Review finds inappropriate testing is rife in primary care

A systematic review finds vast scope for improvement

Inappropriate diagnostic testing is rife in primary care, according to a systematic review of studies from Australia and more than a dozen other countries.

GP paperwork

Most ECG tests ordered by GPs are at odds with national and international guidelines, say the University of Oxford researchers.

In the UK, for example, 92% of ECGs were inappropriate and routinely overused during perioperative assessments. But in other countries, they were underused when confirming a diagnosis of heart failure.

The analysis found wide variation in appropriate use of diagnostic