Larger differences in utilization of rarely requested tests in primary care in Spain |
| |
| Authors: | Maria Salinas Maite López-Garrigós Emilio Flores Joaquín Uris Carlos Leiva-Salinas |
| |
| Institution: | On behalf of the Pilot Group of the Appropriate Utilization of Laboratory Tests;1.Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain;2.Department of Biochemistry and Molecular Pathology, Universidad Miguel Hernandez, Elche, Spain;3.Department of Clinical Medicine, Universidad Miguel Hernandez, Elche, Spain;4.Department of Public Health, Universidad de Alicante, Alicante, Spain;5.Department of Radiology, University of Virginia, Charlottesville, VA, USA |
| |
| Abstract: | IntroductionThe study was performed to compare and analyze the inter-departmental variability in the request of rarely requested laboratory tests in primary care, as opposed to other more common and highly requested tests.Materials and methodsData from production statistics for the year 2012 from 76 Spanish laboratories was used. The number of antinuclear antibodies, antistreptolysin O, creatinine, cyclic citrullinated peptide antibodies, deaminated peptide gliadine IgA antibodies, glucose, protein electrophoresis, rheumatoid factor, transglutaminase IgA antibodies, urinalysis and uric acid tests requested was collected. The number of test requests per 1000 inhabitants was calculated. In order to explore the variability the coefficient of quartile dispersion was calculated.ResultsThe smallest variation was seen for creatinine, glucose, uric acid and urinalysis; the most requested tests. The tests that were least requested showed the greatest variability.ConclusionOur study shows through a very simplified approach, in a population close to twenty million inhabitants, how in primary care, the variability in the request of laboratory tests is inversely proportional to the request rate.Key words: primary care, laboratory proficiency testing, clinical laboratory services, test requesting, preanalytical phase |
| |
| Keywords: | |
|
|
