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Overutilization of Test for Hemoglobinopathy Evaluation: Experience from a Tertiary Care Academic Medical Center
Amer Wahed1, Joe J Rodriguez1, Andy Nguyen1
1Department of Pathology and Laboratory Medicine The University of Texas Health Science Center McGovern Medical School, Houston, TX, USA.
Background:
Hemoglobin electrophoresis is a common clinical laboratory test for the identification of hemoglobinopathies in clinical practice. We investigated the utilization of this test in our academic teaching hospital and hypothesized that hemoglobin electrophoresis evaluation is overutilized at this institution.
Methods:
128 consecutive cases were analyzed and their medical records were studied to determine the clinical indication for the hemoglobin electrophoresis.
Results:
Of the 128 cases studied, only 44% of cases had a justifiable reason for obtaining the hemoglobin electrophoresis, whereas the remaining 56% of cases did not have an acceptable indication for obtaining the test.
Conclusions:
We conclude that hemoglobin electrophoresis is overutilized in our academic medical center and we recommend consultation with clinical pathologists prior to ordering such tests.
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