Abstract
ObjectiveTo better understand testing patterns in children, we measured temporal trends in paediatric testing from 2005 to 2019 in Oxfordshire, UK.DesignDescriptive study of population-based secondary data.SettingOxfordshire University Hospitals National Health Service Trust laboratories.ParticipantsChildren aged 0–15 years in Oxfordshire who received at least one blood test.Main outcome measuresWe estimated average annual percentage changes (AAPCs) in test use using joinpoint regression models. Temporal changes in age-adjusted rates in test use were calculated overall and stratified by healthcare setting, sex, and age.ResultsBetween 2005 and 2019, 1 749 425 tests were performed among 113 607 children. Overall test use declined until 2012, when test rates appeared to increase (AAPC 1.5%, 95% CI −0.8% to 3.9%). Most tests were performed in inpatient settings, where testing rates stayed steady (AAPC −0.6%, 95% CI −2.1% to 0.9%). Increases were highest in females, those aged 6–15 years and in the outpatient setting. The greatest increase in testing was for vitamin D (AAPC 26.5%), followed by parathyroid hormone (9.8%), iron studies (9.3%), folate (8.4%), vitamin B12(8.4%), HbA1c (8.0%), IgA (7.9%) and coeliac (7.7%).ConclusionsAfter an initial decline, laboratory test use by children in Oxfordshire demonstrated an apparent increase since 2012. Test use increased in outpatient and general practice settings, however remained steady in inpatient settings. Further research should examine the root causes and implications for test increases, and whether these increases are warranted. We encourage clinicians to consider the individual and systemic implications of performing blood tests in children.
Subject
Pediatrics, Perinatology and Child Health
Reference26 articles.
1. UK Department of Health . Report of the review of NHS pathology services in England chaired by LORD Carter of Coles. UK Department of Health London; 2006.
2. The value proposition for pathologists: a population health approach;Ducatman;Acad Pathol,2020
3. Pathology quality assurance review; 2014.
4. The ‘70% claim’: what is the evidence base?
5. Public Health England . The 2nd Atlas of variation in NHS diagnostic services in England. NHS RightCare; 2017.
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