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Laboratory methods

Neil Smithline

Research profile. Neil Smithline is not affiliated with or endorsed by MedMaths.

Renal medicine

Smithline-Gardner Calculated Serum Osmolality Formula

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Overview

Neil Smithline, MD, was affiliated with the Department of Medicine, Renal Section, University of Arizona College of Medicine and the Veterans Administration Hospital in Tucson when he co-authored the 1976 JAMA article ‘Gaps—Anionic and Osmolal.’ The paper described the bedside use of anion and osmolal gaps and is associated with the simple calculated-serum-osmolality equation used by MedMaths. This profile is deliberately limited to details verified from the original publication record.

Specialty
Renal medicine
Institutions
University of Arizona College of Medicine; Veterans Administration Hospital, Tucson

Formula history

Research contributions

Smithline-Gardner Calculated Serum Osmolality Formula

Equation attributed to Neil Smithline.

Used for: Clinical estimation of serum/plasma osmolality from sodium, glucose and urea/BUN measurements

Evidence trail

Original research

Smithline N, Gardner KD Jr. Smithline N, Gardner KD Jr — Gaps—Anionic and Osmolal. JAMA. 1976;236(14):1594-1597

DOI: 10.1001/jama.1976.03270150028025View on PubMed (PMID 989132)Publisher page

Historical source for the 1976 Smithline-Gardner bedside osmolal-gap framework associated with the simple calculated-osmolality equation used by MedMaths. This attribution is not a claim that the authors were the first to calculate serum osmolality.

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Formula co-author

Serum Osmolality Calculator

Calculate serum osmolality from sodium, glucose and urea, with optional osmol gap calculation.

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These guides explain the calculation, comparison or interpretation questions connected to this research history. This researcher profile provides background on the published work; it is not a calculator or clinical recommendation.

Calculated Serum Osmolality and Osmol Gap Explained

Understand directly measured vs calculated serum osmolality, effective osmolality/tonicity, what the osmol gap represents, why formulas and ethanol coefficients change the result, and why the gap must be interpreted as a clue rather than a diagnosis.

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Researchers connected to this work

KD
Laboratory methods

Kenneth D. Gardner Jr

Renal medicine

Known for

Smithline-Gardner Calculated Serum Osmolality Formula

1 publication 1 linked calculatorProfile

About this profile

This source-based research reference profile draws on the original publications above and verified external sources. Neil Smithline is not affiliated with or endorsed by MedMaths. Unconfirmed fields are left blank rather than estimated.

jamanetwork.com pubmed.ncbi.nlm.nih.gov

Reference data verified: 2026-08-12

See the methodology and editorial policy for the wider sourcing process.

Profile at a glance

Formulas
1
Publications
1
Verified links
1

Research focus

Osmolal gapCalculated serum osmolalityRenal medicine

Source integrity

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