Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information

Introduction: The aim of this work is twofold. Firstly, to study the temporal evolution in the number of laboratory requests from primary care without clinical indication, and to analyse the number of such requests before and after the implementation of an automated requesting procedure. Secondly, t...

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Detalles Bibliográficos
Autores: Salinas M, Lopez-Garrigos M, Flores E, Leiva-Salinas M, Esteban P, Ahumada M, Leiva-Salinas C
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p2240
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/2240
Access Level:acceso abierto
Palabra clave:clinical laboratory
pre-analytical phase
primary care
quality indicators
test request
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spelling Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical informationSalinas MLopez-Garrigos MFlores ELeiva-Salinas MEsteban PAhumada MLeiva-Salinas Cclinical laboratorypre-analytical phaseprimary carequality indicatorstest requestIntroduction: The aim of this work is twofold. Firstly, to study the temporal evolution in the number of laboratory requests from primary care without clinical indication, and to analyse the number of such requests before and after the implementation of an automated requesting procedure. Secondly, to investigate what are the most frequent clinical indications that prompted laboratory testing. Materials and methods: This is a retrospective observational study conducted from January 2009 to December 2015. We counted the requests without clinical question, calculated the number of such requests per total number of requests and listed the most frequent indications. Results: The number of tests requests with a blank clinical indication was significantly higher in 2009-when compared to 2015 (80% vs. 20%; P < 0.001). For every year in this 7-year period, dyslipidemia, essential hypertension and diabetes were the most prevalent diagnoses that prompted a laboratory test in primary care, accounting for more than 20% of all indications. Conclusions: The number of primary care requests without patient clinical question has decreased after the implementation of an automated requesting procedure. Disorders of lipid metabolism, essential hypertension and diabetes mellitus were the most prevalent diagnoses that prompted a laboratory test in primary care.CROATIAN SOC MEDICAL BIOCHEMISTRY & LABORATORY MEDICINE2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/2240Biochemia MedicaISSN: 13300962ISSNe: 18467482reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p22402026-06-11T12:45:17Z
dc.title.none.fl_str_mv Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information
title Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information
spellingShingle Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information
Salinas M
clinical laboratory
pre-analytical phase
primary care
quality indicators
test request
title_short Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information
title_full Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information
title_fullStr Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information
title_full_unstemmed Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information
title_sort Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information
dc.creator.none.fl_str_mv Salinas M
Lopez-Garrigos M
Flores E
Leiva-Salinas M
Esteban P
Ahumada M
Leiva-Salinas C
author Salinas M
author_facet Salinas M
Lopez-Garrigos M
Flores E
Leiva-Salinas M
Esteban P
Ahumada M
Leiva-Salinas C
author_role author
author2 Lopez-Garrigos M
Flores E
Leiva-Salinas M
Esteban P
Ahumada M
Leiva-Salinas C
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv clinical laboratory
pre-analytical phase
primary care
quality indicators
test request
topic clinical laboratory
pre-analytical phase
primary care
quality indicators
test request
description Introduction: The aim of this work is twofold. Firstly, to study the temporal evolution in the number of laboratory requests from primary care without clinical indication, and to analyse the number of such requests before and after the implementation of an automated requesting procedure. Secondly, to investigate what are the most frequent clinical indications that prompted laboratory testing. Materials and methods: This is a retrospective observational study conducted from January 2009 to December 2015. We counted the requests without clinical question, calculated the number of such requests per total number of requests and listed the most frequent indications. Results: The number of tests requests with a blank clinical indication was significantly higher in 2009-when compared to 2015 (80% vs. 20%; P < 0.001). For every year in this 7-year period, dyslipidemia, essential hypertension and diabetes were the most prevalent diagnoses that prompted a laboratory test in primary care, accounting for more than 20% of all indications. Conclusions: The number of primary care requests without patient clinical question has decreased after the implementation of an automated requesting procedure. Disorders of lipid metabolism, essential hypertension and diabetes mellitus were the most prevalent diagnoses that prompted a laboratory test in primary care.
publishDate 2016
dc.date.none.fl_str_mv 2016
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/2240
url https://fisabio.portalinvestigacion.com/publicaciones/2240
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv CROATIAN SOC MEDICAL BIOCHEMISTRY & LABORATORY MEDICINE
publisher.none.fl_str_mv CROATIAN SOC MEDICAL BIOCHEMISTRY & LABORATORY MEDICINE
dc.source.none.fl_str_mv Biochemia Medica
ISSN: 13300962
ISSNe: 18467482
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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