Temporal trends in use of tests in UK primary care, 2000-15: retrospective analysis of 250 million tests.

ABSTRACT:

Objectives

To assess the temporal change in test use in UK primary care and to identify tests with the greatest increase in use.

Design

Retrospective cohort study.

Setting

UK primary care.

Participants

All patients registered to UK General Practices in the Clinical Practice Research Datalink, 2000/1 to 2015/16.

Main outcome measures

Temporal trends in test use, and crude and age and sex standardised rates of total test use and of 44 specific tests.

Results

262 974 099 tests were analysed over 71 436 331 person years. Age and sex adjusted use increased by 8.5% annually (95% confidence interval 7.6% to 9.4%); from 14 869 tests per 10 000 person years in 2000/1 to 49 267 in 2015/16, a 3.3-fold increase. Patients in 2015/16 had on average five tests p

SUBMITTER: O'Sullivan JW 

PROVIDER: S-EPMC6260131 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature