Preventing overuse of laboratory diagnostics: a case study into diagnosing anaemia in Dutch general practice ...

Abstract Background More information is often thought to improve medical decision-making, which may lead to test overuse. This study assesses which out of 15 laboratory tests contribute to diagnosing the underlying cause of anaemia by general practitioners (GPs) and determines a potentially more efficient subset of tests for setting the correct diagnosis. Methods Logistic regression was performed to determine the impact of individual tests on the (correct) diagnosis. The statistically optimal test subset for diagnosing a (correct) underlying cause of anaemia by GPs was determined using data fr... Mehr ...

Verfasser: Kip, Michelle M. A.
Oonk, Martijn L. J.
Mark-David Levin
Schop, Annemarie
Bindels, Patrick J. E.
Kusters, Ron
Koffijberg, Hendrik
Dokumenttyp: Artikel
Erscheinungsdatum: 2020
Verlag/Hrsg.: figshare
Schlagwörter: Medicine / Neuroscience / 59999 Environmental Sciences not elsewhere classified / FOS: Earth and related environmental sciences / 19999 Mathematical Sciences not elsewhere classified / FOS: Mathematics / Cancer / Science Policy / 111714 Mental Health / FOS: Health sciences / Hematology / Computational Biology
Sprache: unknown
Permalink: https://search.fid-benelux.de/Record/base-29399671
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://dx.doi.org/10.6084/m9.figshare.c.5079924

Abstract Background More information is often thought to improve medical decision-making, which may lead to test overuse. This study assesses which out of 15 laboratory tests contribute to diagnosing the underlying cause of anaemia by general practitioners (GPs) and determines a potentially more efficient subset of tests for setting the correct diagnosis. Methods Logistic regression was performed to determine the impact of individual tests on the (correct) diagnosis. The statistically optimal test subset for diagnosing a (correct) underlying cause of anaemia by GPs was determined using data from a previous survey including cases of real-world anaemia patients. Results Only 9 (60%) of the laboratory tests, and patient age, contributed significantly to the GPs’ ability to diagnose an underlying cause of anaemia (CRP, ESR, ferritin, folic acid, haemoglobin, leukocytes, eGFR/MDRD, reticulocytes and serum iron). Diagnosing the correct underlying cause may require just five (33%) tests (CRP, ferritin, folic acid, ...