Use of Rheumatology Laboratory Studies among Primary Pediatricians

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Rheumatology laboratory tests are often inappropriately ordered in situations for which they are of low diagnostic utility. We surveyed pediatricians to investigate reasons for ordering these tests. The response rate was 15.3% (93/609). The most commonly ordered tests were antinuclear antibody (ANA), anti-double-stranded DNA (dsDNA) antibody, and rheumatoid factor (RF). Of the 89% (83/93) who ordered an ANA, 86% ordered it for correct/possibly correct reasons; of the 73% (68/93) who ordered RF, 80% did so for correct/possibly correct reasons; and among the 59% (54/92) who had ordered anti-dsDNA antibody, 34% ordered it for correct reasons. A positive relationship was seen between years since residency completion and correct use of ANA. However, positive associations were not seen between measures of pediatric rheumatology experience and correct use of other tests. Interventions are needed to improve pediatricians' utilization of rheumatology tests.

Original languageEnglish (US)
Pages (from-to)1279-1288
Number of pages10
JournalClinical Pediatrics
Volume55
Issue number14
DOIs
StatePublished - Dec 1 2016

Fingerprint

Antinuclear Antibodies
Rheumatology
Rheumatoid Factor
Antibodies
Internship and Residency
Pediatrics
DNA
Pediatricians

Keywords

  • HLA-B27
  • antinuclear antibody
  • cyclic citrullinated peptide
  • double-stranded DNA
  • laboratory test
  • pediatric rheumatology
  • pediatrician
  • primary care
  • referral
  • rheumatoid factor

Cite this

Use of Rheumatology Laboratory Studies among Primary Pediatricians. / Correll, Colleen K.; Spector, Logan G.; Zhang, Lei; Binstadt, Bryce A.; Vehe, Richard K.

In: Clinical Pediatrics, Vol. 55, No. 14, 01.12.2016, p. 1279-1288.

Research output: Contribution to journalArticle

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