Objective: To assess the adequacy of investigation and later review of patients with serum monoclonal proteins detected in our laboratory.
Method: To review all monoclonal proteins detected and to search through the laboratory computerized records for evidence of further investigation and later review.
Results: Nine per cent of monoclonal proteins detected were not followed up at all. A urine examination to detect Bence-Jones protein was not requested in 12% of those regularly followed up. The mean age of the patients studied was 69 years, but there were eight patients under 60 years who had multiple myeloma.
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