ReviewWorld journal of methodology2026
Improving diagnostic accuracy of 72-hour supervised fasting test for hypoglycemia evaluation: A quality improvement project.
Review in World journal of methodology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
The 72-hour supervised fasting test (72-HSFT) remains the gold standard for investigating fasting hypoglycemia in patients without diabetes, which is a rare but potentially fatal clinical condition. However, testing inaccuracies often lead to diagnostic ambiguities and unnecessary healthcare expenditures. Baseline data collection over 1 year revealed that 66% of 72-HSFT tests at our institution were performed incorrectly, with dynamic hormones such as C-peptide being ordered four times per patient. The goal of this quality improvement project (QIP) was to reduce the frequency of unnecessary or incorrect 72-HSFT for hypoglycemia from 66% to 25% within 24 months. To achieve the goals of the QIP, educational interventions targeting patients, nurses, physicians, and laboratory staff on accurate 72-HSFT were implemented. Further interventions included the introduction of an auto-text protocol in Cerner
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