An evaluation of hemoglobin A1c test ordering patterns in a primary care setting
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Title: | An evaluation of hemoglobin A1c test ordering patterns in a primary care setting |
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Authors: | Salinas, María | López Garrigós, Maite | Pomares, Francisco | Ruiz Palomar, José Manuel | Santo Quiles, Ana | López Penabad, Luis | Asencio, Alberto | Uris Sellés, Joaquín |
Research Group/s: | Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia |
Center, Department or Service: | Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia |
Keywords: | Biological markers | Efficiency and cost analysis | Type 2 diabetes mellitus |
Knowledge Area: | Enfermería |
Issue Date: | Feb-2012 |
Publisher: | American Society for Clinical Pathology |
Citation: | Lab Medicine. 2012, 43(2): 1-5. doi:10.1309/LMB520NCHEHKTXVR |
Abstract: | Background: To evaluate the hemoglobin A1c (HbA1c) prescription patterns by primary care physicians before the International Expert Committee (IEC) guidelines and how they have changed. Materials and Methods: The number of HbA1c tests ordered from January 2002 to December 2009 was examined in a cross-sectional study. The percentage of HbA1c results <6% and <5.5% were calculated. These cutoffs were decided after consultation of the literature regarding HbA1c values that were unlikely to have diabetic patients. Repeat HbA1c orders per patient were also tabulated. Results: 95,321 HbA1c tests were ordered. The percentage of HbA1c results <6% and <5.5%, respectively, were 36.2% and 13.8%. The percentage of HbA1c tests ordered with a result of <6% differed significantly between January 2009 to July 2009 and August 2009 to December 2009 (picked specifically because of the timing of the IEC guideline). Only 16% of patients had repeat HbA1c tests in 2009. Conclusions: It is necessary to conduct studies of HbA1c testing patterns in order to establish corrective measures to ensure proper use of the tests. |
URI: | http://hdl.handle.net/10045/33722 |
ISSN: | 0007-5027 (Print) | 1943-7730 (Online) |
DOI: | 10.1309/LMB520NCHEHKTXVR |
Language: | eng |
Type: | info:eu-repo/semantics/article |
Rights: | © 2012 by The American Society for Clinical Pathology |
Peer Review: | si |
Publisher version: | http://dx.doi.org/10.1309/LMB520NCHEHKTXVR |
Appears in Collections: | INV - SALUD - Artículos de Revistas |
Files in This Item:
File | Description | Size | Format | |
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2012_Salinas_etal_LabMedicine.pdf | 494,19 kB | Adobe PDF | Open Preview | |
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