{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T18:42:57Z","timestamp":1776451377753,"version":"3.51.2"},"reference-count":34,"publisher":"Walter de Gruyter GmbH","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_dx-2019-0081_s_999_w2aab3b7c24b1b6b1aab1c17b1Aa\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laboratory tests are an essential aspect of current medical practice and their use has grown exponentially. Several studies however have demonstrated inappropriate use of laboratory testing. This inappropriateness can lead to delayed or wrong diagnosis, negatively impacting patient safety and an increase in health care expenditure. The aim of the present small-scale survey was to obtain information on the current status of demand management in European laboratories, as well as the opinions of laboratory and clinical professionals in this regard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2019-0081_s_998_w2aab3b7c24b1b6b1aab1c17b2Aa\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two surveys were developed, one for laboratory specialists and one for clinicians, covering information on current use, knowledge and opinions on the possible impact of different demand management strategies on patient outcome and health care costs. Additionally, we asked for the current state and willingness on collaboration of laboratory specialists and clinicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2019-0081_s_997_w2aab3b7c24b1b6b1aab1c17b3Aa\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and fifty responses, 72 laboratory specialists and 78 clinicians, from nine countries were received. Developing local ordering protocols\/profiles in collaboration with clinicians was the most used strategy (80.3% of laboratories). Of clinicians, 85.6% considered measures to ensure appropriate use of tests necessary and 100% were interested in advice\/information about their indication. Of the laboratory specialists 97.2% were either already participating or willing to participate in multidisciplinary groups on the appropriateness of test demand as were 60.3% of clinicians, and 85.9% of clinicians were interested in attending activities about laboratory test demand management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2019-0081_s_996_w2aab3b7c24b1b6b1aab1c17b4Aa\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results of our survey show that tools to improve the appropriate use of laboratory tests are already regularly used today. Laboratory medicine specialists as well as clinicians are willing to undertake additional shared activities aimed at improving patient-centered laboratory diagnostic workup.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/dx-2019-0081","type":"journal-article","created":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T04:01:26Z","timestamp":1580184086000},"page":"111-119","source":"Crossref","is-referenced-by-count":11,"title":["Clinicians\u2019 and laboratory medicine specialists\u2019 views on laboratory demand management: a survey in nine European countries"],"prefix":"10.1515","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0590-946X","authenticated-orcid":false,"given":"Mercedes","family":"Ibarz","sequence":"first","affiliation":[{"name":"Department of Clinical Laboratory , University Hospital Arnau de Vilanova, IRBLleida , Rovira Roure 80 , 25198 Lleida , Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6200-9831","authenticated-orcid":false,"given":"Janne","family":"Cadamuro","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine , Paracelsus Medical University , Salzburg , Austria"}]},{"given":"Zorica","family":"Sumarac","sequence":"additional","affiliation":[{"name":"Center for Medical Biochemistry, Clinical Center of Serbia , Belgrade , Serbia"},{"name":"Faculty of Pharmacy , Novi Sad , Serbia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4836-6311","authenticated-orcid":false,"given":"Joao Tiago","family":"Guimaraes","sequence":"additional","affiliation":[{"name":"Department of Clinical Pathology, Sao Joao Hospital Center , University of Porto , Porto , Portugal"},{"name":"Department of Biomedicine, Faculty of Medicine , University of Porto , Porto , Portugal"},{"name":"EPIUnit, Institute of Public Health, University of Porto , Porto , Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6898-286X","authenticated-orcid":false,"given":"Svetlana","family":"Kovalevskaya","sequence":"additional","affiliation":[{"name":"Clinical Laboratory Diagnostic Department with Course of Molecular Medicine , 1st Pavlov State Medical University , St-Petersburg , Russia"}]},{"given":"Mads","family":"Nybo","sequence":"additional","affiliation":[{"name":"Clinical Biochemistry and Pharmacology , Odense University Hospital , Odense , Denmark"}]},{"given":"Michael P.","family":"Cornes","sequence":"additional","affiliation":[{"name":"Department of Clinical Biochemistry , Worcestershire Acute Hospitals NHS Trust , Worcester , UK"}]},{"given":"Pieter","family":"Vermeersch","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine , University Hospitals Leuven , Leuven , Belgium"}]},{"given":"Ana-Maria","family":"Simundic","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory Diagnostics , Clinical Hospital \u201cSveti Duh\u201d , Zagreb , Croatia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9523-9054","authenticated-orcid":false,"given":"Giuseppe","family":"Lippi","sequence":"additional","affiliation":[{"name":"Section of Clinical Biochemistry , University of Verona , Verona , Italy"}]}],"member":"374","published-online":{"date-parts":[[2020,1,28]]},"reference":[{"key":"2026041717500722915_j_dx-2019-0081_ref_001_w2aab3b7c24b1b6b1ab2b1b1Aa","doi-asserted-by":"crossref","unstructured":"Barletta G, Zaninotto M, Faggian D, Plebani M. 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