病理学家儿科患者基因管理。

IF 0.7 4区 医学 Q4 PATHOLOGY
Fetal and Pediatric Pathology Pub Date : 2023-12-01 Epub Date: 2023-11-22 DOI:10.1080/15513815.2023.2263790
Randall Craver
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引用次数: 0

摘要

背景:对住院患者进行基因检测的费用由医院承担。周转时间为数周,通常超过住院时间。材料和方法:我们同时审查了18个月内所有发送的基因住院检测请求,推迟了那些可以作为门诊获得的检测,将检测引导到价格较低的实验室,并提供互补的检测资料,并确定了免费赞助的检测。结果:在121项测试请求中,25项被推迟,8项被确定为替代性较低成本的实验室,16项请求被直接用于赞助测试,节省了42.3%的成本。在发送的96份测试中,18份(18.8%)确定了可解释的遗传异常。结论:通过之前的检测审查,大约40%的发送基因检测成本降低了。延期、替代实验室和赞助测试有助于节省成本。诊断性住院患者基因检测的效率约为20%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pathologist Pediatric In-Patient Genetic Stewardship.

Background: Costs for sendout genetic testing on in-patients are billed to the hospital. Turnaround times are several weeks, often extending past the inpatient hospitalization.Materials and Methods: We concurrently reviewed all sendout genetic in-patient test requests over an 18-month period, deferring those that could be obtained as an outpatient, directing the tests to less expensive laboratories with complementary testing profiles, and identifying no-charge sponsored tests.Results: Of 121 test requests, 25 were deferred, alternative less expensive laboratories were identified for 8, 16 requests were directed to sponsored tests, for a 42.3% cost saving. Of the 96 tests sent, 18 (18.8%) identified an explanatory genetic abnormality.Conclusions: Approximately 40% of the sendout genetic testing costs were reduced with prior test review. Deferment, alternative laboratories, and sponsored tests contributed to cost savings. Efficiency of diagnostic inpatient genetic testing was approximately 20%.

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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Fetal and Pediatric Pathology is an established bimonthly international journal that publishes data on diseases of the developing embryo, newborns, children, and adolescents. The journal publishes original and review articles and reportable case reports. The expanded scope of the journal encompasses molecular basis of genetic disorders; molecular basis of diseases that lead to implantation failures; molecular basis of abnormal placentation; placentology and molecular basis of habitual abortion; intrauterine development and molecular basis of embryonic death; pathogenisis and etiologic factors involved in sudden infant death syndrome; the underlying molecular basis, and pathogenesis of diseases that lead to morbidity and mortality in newborns; prenatal, perinatal, and pediatric diseases and molecular basis of diseases of childhood including solid tumors and tumors of the hematopoietic system; and experimental and molecular pathology.
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