Primary care requests for anaemia chemistry tests in Spain: potential iron, transferrin and folate over-requesting

Autor: Maria, Salinas, Maite, López-Garrigós, Emilio, Flores, Carlos, Leiva-Salinas, Goitzane, Marcaida
Rok vydání: 2017
Předmět:
030213 general clinical medicine
Pediatrics
medicine.medical_specialty
Cost-Benefit Analysis
Iron
Medical Overuse
Primary care
Physicians
Primary Care
Iron/Transferrin
Pathology and Forensic Medicine
03 medical and health sciences
Pernicious anaemia
Folic Acid
0302 clinical medicine
Cost Savings
Predictive Value of Tests
medicine
Humans
Vitamin B12
Healthcare Disparities
Practice Patterns
Physicians'
chemistry.chemical_classification
Health Services Needs and Demand
Primary Health Care
medicine.diagnostic_test
biology
business.industry
Transferrin
Anemia
Health Care Costs
General Medicine
Spanish population
Ferritin
Vitamin B 12
Cross-Sectional Studies
chemistry
Spain
030220 oncology & carcinogenesis
Ferritins
Serum iron
biology.protein
Health Services Research
business
Biomarkers
Blood Chemical Analysis
Needs Assessment
Zdroj: Journal of Clinical Pathology. 70:760-765
ISSN: 1472-4146
0021-9746
DOI: 10.1136/jclinpath-2016-204249
Popis: AimTo study the regional variability of requests for anaemia chemistry tests in primary care in Spain and the associated economic costs of potential over-requesting.MethodsRequests for anaemia tests were examined in a cross-sectional study. Clinical laboratories from different autonomous communities (AACCs) were invited to report on primary care anaemia chemistry tests requested during 2014. Demand for iron, ferritin, vitamin B12 and folate tests per 1000 inhabitants and the ratios of the folate/vitamin B12 and transferrin/ferritin requests were compared between AACCs. We also calculated reagent costs and the number of iron, transferrin and folate tests and the economic saving if every AACC had obtained the results achieved by the AACC with best practice.Results110 laboratories participated (59.8% of the Spanish population). More than 12 million tests were requested, resulting in reagent costs exceeding €16.5 million. The serum iron test was the most often requested, and the ferritin test was the most costly (over €7 million). Close to €4.5 million could potentially have been saved if iron, transferrin and folate had been appropriately requested (€6 million when extrapolated to the whole Spanish population).ConclusionsThe demand for and expenditure on anaemia chemistry tests in primary care in Spain is high, with significant regional differences between different AACCs.
Databáze: OpenAIRE
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