Use of Multiplex Molecular Panels to Diagnose Urinary Tract Infection in Older Adults
Abstract
Key Points Question How frequently are multiplex molecular syndromic panels used to diagnose urinary tract infection (UTI) among older Medicare beneficiaries? Findings In this cohort study of older adults, Medicare fee-for-service claims for multiplex testing with a primary diagnosis of UTI increased from 2 to 148 claims per 10 000 beneficiaries annually between 2016 and 2023. Meaning These findings suggest that claims for costly multiplex molecular testing for UTI are frequent among Medicare beneficiaries, including nursing home residents, despite a lack of clinical evidence supporting their value.
How strong is the evidence?
Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence.
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