Variability in thyroid function test requests across general practices in south-west England

Quality in Primary Care

Volumn 21, Issue 3, 2013, Pages 143-148

  Vaidya, Bijay ^a   Ukoumunne, Obioha C ^b   Shuttleworth, Joanna ^b   Bromley, Alan ^c   Lewis, Aled ^a   Hyde, Chris ^b   Patterson, Anthea ^b   Fleming, Simon ^b   Tomlinson, Julie ^d  

^a ROYAL DEVON AND EXETER HOSPITAL   (United Kingdom)

^b UNIVERSITY OF EXETER MEDICAL SCHOOL   (United Kingdom)

^c ROYAL CORNWALL HOSPITAL   (United Kingdom)

^d UNIVERSITY OF PLYMOUTH   (United Kingdom)

Author keywords

Audit; Clinical practice variation; General practice; Laboratory tests; Primary care; Thyroid

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; FEMALE; GENERAL PRACTICE; HUMAN; MALE; MIDDLE AGED; POISSON DISTRIBUTION; REPRODUCIBILITY; STANDARD; THYROID DISEASE; THYROID FUNCTION TEST; UNITED KINGDOM; VERY ELDERLY;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ENGLAND; FAMILY PRACTICE; FEMALE; HUMANS; MALE; MIDDLE AGED; POISSON DISTRIBUTION; REPRODUCIBILITY OF RESULTS; THYROID DISEASES; THYROID FUNCTION TESTS;

EID: 84881302963     PISSN: 14791072     EISSN: 14791064     Source Type: Journal    
DOI: None     Document Type: Article

References (14)

1. Vanderpump MP, Tunbridge WM, French JM et al. The incidence of thyroid disorders in the community: a twenty-year follow-up of the Whickham Survey. Clinical Endocrinology (Oxf) 1995;1995:55-68.
2. UK Guidelines for the Use of Thyroid Function Tests. www.british-thyroid- association.org/info-for-patients/Docs/TFT-fiuideline-final-version-) uly-2006.pdf (accessed 25/11/12).
3. Roti E, Gardini E, Magotti MG et al. Are thyroid function tests too frequently and inappropriately requested? Journal of Endocrinological Investigation 1999;1999:184-90.
4. Rao GG, Crook M and Tillyer ML. Pathology tests: is the time for demand management ripe at last? Journal of Clinical Pathology 2003;2003:243-8.
5. National General Practice Profiles, www.apho.org.uk/PRACPROF (accessed 01/09/12).
6. Hayes RJ and Bennett S. Simple sample size calculation for cluster-randomized trials. International Journal of Epidemiology 1999;1999:319-26.
7. O'Kane MJ, Casey L, Lynch PL, McGowan N and Corey J. Clinical outcome indicators, disease prevalence and test request variability in primary care. Annals of Clinical Biochemistry 2011;2011:155-8.
8. QIPP - Quality, Innovation, Productivity and Prevention. www.dh.gov. uk/health/category/policy-areas/nhs/quality/qipp (accessed 25/11/12).
9. Schectman JM, Elinsky EG and Pawlson LG. Effect of education and feedback on thyroid function testing strategies of primary care clinicians. Archives of Internal Medicine 1991;1991:2163-6.
10. Baker R, Falconer Smith J and Lambert PC. Randomised controlled trial of the effectiveness of feedback in improving test ordering in general practice. Scandinavian Journal of Primary Health Care 2003;2003:219-23.
11. Verstappen WH, van der Weijden T, Sijbrandij J et al. Effect of a practice-based strategy on test ordering performance of primary care physicians: a randomized trial. The Journal of the American Medical Association 2003;2003:2407-12.
12. Grol R and Wensing M. What drives change? Barriers to and incentives for achieving evidence-based practice. Medical Journal of Australia 2004;180:S57-60.
13. Dupuits FM, Pop P, Hasman A and Schouten HJ. A rational request behavior: the development of prediction instruments regarding thyroid function tests in primary care. Methods of Information in Medicine 1999;1999:31-6.
14. Valenstein P and Schifman RB. Duplicate laboratory orders: a College of American Pathologists Q-Probes study of thyrotropin requests in 502 institutions. Archives of Pathology & Laboratory Medicine 1996;120:917-21.