Inappropriate Use of Serological Tests for Hepatitis B Virus in Evliya Celebi Education and Research Hospital of Dumlupinar University, Kutahya

Genç, Osman; Aksu, Evrim

doi:10.5578/mb.8080

Cited by 7 publications

(7 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, the cost of unnecessary test requests is lower than other studies [8,9] . However, an amount of TL 1507 unnecessarily consumed state resources.…”

Section: Discussioncontrasting

confidence: 50%

Unnecessary Hepatitis-B Orders

Yanılmaz¹

2018

Haydarpasa Numune Med J

View full text Add to dashboard Cite

Introduction: Laboratory tests to diagnose hepatitis B infection provide important data to clinicians, but these tests lead to serious labor loss and high cost both in our country and also in the world. In the studies, it has been determined that the test requests are sometimes unnecessary. It is contemplated that the number of tests will increase due to non-questioning of vaccination and other inappropriate test orders. In this study, we aimed to retrospectively analyze unnecessary test requests in patients vaccinated against hepatitis B and to find out what could be the future challenges to prevent this. Methods: Between March and December 2014, samples sent to the Microbiology Laboratory of Education and Research Hospital to test for hepatitis B seropositivity were analyzed in this study. HBsAg, anti-HBc IgG, anti-HBc IgM, HBeAg, and anti-HBe tests, which were requested from the patients and yielded anti-HBs-positive and anti-HBc-negative results, were accepted as unnecessary orders. The financial burden of the tests was calculated on the basis of the scores given in the Social Security Institution Health Practice Statement (SUT). Results: As a result, it was determined that 92 tests of HBsAg, 20 tests of anti-HBc total, 48 tests of anti-HBc IgM, 14 tests of HBeAg, and 21 tests of anti-HBe were unnecessary. When the cost of the tests was calculated according to the SUT scores, it has been concluded that a total of 1507 TLs were spent for these unnecessary tests. Discussion and Conclusion: In our study, if compared to the literature, a relatively low unnecessary test order was detected for hepatitis B infections. Even so, methods for eliminating health-care waste and reducing orders leading to cost-effectiveness should be developed.

show abstract

“…In our study, the cost of unnecessary test requests is lower than other studies [8,9] . However, an amount of TL 1507 unnecessarily consumed state resources.…”

Section: Discussioncontrasting

confidence: 50%

Unnecessary Hepatitis-B Orders

Yanılmaz¹

2018

Haydarpasa Numune Med J

View full text Add to dashboard Cite

show abstract

“…Therapeutic drugs monitoring makes no exception to this rule, wherein inappropriateness of test ordering for monitoring theophylline and digoxin plasma values was found to be as high as 64.2% (13) and 45% (14) of all requests, respectively. As regards infectious diseases testing, Genç and Aksu estimated that between 37-45% of all serological tests for hepatitis B virus (HBV) may be avoidable (15).…”

Section: Introductionmentioning

confidence: 99%

Inappropriateness in laboratory medicine: an elephant in the room?

2017

View full text Add to dashboard Cite

Appropriateness of diagnostic testing can be conventionally described as prescription of the right test, using the right method, at the right time, to the right patient, with the right costs and for producing the right outcome. There is ongoing debate about the real burden of inappropriateness in laboratory diagnostics. The media coverage of this issue has also recently led to either over-or under-emphasizing the clinical, organizational and economic consequences. This is quite problematic, inasmuch as some reliable data are available in the current scientific literature, showing that inappropriateness of laboratory testing can be as high as 70%. This is especially evident for, though not limited to, cancer biomarkers testing, in which the practice of avoidable tests ordering is dramatically magnified. The reasons beyond inappropriateness are many and multifaceted, entailing wrong habits, resistance to changes, poor culture, insufficient education and healthcare inefficiencies. There are many unfavorable consequences attributable to avoidable testing, including unjustified incremental costs, derangement of laboratory efficiency and potential patient safety issues. The tentative solutions to this important problem necessitate that policymakers, local hospital administrators, laboratory professionals, clinicians, patients' associations and diagnostic companies join the efforts and embark in the same landmark effort for disseminating a better culture of appropriateness.

show abstract

“…At this same hospital, it was detected that 12.9% of anti-HBs, 12.9% of anti-HBc total, 74.8% of anti-HBc immunoglobulin M (IgM), 83.9% of hepatitis B envelope antigen (HBeAg), and 75.2% of anti-HBe tests were unnecessary, at a total cost of 56.153 Turkish liras (TL) (4). Genc and Aksu (5) found that the percentages of unnecessary test requests were 2.23% in anti-HBs, 0.7% in anti-HBc total, 37.41% in anti-HBc IgM, 44.86% in HBeAg, and 37.75% in anti-HBe at a tertiary care hospital, and those tests led to an average annual financial burden of 14.000 TL.…”

Section: Dear Editor;mentioning

confidence: 99%

“…Warning signals that are situated within hospital network systems may report to the physician previous test results. Thus, the physician may not request the tests again (5). Another technique for preventing duplicate tests is organizing education about diagnostic algorithms for health professionals (4).…”

Section: Dear Editor;mentioning

confidence: 99%

“…The causes of unnecessary test requests were as follows: i) failure of healthcare workers to check previous tests results due to lack of time; ii) difficulty for healthcare workers to retrieve previous results; iii) distrust of previous test results; iv) no familiarity of diagnostic algorithms; v) requests for tests made by non-physician healthcare providers; vi) failure to determine if the patient had already received the hepatitis B vaccine; vii) requests for screening tests for preventive medicine (5). These reasons can all be corrected.…”

Section: Dear Editor;mentioning

confidence: 99%

See 1 more Smart Citation

An Important Financial Burden: Unnecessary Test Requests for Viral Hepatitis

Karacaer¹

2016

vhd

View full text Add to dashboard Cite

Cost-effective approaches for using limited financial resources correctly are essential in the healthcare field. Life expectancy has been increasing in developed and developing countries, and nowadays, acute and chronic diseases are being treated with processes that are becoming more expensive. Consequently, increasing pressure on the health budgets of countries around the world is now a reality. The health expenditure percentage of the gross domestic product is expected to climb in future years (1).To decrease this health expenditure, initially, misapplications in health care should be detected. An article by Demiray et al. (2) in the recent issue of the Viral Hepatitis Journal emphasized the costs of unnecessary tests, and provided beneficial information on this subject for clinicians.Unnecessary test requests for viral hepatitis, in particular, are a significant problem in various centers in Turkey. Alpay Ozbek et al. (3) found that 14% of anti-hepatitis A virus total tests and 18% of (anti-HBc) tests were unnecessarily repeated over a three-year period at a university hospital. The rate of inappropriate tests used for the diagnosis of hepatitis A infection was 52.2% in a two-year study at a state hospital. At this same hospital, it was detected that 12.9% of anti-HBs, 12.9% of anti-HBc total, 74.8% of anti-HBc immunoglobulin M (IgM), 83.9% of hepatitis B envelope antigen (HBeAg), and 75.2% of anti-HBe tests were unnecessary, at a total cost of 56.153 Turkish liras (TL) (4). Genc and Aksu (5) found that the percentages of unnecessary test requests were 2.23% in anti-HBs, 0.7% in anti-HBc total, 37.41% in anti-HBc IgM, 44.86%

show abstract

Inappropriate Use of Serological Tests for Hepatitis B Virus in Evliya Celebi Education and Research Hospital of Dumlupinar University, Kutahya

Cited by 7 publications

References 8 publications

Unnecessary Hepatitis-B Orders

Unnecessary Hepatitis-B Orders

Inappropriateness in laboratory medicine: an elephant in the room?

An Important Financial Burden: Unnecessary Test Requests for Viral Hepatitis

Contact Info

Product

Resources

About