Related Experiment Video

Updated: Apr 15, 2026

Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes
07:22

Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes

Published on: March 7, 2025

1.2K

[Spending with unnecessary complementary tests for hypertension and diabetes in health services]

Thiago Roberto Castellane Arena, Marli de Carvalho Jericó, Liliana Cristina de Castro

    Revista Gaucha De Enfermagem
    |April 7, 2015
    PubMed

    Insights

    Unnecessary lab tests for hypertension and diabetes patients in Brazil led to significant waste. Improving healthcare integration can reduce misallocation of resources and curb unnecessary spending.

    Area of Science:

    • Health Services Research
    • Public Health Policy
    • Clinical Laboratory Science

    Context:

    • Analysis of laboratory test utilization in primary, secondary, and tertiary healthcare settings in Southeastern Brazil (2006-2009).
    • Focus on patients with hypertension and diabetes, common chronic conditions requiring regular monitoring.
    • Exploratory-descriptive, quantitative study utilizing medical record data from 293 patients.

    Purpose:

    • To identify and quantify unnecessary laboratory tests ordered for patients with hypertension and diabetes.
    • To assess the financial expenditures associated with these unnecessary tests.
    • To investigate potential causes for unnecessary test ordering, such as healthcare system fragmentation.

    Summary:

    • A total of 9,522 laboratory tests were analyzed, with 5.97% identified as unnecessary.
    • Approximately 58% of unnecessary tests were requested by primary care (Family Health Center - NSF3), and 42% by secondary care (School Health Center - CSE).
    • Findings indicate a lack of integration between different healthcare levels, contributing to resource misallocation.

    Impact:

    • Highlights the economic burden of suboptimal laboratory test ordering in chronic disease management.
    • Suggests a need for improved care coordination and communication across healthcare levels to optimize resource allocation.
    • Provides evidence for policy interventions aimed at reducing healthcare waste and improving efficiency in managing hypertension and diabetes.

    More Related Videos

    A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-1906:46

    A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19

    Published on: July 5, 2022

    3.4K
    Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease06:16

    Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

    Published on: August 9, 2024

    1.1K

    Related Concept Videos

    Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

    Hypertension III: Clinical Manifestations and Diagnostic Studies

    Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
    773
    Errors occurring during blood pressure monitoring01:25

    Errors occurring during blood pressure monitoring

    Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
    Several factors...
    1.8K
    Pre-Procedural Guidelines for Assessing Blood Pressure01:10

    Pre-Procedural Guidelines for Assessing Blood Pressure

    Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
    973
    Diabetes: Symptoms, Diagnosis, and Complications01:15

    Diabetes: Symptoms, Diagnosis, and Complications

    For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
    2.9K
    Diabetes Mellitus: Type 2 and Gestational01:22

    Diabetes Mellitus: Type 2 and Gestational

    Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
    5.9K
    Hypertension I: Introduction01:28

    Hypertension I: Introduction

    Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
    1.3K