Requests of laboratory tests for the diagnosis and management of calcium-phosphate disorders in Spain

Background: Knowledge about the variability in the request of calcium-phosphate metabolism laboratory tests in primary care is important to design strategies to improve health system efficiency. Aim: To compare the inter-practice variability in calcium-phosphate metabolism laboratory tests requested...

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Autores principales:	Salinas,María, López-Garrigós,Maite, Flores,Emilio, Uris,Joaquín, Leiva-Salinas,Carlos
Lenguaje:	English
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Calcium Metabolism Disorders Clinical Laboratory Services Practice Patterns, Physicians
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000800005
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spelling	oai:scielo:S0034-988720160008000052016-12-21Requests of laboratory tests for the diagnosis and management of calcium-phosphate disorders in SpainSalinas,MaríaLópez-Garrigós,MaiteFlores,EmilioUris,JoaquínLeiva-Salinas,Carlos Calcium Metabolism Disorders Clinical Laboratory Services Practice Patterns, Physicians Background: Knowledge about the variability in the request of calcium-phosphate metabolism laboratory tests in primary care is important to design strategies to improve health system efficiency. Aim: To compare the inter-practice variability in calcium-phosphate metabolism laboratory tests requested by general practitioners from diverse regions across Spain. Material and Methods: One hundred and forty one clinical laboratories were invited to participate in an observational cross-sectional study. They informed the number of serum calcium, phosphate, parathyroid hormone and 25-hydroxyvitamin D requested by general practitioners. Appropriateness indicators were calculated as number of test requests per 1,000 inhabitants and ratio of related tests requests. The differences according to hospital setting, region and type of management were analyzed. Results: We recruited 76 laboratories (17,679,195 inhabitants). General practitioners requested 3,260,894 calcium-phosphate metabolism tests. The rate of request ranged from 2.97 per 1,000 inhabitants for 25-hydroxyvitamin D to 98.89 per 1,000 inhabitants for calcium. The rates of request for calcium, phosphate, parathyroid hormone in some areas were 30, 100 and 340 times higher than in other areas. Parathyroid hormone and 25-hydroxyvitamin D were highly requested in private management areas. There were also differences in phosphate, parathyroid hormone and 25-hydroxyvitamin D requesting between regions across Spain. Conclusions: The high variability observed is difficult to explain by differences in patient case mix between regions. Depending on the area, calcium could be under requested to detect primary hyperparathyroidism.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.8 20162016-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000800005en10.4067/S0034-98872016000800005
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Calcium Metabolism Disorders Clinical Laboratory Services Practice Patterns, Physicians
spellingShingle	Calcium Metabolism Disorders Clinical Laboratory Services Practice Patterns, Physicians Salinas,María López-Garrigós,Maite Flores,Emilio Uris,Joaquín Leiva-Salinas,Carlos Requests of laboratory tests for the diagnosis and management of calcium-phosphate disorders in Spain
description	Background: Knowledge about the variability in the request of calcium-phosphate metabolism laboratory tests in primary care is important to design strategies to improve health system efficiency. Aim: To compare the inter-practice variability in calcium-phosphate metabolism laboratory tests requested by general practitioners from diverse regions across Spain. Material and Methods: One hundred and forty one clinical laboratories were invited to participate in an observational cross-sectional study. They informed the number of serum calcium, phosphate, parathyroid hormone and 25-hydroxyvitamin D requested by general practitioners. Appropriateness indicators were calculated as number of test requests per 1,000 inhabitants and ratio of related tests requests. The differences according to hospital setting, region and type of management were analyzed. Results: We recruited 76 laboratories (17,679,195 inhabitants). General practitioners requested 3,260,894 calcium-phosphate metabolism tests. The rate of request ranged from 2.97 per 1,000 inhabitants for 25-hydroxyvitamin D to 98.89 per 1,000 inhabitants for calcium. The rates of request for calcium, phosphate, parathyroid hormone in some areas were 30, 100 and 340 times higher than in other areas. Parathyroid hormone and 25-hydroxyvitamin D were highly requested in private management areas. There were also differences in phosphate, parathyroid hormone and 25-hydroxyvitamin D requesting between regions across Spain. Conclusions: The high variability observed is difficult to explain by differences in patient case mix between regions. Depending on the area, calcium could be under requested to detect primary hyperparathyroidism.
author	Salinas,María López-Garrigós,Maite Flores,Emilio Uris,Joaquín Leiva-Salinas,Carlos
author_facet	Salinas,María López-Garrigós,Maite Flores,Emilio Uris,Joaquín Leiva-Salinas,Carlos
author_sort	Salinas,María
title	Requests of laboratory tests for the diagnosis and management of calcium-phosphate disorders in Spain
title_short	Requests of laboratory tests for the diagnosis and management of calcium-phosphate disorders in Spain
title_full	Requests of laboratory tests for the diagnosis and management of calcium-phosphate disorders in Spain
title_fullStr	Requests of laboratory tests for the diagnosis and management of calcium-phosphate disorders in Spain
title_full_unstemmed	Requests of laboratory tests for the diagnosis and management of calcium-phosphate disorders in Spain
title_sort	requests of laboratory tests for the diagnosis and management of calcium-phosphate disorders in spain
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000800005
work_keys_str_mv	AT salinasmaria requestsoflaboratorytestsforthediagnosisandmanagementofcalciumphosphatedisordersinspain AT lopezgarrigosmaite requestsoflaboratorytestsforthediagnosisandmanagementofcalciumphosphatedisordersinspain AT floresemilio requestsoflaboratorytestsforthediagnosisandmanagementofcalciumphosphatedisordersinspain AT urisjoaquin requestsoflaboratorytestsforthediagnosisandmanagementofcalciumphosphatedisordersinspain AT leivasalinascarlos requestsoflaboratorytestsforthediagnosisandmanagementofcalciumphosphatedisordersinspain
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Requests of laboratory tests for the diagnosis and management of calcium-phosphate disorders in Spain

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