Primary care requests for anaemia chemistry tests in Spain: potential iron, transferrin and folate over-requesting. Issue 9 (17th February 2017)

• Record Type: Journal Article
• Authors: Salinas, Maria; López-Garrigós, Maite; Flores, Emilio; Leiva-Salinas, Carlos
• Other Names: author non-byline.; Valero Vidal Perez author non-byline.; Gascón Félix author non-byline.; Contreras Isidoro Herrera author non-byline.; Garcia Maria Angeles Bailen author non-byline.; Oyonarte Cristobal Avivar author non-byline.; Fontana Esther Roldán author non-byline.; Cantalejo Fernando Rodriguez author non-byline.; Padillo Jose Angel Noval author non-byline.; García M Angela Gonzalez author non-byline.; Rico Ignacio Vazquez author non-byline.; Santos Cristina author non-byline.; Marín Angeles Giménez author non-byline.; Vélez Maria del Señor López author non-byline.; Luque Federico Navajas author non-byline.; Tapia Amado author non-byline.; Llop Maria Esther Sole author non-byline.; Puente Juan Jose author non-byline.; Esteve Patricia author non-byline.; Lopez Maria Teresa Avello author non-byline.; Noguero Emilia Moreno author non-byline.; Vazquez Ana Maria Follana author non-byline.; Valles Jose Luis Ribes author non-byline.; de Lis Alonso Mª Luisa Fernández author non-byline.; de Basoa MC Martin-Fernández author non-byline.; Martin Leopoldo Martin author non-byline.; Picos Miguel Angel Pico author non-byline.; Cabrera Casimira Dominguez author non-byline.; Ruiz Marta Riaño author non-byline.; Molinos Juan Ignacio author non-byline.; Colomo Luis Fernando author non-byline.; Garrido José Carlos author non-byline.; Medio Enrique Prada de author non-byline.; Chico Pilar Garcia author non-byline.; Gomez-Biedma Simon author non-byline.; Domínguez Jesús author non-byline.; Ruiz Guadalupe author non-byline.; Casado Laura Navarro author non-byline.; Pena Fidel Velasco author non-byline.; Fernandez Carolina Andrés author non-byline.; Carrera Oscar Herraez author non-byline.; Lozano Mª Carmen Lorenzo author non-byline.; Carrera Joaquín Domínguez Martinez y Oscar Herrera author non-byline.; Gil Maria Teresa author non-byline.; Rodriguez Mª Angeles Rodriguez author non-byline.; Garcia M. Victoria Poncela author non-byline.; Rabadan Luis author non-byline.; Villamandos Vicente author non-byline.; Garcia Nuria Fernandez author non-byline.; Redondo Jose Miguel Gonzalez author non-byline.; Garcia Cesareo author non-byline.; Menendez Luis Garcia author non-byline.; Sastre Pilar Alvarez author non-byline.; Nieves Maria Dolores Calvo author non-byline.; LLovet Mabel author non-byline.; Serrat Nuria author non-byline.; Baz Mª José author non-byline.; Zaro Maria Jose author non-byline.; Plata M Carmen author non-byline.; Yun Pura Garcia author non-byline.; Sánchez Milagrosa Macías author non-byline.; Martin Javier author non-byline.; Suarez Lola Máiz author non-byline.; Ponce Berta Gonzalez author non-byline.; Fuertes Aida Pérez author non-byline.; Olivie M. Amalia Andrade author non-byline.; Rodriguez Pastora author non-byline.; Puebla M. Mercedes Herranz author non-byline.; Soto Antonio Buño author non-byline.; Santos Fernando Cava y Raquel Guillén author non-byline.; Pascual Tomas author non-byline.; Larramendi Carmen Hernando de author non-byline.; Sánchez Raquel Blázquez author non-byline.; Díaz Pilar author non-byline.; Díaz Ana author non-byline.; Collia Marta Garcia author non-byline.; Cenzual Maria Angeles Cuadrado author non-byline.; Prieto Santiago author non-byline.; Ramírez María del Carmen Gallego author non-byline.; Fernandez Jose Luis Quilez author non-byline.; Albaladejo Maria Dolores author non-byline.; Yepes Maria Luisa Lopez author non-byline.; Martínez Alfonso Pérez author non-byline.; Urrutia Antonio López author non-byline.; Chércoles Adolfo Garrido author non-byline.; Medina Carmen Mar author non-byline.; Zugaza M Carmen author non-byline.; Gredilla Francisco Javier Aguayo author non-byline.; Menchero Silvia Pesudo author non-byline.; Vinuesa Carmen author non-byline.; Díaz Julian author non-byline.; Graells Marisa author non-byline.; Benitez Diego Benitez author non-byline.; Carratala Arturo author non-byline.; Tormo Consuelo author non-byline.; Miralles Francisco author non-byline.; Miralles Amparo author non-byline.; Barberà Jose Luis author non-byline.; Molina Juan author non-byline.; Yago Martin author non-byline.; Ortuño Mario author non-byline.; Llopis Maria Jose Martinez author non-byline.; Estañ Nuria author non-byline.; Molina Ricardo author non-byline.; Ferrero Juan Antonio author non-byline.; Marro Begoña Laiz author non-byline.; Marcaida Goitzane author non-byline.;
• Is Part Of: Journal of clinical pathology. Volume 70:Issue 9(2017)
• Page Start: 760
• Page End: 765
• Publication Date: 2017-02-17
• Subjects: PERNICIOUS ANAEMIA -- LABORATORY TESTS -- B12 -- IRON METABOLISM; Pathology -- Periodicals; Pathology, Molecular -- Periodicals; 616.0705
• DOI: 10.1136/jclinpath-2016-204249
• Languages: English
• ISSNs: 0021-9746

Abstract

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 €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). Conclusions: The demand for and expenditure on anaemia chemistry tests in primary care in Spain is high, with significant regional differences between different AACCs.