The impact of local guidelines on the tumour marker requesting patterns of a General Surgery Department.
Ann Clin Biochem
; 50(Pt 5): 438-42, 2013 Sep.
Article
em En
| MEDLINE
| ID: mdl-23828945
ABSTRACT
BACKGROUND:
The inappropriate use of tumour markers (TMs) is a common problem. The aim of this audit was to evaluate the impact of local guidelines on the TM requesting patterns of a General Surgery Department.METHODS:
CA 125, CA 19-9, CA15-3, CEA, AFP and HCG requests from all hospital surgical locations were audited over two periods of eight months before and after the implementation of local requesting guidelines.RESULTS:
Postintervention, total TM requests decreased by 32% while patient requests decreased by 9.8%. Single TM requesting increased and requests for panels containing four or more TMs decreased from 279 to 60 requests (78% reduction).CONCLUSION:
Interdepartmental collaboration and the implementation of local guidelines have resulted in a change in requesting behaviour, most notably a reduction in multiple TM panel requests.Palavras-chave
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Biomarcadores Tumorais
/
Guias de Prática Clínica como Assunto
/
Gestão da Qualidade Total
/
Fidelidade a Diretrizes
/
Hospitais Universitários
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
En
Revista:
Ann Clin Biochem
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Reino Unido