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[Requests for chemical analysis: growth without end?].

L Thomas1

  • 1Zentrallabor Krankenhaus Nordwest, Frankfurt/Main.

Wiener Klinische Wochenschrift
|February 3, 1989
PubMed
Summary

Laboratory medicine analysis volume has plateaued for routine tests, but specialized immunoassays are rapidly increasing costs. This trend is driven by high-cost, specialized analyses like serology and drug monitoring.

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Area of Science:

  • Laboratory medicine
  • Clinical diagnostics

Context:

  • Analysis volume in German laboratory medicine grew 15% annually from 1970-mid-80s.
  • Routine analyses (clinical chemistry, hematology, etc.) now plateau, comprising 85% of tests.
  • Rapid growth challenges have shifted to specialized, high-cost analyses.

Purpose:

  • To analyze trends in laboratory medicine testing volume and costs.
  • To identify key drivers of increasing healthcare expenditure in diagnostics.

Summary:

  • While common lab tests have stabilized, a 15% annual increase in specialized analyses (serology, tumor markers, endocrinology, drug monitoring, microbiology) is occurring.
  • These specialized tests predominantly utilize cost-intensive immunoassay techniques.
  • This shift results in disproportionately escalating laboratory medicine costs.

Impact:

  • Highlights the economic impact of advanced diagnostic techniques on healthcare systems.
  • Informs strategies for cost containment in specialized laboratory testing.
  • Underscores the need for efficient diagnostic methodologies in evolving medical fields.

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