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Pregled bibliografske jedinice broj: 1090993

Reducing the probability of falsely elevated HbA1c results in diabetic patients by applying automated and educative HbA1c re-testing intervals


Mrazek, Cornelia; Stechemesser, Lars; Haschke- Becher, Elisabeth; Hölzl, Bertram; Paulweber, Bernhard; Keppel, Martin H.; Simundic, Ana- Maria; Oberkofler, Hannes; Felder, Thomas K.; Cadamuro, Janne
Reducing the probability of falsely elevated HbA1c results in diabetic patients by applying automated and educative HbA1c re-testing intervals // Clinical biochemistry, 80 (2020), 14-18 doi:10.1016/j.clinbiochem.2020.03.014 (međunarodna recenzija, članak, znanstveni)


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Naslov
Reducing the probability of falsely elevated HbA1c results in diabetic patients by applying automated and educative HbA1c re-testing intervals

Autori
Mrazek, Cornelia ; Stechemesser, Lars ; Haschke- Becher, Elisabeth ; Hölzl, Bertram ; Paulweber, Bernhard ; Keppel, Martin H. ; Simundic, Ana- Maria ; Oberkofler, Hannes ; Felder, Thomas K. ; Cadamuro, Janne

Izvornik
Clinical biochemistry (0009-9120) 80 (2020); 14-18

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Overuse ; Overutilisation ; Demand management ; Inappropriate laboratory use ; Gate keeping

Sažetak
Abstract Introduction Too frequent HbA1c measurements may lead to unnecessary treatment modifications of diabetic patients. The aim of this study was to estimate the percentage of falsely elevated HbA1c results in two hospitals, Landeskrankenhaus/Uniklinikum Salzburg (LKH) and Landesklinik St. Veit (STV), as well as to retrospectively investigate the effect of an automated and an educative 60-day re-testing interval (RTI). Methods The amount of estimated falsely elevated results (eFER), based on odds calculated using the baseline and the follow-up values and the time between these measurements, the number of HbA1c re-testings within 60 days as well as the overall number of ordered and performed HbA1c analyses were calculated. In LKH, an automated algorithm cancelling inappropriate HbA1c testing was applied, and in STV, educational actions were taken. Results Before RTI-implementation, eFER were 0.9% and 2.1% and within-60-days-re-testing were 15.0% and 7.4% of cases in LKH and STV, respectively. After RTI-implementation, these numbers decreased to 0.2% (p < .001) and 1.8% (p = .869) and within- 60-days-re-testing decreased to 1.1% (p < .001) and 3.6% (p = .003) in LKH and STV, respectively. Median monthly HbA1c measurements decreased by 15.8% (p < .001) and 21.1% (p = .002) in LKH and STV, respectively. Conclusion Both the educational and the automated 60-day-RTI were proven to be efficient in reducing overall HbA1c measurements, re-testing within 60 days and eFER.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Ustanove:
Farmaceutsko-biokemijski fakultet, Zagreb,
Klinička bolnica "Sveti Duh"

Profili:

Avatar Url Ana-Maria Šimundić (autor)

Citiraj ovu publikaciju

Mrazek, Cornelia; Stechemesser, Lars; Haschke- Becher, Elisabeth; Hölzl, Bertram; Paulweber, Bernhard; Keppel, Martin H.; Simundic, Ana- Maria; Oberkofler, Hannes; Felder, Thomas K.; Cadamuro, Janne
Reducing the probability of falsely elevated HbA1c results in diabetic patients by applying automated and educative HbA1c re-testing intervals // Clinical biochemistry, 80 (2020), 14-18 doi:10.1016/j.clinbiochem.2020.03.014 (međunarodna recenzija, članak, znanstveni)
Mrazek, C., Stechemesser, L., Haschke- Becher, E., Hölzl, B., Paulweber, B., Keppel, M., Simundic, A., Oberkofler, H., Felder, T. & Cadamuro, J. (2020) Reducing the probability of falsely elevated HbA1c results in diabetic patients by applying automated and educative HbA1c re-testing intervals. Clinical biochemistry, 80, 14-18 doi:10.1016/j.clinbiochem.2020.03.014.
@article{article, year = {2020}, pages = {14-18}, DOI = {10.1016/j.clinbiochem.2020.03.014}, keywords = {Overuse, Overutilisation, Demand management, Inappropriate laboratory use, Gate keeping}, journal = {Clinical biochemistry}, doi = {10.1016/j.clinbiochem.2020.03.014}, volume = {80}, issn = {0009-9120}, title = {Reducing the probability of falsely elevated HbA1c results in diabetic patients by applying automated and educative HbA1c re-testing intervals}, keyword = {Overuse, Overutilisation, Demand management, Inappropriate laboratory use, Gate keeping} }
@article{article, year = {2020}, pages = {14-18}, DOI = {10.1016/j.clinbiochem.2020.03.014}, keywords = {Overuse, Overutilisation, Demand management, Inappropriate laboratory use, Gate keeping}, journal = {Clinical biochemistry}, doi = {10.1016/j.clinbiochem.2020.03.014}, volume = {80}, issn = {0009-9120}, title = {Reducing the probability of falsely elevated HbA1c results in diabetic patients by applying automated and educative HbA1c re-testing intervals}, keyword = {Overuse, Overutilisation, Demand management, Inappropriate laboratory use, Gate keeping} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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