학술논문
Primary care requests for anaemia chemistry tests in Spain: potential iron, transferrin and folate over-requesting
Document Type
Academic Journal
Author
Salinas, Maria; López-Garrigós, Maite; Flores, Emilio; Leiva-Salinas, Carlos; Valero, Vidal Perez; Gascón, Félix; Contreras, Isidoro Herrera; Garcia, Maria Angeles Bailen; Oyonarte, Cristobal Avivar; Fontana, Esther Roldán; Cantalejo, Fernando Rodriguez; Padillo, Jose Angel Noval; García, M Angela Gonzalez; Rico, Ignacio Vazquez; Santos, Cristina; Marín, Angeles Giménez; Vélez, Maria del Señor López; Luque, Federico Navajas; Tapia, Amado; Llop, Maria Esther Sole; Puente, Juan Jose; Esteve, Patricia; Lopez, Maria Teresa Avello; Noguero, Emilia Moreno; Vazquez, Ana Maria Follana; Valles, Jose Luis Ribes; de Lis Alonso, Mª Luisa Fernández; de Basoa, MC Martin-Fernández; Martin, Leopoldo Martin; Picos, Miguel Angel Pico; Cabrera, Casimira Dominguez; Ruiz, Marta Riaño; Molinos, Juan Ignacio; Colomo, Luis Fernando; Garrido, José Carlos; Medio, Enrique Prada de; Chico, Pilar Garcia; Gomez-Biedma, Simon; Domínguez, Jesús; Ruiz, Guadalupe; Casado, Laura Navarro; Pena, Fidel Velasco; Fernandez, Carolina Andrés; Carrera, Oscar Herraez; Lozano, Mª Carmen Lorenzo; Carrera, Joaquín Domínguez Martinez y Oscar Herrera; Gil, Maria Teresa; Rodriguez, Mª Angeles Rodriguez; Garcia, M. Victoria Poncela; Rabadan, Luis; Villamandos, Vicente; Garcia, Nuria Fernandez; Redondo, Jose Miguel Gonzalez; Garcia, Cesareo; Menendez, Luis Garcia; Sastre, Pilar Alvarez; Nieves, Maria Dolores Calvo; LLovet, Mabel; Serrat, Nuria; Baz, Mª José; Zaro, Maria Jose; Plata, M Carmen; Yun, Pura Garcia; Sánchez, Milagrosa Macías; Martin, Javier; Suarez, Lola Máiz; Ponce, Berta Gonzalez; Fuertes, Aida Pérez; Olivie, M. Amalia Andrade; Rodriguez, Pastora; Puebla, M. Mercedes Herranz; Soto, Antonio Buño; Santos, Fernando Cava y Raquel Guillén; Pascual, Tomas; Larramendi, Carmen Hernando de; Sánchez, Raquel Blázquez; Díaz, Pilar; Díaz, Ana; Collia, Marta Garcia; Cenzual, Maria Angeles Cuadrado; Prieto, Santiago; Ramírez, María del Carmen Gallego; Fernandez, Jose Luis Quilez; Albaladejo, Maria Dolores; Yepes, Maria Luisa Lopez; Martínez, Alfonso Pérez; Urrutia, Antonio López; Chércoles, Adolfo Garrido; Medina, Carmen Mar; Zugaza, M Carmen; Gredilla, Francisco Javier Aguayo; Menchero, Silvia Pesudo; Vinuesa, Carmen; Díaz, Julian; Graells, Marisa; Benitez, Diego Benitez; Carratala, Arturo; Tormo, Consuelo; Miralles, Francisco; Miralles, Amparo; Barberà, Jose Luis; Molina, Juan; Yago, Martin; Ortuño, Mario; Llopis, Maria Jose Martinez; Estañ, Nuria; Molina, Ricardo; Ferrero, Juan Antonio; Marro, Begoña Laiz; Marcaida, Goitzane
Source
Journal of Clinical Pathology. Sep 01, 2017 70(9):760-765
Subject
Language
English
ISSN
0021-9746
Abstract
AIM: To study the regional variability of requests for anaemia chemistry tests in primary care in Spain and the associated economic costs of potential over-requesting. METHODS: Requests 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. RESULTS: 110 laboratories participated (59.8% of the Spanish population). More than 12 million tests were requested, resulting in reagent costs exceeding &OV0556;16.5 million. The serum iron test was the most often requested, and the ferritin test was the most costly (over &OV0556;7 million). Close to &OV0556;4.5 million could potentially have been saved if iron, transferrin and folate had been appropriately requested (&OV0556;6 million when extrapolated to the whole Spanish population). CONCLUSIONS: The demand for and expenditure on anaemia chemistry tests in primary care in Spain is high, with significant regional differences between different AACCs.