Reducing unnecessary laboratory use with new test request form: example of tumour markers

Durand‐Zaleski, Isabelle; Roudot-Thoraval, F; Rymer, J.C.; Rosa, J.; Revuz, J.

doi:10.1016/0140-6736(93)91349-q

Cited by 50 publications

(25 citation statements)

References 30 publications

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“…In our study the rate of inappropriate tests in all clinics was lower than the some studies [21,22]. For the reason of this situation, we observed that majority of orders were from specialized diabetic outpatient clinic.…”

Section: Discussioncontrasting

confidence: 66%

The inappropriate use of HbA1c testing to monitor glycemia: is there evidence in laboratory data?

Akan

Çımrın

Örmen

et al. 2006

Evaluation Clinical Practice

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Section: Discussioncontrasting

confidence: 66%

The inappropriate use of HbA1c testing to monitor glycemia: is there evidence in laboratory data?

Akan

Çımrın

Örmen

et al. 2006

Evaluation Clinical Practice

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“…Increase in the utilization of diagnostic tests raised concerns about the appropriate use of laboratory (Winkens & Dinant 2002). Search of literature reveals many studies pointing out inappropriate test ordering practices of doctors, causing excessive laboratory costs (Durand‐Zaleski et al . 1993; Pilon et al .…”

Section: Introductionmentioning

confidence: 99%

Application of hepatitis serology testing algorithms to assess inappropriate laboratory utilization

Özbek

Öktem

Doğan

et al. 2004

Evaluation Clinical Practice

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“…Nevertheless, those recommendations appear to be insufficient, as reported by retrospective studies (24). However, simple administrative intervention, such as altering the order forms, have been shown to be successful in other areas (25)(26)(27).…”

Section: Discussionmentioning

confidence: 94%

From guidelines to hospital practice: reducing inappropriate ordering of thyroid hormone and antibody tests

Toubert¹,

Chevret

Cassinat³

et al. 2000

European Journal of Endocrinology

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Objective: Because of major technical improvements and conscious care about cost effectiveness, limiting the inadequate use of thyroid biological tests appears to be a major issue. Design: To (i) estimate the ordering prevalence of each thyroid test, (ii) assess the prevalence of relevant thyroid tests, and (iii) evaluate the impact of expressing justification for tests during a 2-month intervention period on these prevalences. Methods: During a prospective 2-month survey (June-July 1997), all the request forms were divided into four groups of prescription: (1) investigation of thyroid function, (2) taking drugs affecting the thyroid, (3) monitoring of nodule and cancer, and (4) investigation of thyroid autoimmunity. Their appropriateness was thus determined according to consensus in our hospital and previously published recommendations. Results were compared with those of retrospective similar 2-month periods in 1996 and 1998. Combinations of thyroid function tests and thyroid antibodies were analyzed during the 1996, 1997 and 1998 periods. Results: The overall estimated rate of appropriate ordering between 1996 and 1997 increased from 42.5% to 72.4% (P < 10 -4 ), with a significant improvement in each group of main diagnosis referral, except in group 3 where suitability was always over 85%. However, in group 4, appropriateness remained low (36%). Combinations of thyroid tests revealed an increase in single TSH order forms and single autoantibodies to thyroperoxidase (TPOAb) ones, while TSH + free thyroxine + free tri-iodothyronine and TPOAb + autoantibodies to thyroglobulin ones decreased significantly. Interestingly, all these changes were maintained 1 year later (June-July 1998) even though physicians were not aware of this new study. Conclusions: Persistent change in medical practice was thus assessed.

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Reducing unnecessary laboratory use with new test request form: example of tumour markers

Cited by 50 publications

References 30 publications

The inappropriate use of HbA1c testing to monitor glycemia: is there evidence in laboratory data?

The inappropriate use of HbA1c testing to monitor glycemia: is there evidence in laboratory data?

Application of hepatitis serology testing algorithms to assess inappropriate laboratory utilization

From guidelines to hospital practice: reducing inappropriate ordering of thyroid hormone and antibody tests

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