D-vitaminanalyser i primärvård måste användas ändamålsenligt. Ny strategi i Östergötland för införande och uppföljning av analyser gav bra resultat
Engelsk titel: Appropriate use of vitamin D assessments in primary health care: Impact of new strategies for the introduction and follow-up of analyses in Östergötland
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Författare:
Magnusson, Per
;
Nilsen, Per
;
Schedvin, Göran
Email: per.magnusson@regionostergotland.se
Språk: Swe
Antal referenser: 16
Dokumenttyp:
Artikel
UI-nummer: 19050230
Sammanfattning
Systematic reviews and meta-analyses have shown that there is little justification for vitamin D supplements to prevent infections, cancer and cardiovascular disease. Despite the limited evidence of effectiveness, the total number of ordered serum 25-hydroxyvitamin D (25(OH)D) tests has increased considerably in recent years. There seems to be an overuse of this test that does not provide meaningful benefit for patients. A passive introduction of new tests leads generally to a slow initiation of value-based diagnostics, as well as overuse and underuse of diagnostic tests. In this study, in Region Östergötland, we applied a »Choosing wisely« model that reversed a rising trend of 25(OH)D tests and reduced the number of unnecessary tests. The findings point to the need for strategic plans for introducing new analyses and approaches to counteract misuse of laboratory diagnostics. We recommend »Choosing wisely« models for the introduction of new analyses to facilitate appropriate laboratory diagnostics and to counteract long-term overuse.