Prevalence and associated factors of inappropriate repeat test

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dc.authoridKilincarslan, Mehmet Goktug/0000-0003-4197-1914
dc.contributor.authorKilincarslan, Mehmet Goktug
dc.contributor.authorŞahin, Erkan Melih
dc.contributor.authorKorkmazer, Basak
dc.date.accessioned2025-01-27T20:34:48Z
dc.date.available2025-01-27T20:34:48Z
dc.date.issued2019
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground The rate of laboratory test utilisation has been increasing unsustainably. Evaluating inappropriately repeated laboratory tests is promising because objective criteria are available to measure the rates while causes can be manipulated easily. In this study, we aimed to evaluate the prevalence, associated factors and financial burden of inappropriate repeat tests. Methods A cross-sectional study was conducted on the results of 26 types of laboratory tests recorded in a laboratory database of a tertiary hospital between 1 July 2014 and 30 June 2017. Minimum retest intervals were determined from the literature for each type of tests. If the time interval between the two tests was shorter than the minimum retest interval, then the later test was accepted an inappropriate repeat test. Binary logistic regression was performed after univariate analyses. Results Of a total of 673 794 tests, 109 370 (16.2%) were inappropriate repeat tests. Male gender, being >= 65 years old, being an inpatient, high-volume test and surgical clinic as the test-requesting clinic were associated with inappropriate repeat tests. Also, it was determined that US$66 761.3 had been wasted on inappropriate repeat tests for 3 years. Discussion There are several factors that increase the rate of inappropriate repeat tests. They should be considered during health policy making or planning interventions to reduce inappropriate repeat tests.
dc.identifier.doi10.1136/postgradmedj-2019-136696
dc.identifier.endpage600
dc.identifier.issn0032-5473
dc.identifier.issn1469-0756
dc.identifier.issue1129
dc.identifier.pmid31341037
dc.identifier.scopus2-s2.0-85074117839
dc.identifier.scopusqualityQ1
dc.identifier.startpage596
dc.identifier.urihttps://doi.org/10.1136/postgradmedj-2019-136696
dc.identifier.urihttps://hdl.handle.net/20.500.12428/23471
dc.identifier.volume95
dc.identifier.wosWOS:000496484900004
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherOxford Univ Press
dc.relation.ispartofPostgraduate Medical Journal
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectunnecessary procedures
dc.subjectlogistic regression
dc.subjecttertiary hospital
dc.subjecthealth services overuse
dc.titlePrevalence and associated factors of inappropriate repeat test
dc.typeArticle

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