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Review
. 2021 Jun 23;11(7):1141.
doi: 10.3390/diagnostics11071141.

Laboratory Demand Management Strategies-An Overview

Cornelia Mrazek  1 , Elisabeth Haschke-Becher  1 , Thomas K Felder  1 , Martin H Keppel  1 , Hannes Oberkofler  1 , Janne Cadamuro  1
Affiliations
Review

Laboratory Demand Management Strategies-An Overview

Cornelia Mrazek et al. Diagnostics (Basel). .

Abstract

Inappropriate laboratory test selection in the form of overutilization as well as underutilization frequently occurs despite available guidelines. There is broad approval among laboratory specialists as well as clinicians that demand management strategies are useful tools to avoid this issue. Most of these tools are based on automated algorithms or other types of machine learning. This review summarizes the available demand management strategies that may be adopted to local settings. We believe that artificial intelligence may help to further improve these available tools.

Keywords: appropriate laboratory test ordering; overutilization; pre-analytical phase; underutilization.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Categorization of DM strategies: Stratification of whether DM tools prevent overutilization and/or underutilization. LOP = laboratory ordering profile.
See this image and copyright information in PMC

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References

    1. Whiting P., Toerien M., de Salis I., Sterne J.A., Dieppe P., Egger M., Fahey T. A review identifies and classifies reasons for ordering diagnostic tests. J. Clin. Epidemiol. 2007;60:981–989. doi: 10.1016/j.jclinepi.2007.01.012. - DOI - PubMed
    1. Fryer A.A., Hanna F.W. Managing demand for pathology tests: Financial imperative or duty of care? Ann. Clin. Biochem. 2009;46:435–437. doi: 10.1258/acb.2009.009186. - DOI - PubMed
    1. Blumberg G., Kitai E., Vinker S., Golan-Cohen A. Changing electronic formats is associated with changes in number of laboratory tests ordered. Am. J. Manag. Care. 2019;25:e179–e181. - PubMed
    1. Mrazek C., Simundic A.M., Salinas M., von Meyer A., Cornes M., Bauçà J.M., Nybo M., Lippi G., Haschke-Becher E., Keppel M.H., et al. Inappropriate use of laboratory tests: How availability triggers demand—Examples across Europe. Clin. Chim. Acta. 2020;505:100–107. doi: 10.1016/j.cca.2020.02.017. - DOI - PubMed
    1. Zhi M., Ding E.L., Theisen-Toupal J., Whelan J., Arnaout R. The landscape of inappropriate laboratory testing: A 15-year meta-analysis. PLoS ONE. 2013;8:e78962. doi: 10.1371/journal.pone.0078962. - DOI - PMC - PubMed

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