Department of Laboratory Medicine, H Plus Yangji Hospital, Seoul, Korea.
Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
J Korean Med Sci. 2024 Nov 18;39(44):e319. doi: 10.3346/jkms.2024.39.e319.
We retrospectively examined current trends in ordering for erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) testing. All claims corresponding to ESR and CRP testing for hospital visits in 2022 were obtained from a platform operated by the Health Insurance and Review Agency. The annual (2018-2022) utilization and cost of ESR and CRP, total inpatient days, and patient encounters with outpatients were retrieved. The number of ESR and CRP tests gradually increased over 5 years, except a slight decrease in 2020. The proportion of claims with co-ordering of ESR and CRP tests was 46.64%. More than 60% co-ordering claims were observed in orthopedic surgery, neurosurgery, and plastic surgery departments. The proportion of co-orders was relatively high in inpatient setting and primary hospitals. This study indicated frequent co-ordering patterns of ESR and CRP tests, highlighting an urgent need for diagnostic stewardship programs on ESR and CRP testing in Korea.
我们回顾性地研究了红细胞沉降率（ESR）和 C 反应蛋白（CRP）检测的开单趋势。从健康保险审查机构运营的平台上获取了 2022 年医院就诊时 ESR 和 CRP 检测的所有相关索赔。检索了 ESR 和 CRP 的年度（2018-2022 年）使用率和成本、总住院天数和与门诊病人的就诊次数。除了 2020 年略有下降外，ESR 和 CRP 检测的开单数量在 5 年内逐渐增加。同时检测 ESR 和 CRP 的联合开单比例为 46.64%。在骨科、神经外科和整形外科等科室，超过 60%的联合开单。在住院患者和基层医疗机构中，联合开单的比例相对较高。本研究表明，ESR 和 CRP 检测的联合开单模式较为频繁，突显了在韩国实施 ESR 和 CRP 检测诊断管理计划的迫切需要。
