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Failure to thrive: an approach to management.

J M Mawdsley, R G Chaytors, G L Higgins

Canadian Family Physician Medecin De Famille Canadien

|February 5, 2011

Summary

Failure to thrive (FTT) in primary care requires a structured diagnostic approach. This method minimizes costly investigations for common FTT diagnoses and guides further evaluation for complex cases.

Area of Science:

Pediatrics
Family Medicine
Diagnostic Medicine

Background:

Failure to thrive (FTT) presents a common diagnostic challenge for family physicians.
Numerous potential causes for FTT can lead to extensive and costly investigations.
Over-investigation for FTT can cause patient distress and increase healthcare expenses.

Purpose of the Study:

To present a simple, organized approach for diagnosing failure to thrive in primary care settings.
To reduce the need for expensive and unnecessary diagnostic tests in FTT cases.
To provide a framework for efficiently managing complex FTT presentations.

Main Methods:

Utilizing a systematic diagnostic strategy tailored to family physicians.
Prioritizing common causes of FTT to streamline initial evaluation.

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Implementing a stepwise approach to investigations based on clinical suspicion.

Main Results:

A structured approach facilitates the diagnosis of common FTT etiologies with minimal investigations.
This strategy helps avoid unnecessary medical tests, reducing patient burden and healthcare costs.
The organized plan aids in narrowing diagnostic possibilities for complicated FTT cases, optimizing referral decisions.

Conclusions:

An organized diagnostic approach is effective for managing failure to thrive in primary care.
This methodology improves diagnostic efficiency and cost-effectiveness for FTT evaluations.
The presented plan supports family physicians in managing both common and complex FTT cases.