people who have actually done this.

I have a working setup and a notebook, and I am prepared to be told that my setup is inadequate if that is the answer.

Which parts of this are load-bearing and which parts are habit?

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askedarea_percent9.9k1612 Sept 2025
6Voting to keep this open — it is more specific than it first looks. – n_takahashi 3 months ago
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1 Answer

Accepted answer first, then by votes
21

Accepted answer

Answer first: decide what you would do differently for each possible result before you order the panel. Anything that fails that test is a number you will worry about and not act on.

Delta checks — comparing against your own previous value — are far more sensitive than comparing against a population interval, which is the argument for keeping a series rather than a snapshot.

Relative to absolute, worked

QuantityValueDerivation
Control-arm event rate8.0 %From the trial table, not the abstract
Hazard ratio0.80Reported
Treated event rate6.4 %8.0 × 0.80
Absolute risk reduction1.6 pp8.0 − 6.4
Number needed to treat631 ÷ 0.016
Relative risk reduction20 %1 − 0.80

The last two rows describe the same finding. Only one of them is used in headlines.

A sensible core for this population is a full blood count, renal function with electrolytes, liver enzymes with bilirubin, a fasting lipid panel with apolipoprotein B, HbA1c and thyroid-stimulating hormone.

Reference intervals are conventionally the central ninety-five per cent of a reference population, which is the direct cause of the one-in-twenty out-of-range rate on a healthy panel.

Same laboratory, same time, same fasting state, or the comparison is not a comparison.

edited 2 Feb 2026 by Dr_Colm_Fitzhenry — corrected a unit error in the worked example

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answered · acceptedDr_Colm_Fitzhenry69k2478 Jan 2026
Confirming that a repeat two weeks later resolved what looked alarming on a single draw. – sian_llewellyn 6 months ago
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