Evidence map›Paper›PMID 27812310›Full record

ArticleBiochemia medica2016

Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information.

Maria Salinas, Maite López-Garrigós, Emilio Flores, Maria Leiva-Salinas, Patricia Esteban, Miguel Ahumada, Carlos Leiva-Salinas

Abstract read
In one paragraph

Article in Biochemia medica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Laboratory Computer-Based Interventions for Better Adherence to Guidelines in the Diagnosis and Monitoring of Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Maria SalinasClinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain; Department of Biochemistry and Molecular Pathology, Universidad Miguel Hernandez, Elche, Spain.
Maite López-GarrigósClinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain.
Emilio FloresClinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain; Department of Clinical Medicine, Universidad Miguel Hernandez, Elche, Spain.
Maria Leiva-SalinasDepartment of Biochemistry and Molecular Pathology, Universidad Miguel Hernandez, Elche, Spain.
Patricia EstebanClinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain.
Miguel AhumadaDepartment of Clinical Medicine, Universidad Miguel Hernandez, Elche, Spain.
Carlos Leiva-SalinasDepartment of Radiology, University of Virginia, Charlottesville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this work is twofold. Firstly, to study the temporal evolution in the number of laboratory requests from primary care without clinical indication, and to analyse the number of such requests before and after the implementation of an automated requesting procedure. Secondly, to investigate what are the most frequent clinical indications that prompted laboratory testing. MATERIALS AND

methodsThis is a retrospective observational study conducted from January 2009 to December 2015. We counted the requests without clinical question, calculated the number of such requests per total number of requests and listed the most frequent indications.

resultsThe number of tests requests with a blank clinical indication was significantly higher in 2009 when compared to 2015 (80% vs. 20%; P < 0.001). For every year in this 7-year period, dyslipidemia, essential hypertension and diabetes were the most prevalent diagnoses that prompted a laboratory test in primary care, accounting for more than 20% of all indications.

conclusionsThe number of primary care requests without patient clinical question has decreased after the implementation of an automated requesting procedure. Disorders of lipid metabolism, essential hypertension and diabetes mellitus were the most prevalent diagnoses that prompted a laboratory test in primary care.

Indexed as

Practice Guidelines as TopicClinical Laboratory TechniquesHumansPrimary Health Careclinical laboratorypre-analytical phaseprimary carequality indicatorstest request

Identifiers

PMID27812310
PMCPMC5082219

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.