Patterns of point-of-care test use among obstetricians and gynaecologists in the US

Anne Marie Rompalo, Neko Castleberry, Lea Widdice, Jay Schulkin, Charlotte A Gaydos

Research output: Contribution to journalArticle

Abstract

Background: Point-of-care tests (POCTs) for reproductive health conditions have existed for decades. Newer POCTs for syphilis, HIV and trichomonas are currently available and easy to use. We surveyed practicing obstetricians and gynaecologists to determine current POCT use and perceived obstacles to use. Methods: Between June and August 2016, 1000 members of the American College of Obstetricians and Gynecologists were randomly selected and invited to complete a Qualtrics (222 West river Park Drive, Provo, Utah 84604, USA) survey∼ 600 of these were members of the Collaborative Ambulatory Research Network. Respondents who completed at least 60% of the survey were included in the analysis. Results: Of the 1000 selected members, 749 had valid emails and 288 (38%) of these participated in and completed the survey. Of the respondents, 70% were male with a mean of 18 years in practice. Detection of sexually transmissible infections (STIs) once or twice a week was reported by 30%, whereas 45% reported detecting STIs once or twice a month. POCTs used included pregnancy tests (83%), urine dipstick (83%), wet mount tests (79%) and the vagina pH test (54.8%). Few used Gram stain (5%) and stat rapid plasma regain tests (4%). Relatively newer US Food and Drug Administration-approved POCTs were used less frequently, with 25% of respondents reporting using the Affirm VPIII (Becton, Dickinson and Company, 1 Becton Drive, Franklin Lakes, NJ 07471, USA) test use and only 10% using a rapid HIV test. The most common perceived barriers to testing were the amount of reimbursement received for performing the test (61.9%) and the payment coverage from the patient (61.3%). Conclusions: US obstetricians and gynaecologists rely on laboratory test results and traditional POCTs to diagnosis STIs. Future development and marketing of POCTs should consider not only ease and time of test performance, but also the cost of the tests to the practice and the patient, as well as reimbursement.

Original languageEnglish (US)
JournalSexual Health
DOIs
StateAccepted/In press - Jun 19 2018

Fingerprint

Point-of-Care Systems
Infection
HIV
Trichomonas
Pregnancy Tests
Reproductive Health
Vagina
United States Food and Drug Administration
Syphilis
Lakes
Marketing
Rivers
Surveys and Questionnaires
Urine
Costs and Cost Analysis

Keywords

  • near-patient diagnosis
  • reproductive health
  • sexually transmitted infections.

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Patterns of point-of-care test use among obstetricians and gynaecologists in the US. / Rompalo, Anne Marie; Castleberry, Neko; Widdice, Lea; Schulkin, Jay; Gaydos, Charlotte A.

In: Sexual Health, 19.06.2018.

Research output: Contribution to journalArticle

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title = "Patterns of point-of-care test use among obstetricians and gynaecologists in the US",
abstract = "Background: Point-of-care tests (POCTs) for reproductive health conditions have existed for decades. Newer POCTs for syphilis, HIV and trichomonas are currently available and easy to use. We surveyed practicing obstetricians and gynaecologists to determine current POCT use and perceived obstacles to use. Methods: Between June and August 2016, 1000 members of the American College of Obstetricians and Gynecologists were randomly selected and invited to complete a Qualtrics (222 West river Park Drive, Provo, Utah 84604, USA) survey∼ 600 of these were members of the Collaborative Ambulatory Research Network. Respondents who completed at least 60{\%} of the survey were included in the analysis. Results: Of the 1000 selected members, 749 had valid emails and 288 (38{\%}) of these participated in and completed the survey. Of the respondents, 70{\%} were male with a mean of 18 years in practice. Detection of sexually transmissible infections (STIs) once or twice a week was reported by 30{\%}, whereas 45{\%} reported detecting STIs once or twice a month. POCTs used included pregnancy tests (83{\%}), urine dipstick (83{\%}), wet mount tests (79{\%}) and the vagina pH test (54.8{\%}). Few used Gram stain (5{\%}) and stat rapid plasma regain tests (4{\%}). Relatively newer US Food and Drug Administration-approved POCTs were used less frequently, with 25{\%} of respondents reporting using the Affirm VPIII (Becton, Dickinson and Company, 1 Becton Drive, Franklin Lakes, NJ 07471, USA) test use and only 10{\%} using a rapid HIV test. The most common perceived barriers to testing were the amount of reimbursement received for performing the test (61.9{\%}) and the payment coverage from the patient (61.3{\%}). Conclusions: US obstetricians and gynaecologists rely on laboratory test results and traditional POCTs to diagnosis STIs. Future development and marketing of POCTs should consider not only ease and time of test performance, but also the cost of the tests to the practice and the patient, as well as reimbursement.",
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AU - Gaydos, Charlotte A

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AB - Background: Point-of-care tests (POCTs) for reproductive health conditions have existed for decades. Newer POCTs for syphilis, HIV and trichomonas are currently available and easy to use. We surveyed practicing obstetricians and gynaecologists to determine current POCT use and perceived obstacles to use. Methods: Between June and August 2016, 1000 members of the American College of Obstetricians and Gynecologists were randomly selected and invited to complete a Qualtrics (222 West river Park Drive, Provo, Utah 84604, USA) survey∼ 600 of these were members of the Collaborative Ambulatory Research Network. Respondents who completed at least 60% of the survey were included in the analysis. Results: Of the 1000 selected members, 749 had valid emails and 288 (38%) of these participated in and completed the survey. Of the respondents, 70% were male with a mean of 18 years in practice. Detection of sexually transmissible infections (STIs) once or twice a week was reported by 30%, whereas 45% reported detecting STIs once or twice a month. POCTs used included pregnancy tests (83%), urine dipstick (83%), wet mount tests (79%) and the vagina pH test (54.8%). Few used Gram stain (5%) and stat rapid plasma regain tests (4%). Relatively newer US Food and Drug Administration-approved POCTs were used less frequently, with 25% of respondents reporting using the Affirm VPIII (Becton, Dickinson and Company, 1 Becton Drive, Franklin Lakes, NJ 07471, USA) test use and only 10% using a rapid HIV test. The most common perceived barriers to testing were the amount of reimbursement received for performing the test (61.9%) and the payment coverage from the patient (61.3%). Conclusions: US obstetricians and gynaecologists rely on laboratory test results and traditional POCTs to diagnosis STIs. Future development and marketing of POCTs should consider not only ease and time of test performance, but also the cost of the tests to the practice and the patient, as well as reimbursement.

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KW - sexually transmitted infections.

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