Gold Standard Tests
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Gold Standard Tests A gold standard test is the diagnostic test or benchmark that is the best available under reasonable conditions. In medicine, a gold standard test is the diagnostic test that is regarded as definitive in determining whether an individual has a disease process. The AMA Style Guide prefers the phrase Criterion Standard instead of Gold Standard, and many medical journals now mandate this usage in their instructions for contributors.
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Why do we need to do Gold Standard Tests A gold standard test is a best available diagnostic test for determining whether a patient does or does not have a disease or condition. For example, a biopsy can identify breast cancer cells with good accuracy, while an autopsy are usually accurate at identifying the cause of death. It is usually used when an initial screening gives a positive result.
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Gold Standard Blood Tests There are some “Gold Standard Blood Tests” everyone should do every year after age 18 till the rest of our life, absolutely. Parents take care of us till the age of 18. Today, most of us stay in good health till we get to age 50 and age 60 and we will still stay in good health even up to our eighties if we fine tune our health starting at age 18.
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What we need to test every year: Complete Blood Count (CBC) Kidney Function Test (includes electrolytes and glucose) Liver Function Test Lipid Profile (cholesterol profile including so called bad cholesterol) Vitamin D (we do not spend much time in the sun and hence lack Vitamin D in our bodies) Vitamin B12 (communities especially in India are vegetarian and hence low in Vitamin B12) www.add15years
What we need to test every year: HbA1c – It is a gold standard test for diabetes today, independent of daily fluctuation of glucose in our blood. There is a dramatic rise of diabetes all over the world and is happening in younger population too. TSH (Thyroid stimulating hormone) Although not blood test but these tests are gold standards for our health: Body Mass Index (BMI) Blood Pressure Urine Dipstick test, which is not a blood test, but easy to do at home, should also be done yearly. www.add15years
The Average cost of these tests are.. In India, Gold Standard Blood Tests, usually cost between 3000 to INR 5000. These tests usually come as a package. Test Name
India Average cost (In Rs)
CBC
350
CMP
2000
Kidney Function Test
800
Lipid Profile Test
500
TSH
380
HbA1c
440
Vitamin D 25 Hydroxy
1550
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Author
(Prof.) Dr. S Om Goel MD From family of doctors from AIIMS & Delhi University MD Medicine U.S.A. DM / Fellowship U.S.A www.add15years.in