Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Geriatrics, Gerontology and Aging (Online) |
Texto Completo: | https://ggaging.com/details/1664 |
Resumo: | <p><b>OBJECTIVE:</b> To investigate, within a private health insurance, the ordering frequency and the costs related to inappropriate tumor markers test orders. <br> <b>METHODS:</b> This study analyzed data regarding tumor markers requests within a private health insurance between 2010 and 2017. Patients included in this analysis were ≥ 50 years old, had available medical records, and had at least 1 tumor markers tested within the study period. Tests were considered inappropriate when tumor markers were used in screening for neoplasms, ie, when there was no previous diagnosis. We evaluated data regarding age, sex, the ordering physician's medical specialty, and test costs.<br> <b>RESULTS:</b> Between 2010 and 2017, 1112 tumor markers tests were performed and increased from 52 to 262 per year. Our sample consisted mostly of women (69.50%) with a mean age of 59.40 (SD 8.20) years. Most orders were inappropriate (87.80%) and represented 79.40% of all expenses with tumor markers tests. Cardiology professionals were the medical specialty that requested the most tumor markers tests (23.90%), followed by internal medicine specialists (22.70%) and gynecologists (19.20%). <br> <b> CONCLUSIONS:</b> We observed a high percentage of inappropriate test orders in the study period, resulting in elevated costs. Studies of this nature deserve the attention of health care managers, and interventions should be performed in order to reduce the inappropriate use of tumor markers tests in clinical practice. KEYWORDS: biomarkers; mass screening; medical examination; medical overuse.</p> |
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Geriatrics, Gerontology and Aging (Online) |
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Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learnedbiomarkers mass screening medical examination medical overuse.<p><b>OBJECTIVE:</b> To investigate, within a private health insurance, the ordering frequency and the costs related to inappropriate tumor markers test orders. <br> <b>METHODS:</b> This study analyzed data regarding tumor markers requests within a private health insurance between 2010 and 2017. Patients included in this analysis were ≥ 50 years old, had available medical records, and had at least 1 tumor markers tested within the study period. Tests were considered inappropriate when tumor markers were used in screening for neoplasms, ie, when there was no previous diagnosis. We evaluated data regarding age, sex, the ordering physician's medical specialty, and test costs.<br> <b>RESULTS:</b> Between 2010 and 2017, 1112 tumor markers tests were performed and increased from 52 to 262 per year. Our sample consisted mostly of women (69.50%) with a mean age of 59.40 (SD 8.20) years. Most orders were inappropriate (87.80%) and represented 79.40% of all expenses with tumor markers tests. Cardiology professionals were the medical specialty that requested the most tumor markers tests (23.90%), followed by internal medicine specialists (22.70%) and gynecologists (19.20%). <br> <b> CONCLUSIONS:</b> We observed a high percentage of inappropriate test orders in the study period, resulting in elevated costs. Studies of this nature deserve the attention of health care managers, and interventions should be performed in order to reduce the inappropriate use of tumor markers tests in clinical practice. KEYWORDS: biomarkers; mass screening; medical examination; medical overuse.</p>Sociedade Brasileira de Geriatria e Gerontologia2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttps://ggaging.com/details/1664Geriatrics, Gerontology and Aging v.15 n.0 2021reponame:Geriatrics, Gerontology and Aging (Online)instname:Sociedade Brasileira de Geriatria e Gerontologiainstacron:SBGG10.5327/Z2447-212320212000113info:eu-repo/semantics/openAccess Nascimento-Júnior,Valter Paz Camargos,Einstein Franciscoeng2021-01-01T00:00:00Zoai:ggaging.com:1664Revistahttp://sbgg.org.br/publicacoes-cientificas/revista-geriatria-gerontologia/ONGhttps://old.scielo.br/oai/scielo-oai.phpexecutiveditors@ggaging.com||nacional@sbgg.org.br2447-21232447-2115opendoar:2021-01-01T00:00Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologiafalse |
dc.title.none.fl_str_mv |
Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned |
title |
Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned |
spellingShingle |
Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned Nascimento-Júnior,Valter Paz biomarkers mass screening medical examination medical overuse. |
title_short |
Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned |
title_full |
Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned |
title_fullStr |
Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned |
title_full_unstemmed |
Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned |
title_sort |
Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned |
author |
Nascimento-Júnior,Valter Paz |
author_facet |
Nascimento-Júnior,Valter Paz Camargos,Einstein Francisco |
author_role |
author |
author2 |
Camargos,Einstein Francisco |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Nascimento-Júnior,Valter Paz Camargos,Einstein Francisco |
dc.subject.por.fl_str_mv |
biomarkers mass screening medical examination medical overuse. |
topic |
biomarkers mass screening medical examination medical overuse. |
description |
<p><b>OBJECTIVE:</b> To investigate, within a private health insurance, the ordering frequency and the costs related to inappropriate tumor markers test orders. <br> <b>METHODS:</b> This study analyzed data regarding tumor markers requests within a private health insurance between 2010 and 2017. Patients included in this analysis were ≥ 50 years old, had available medical records, and had at least 1 tumor markers tested within the study period. Tests were considered inappropriate when tumor markers were used in screening for neoplasms, ie, when there was no previous diagnosis. We evaluated data regarding age, sex, the ordering physician's medical specialty, and test costs.<br> <b>RESULTS:</b> Between 2010 and 2017, 1112 tumor markers tests were performed and increased from 52 to 262 per year. Our sample consisted mostly of women (69.50%) with a mean age of 59.40 (SD 8.20) years. Most orders were inappropriate (87.80%) and represented 79.40% of all expenses with tumor markers tests. Cardiology professionals were the medical specialty that requested the most tumor markers tests (23.90%), followed by internal medicine specialists (22.70%) and gynecologists (19.20%). <br> <b> CONCLUSIONS:</b> We observed a high percentage of inappropriate test orders in the study period, resulting in elevated costs. Studies of this nature deserve the attention of health care managers, and interventions should be performed in order to reduce the inappropriate use of tumor markers tests in clinical practice. KEYWORDS: biomarkers; mass screening; medical examination; medical overuse.</p> |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ggaging.com/details/1664 |
url |
https://ggaging.com/details/1664 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5327/Z2447-212320212000113 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Geriatria e Gerontologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Geriatria e Gerontologia |
dc.source.none.fl_str_mv |
Geriatrics, Gerontology and Aging v.15 n.0 2021 reponame:Geriatrics, Gerontology and Aging (Online) instname:Sociedade Brasileira de Geriatria e Gerontologia instacron:SBGG |
instname_str |
Sociedade Brasileira de Geriatria e Gerontologia |
instacron_str |
SBGG |
institution |
SBGG |
reponame_str |
Geriatrics, Gerontology and Aging (Online) |
collection |
Geriatrics, Gerontology and Aging (Online) |
repository.name.fl_str_mv |
Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologia |
repository.mail.fl_str_mv |
executiveditors@ggaging.com||nacional@sbgg.org.br |
_version_ |
1797174502575046657 |