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Trends of utilization of Complete Blood Count parameters for patient management among doctors in Azad Kashmir
Malik Mahmood Ahmed1, Sanniya Khan Ghauri2, Arslaan Javaeed3
1Malik Mahmood Ahmed, MBBS, DCP, M.Phil. Azad Jammu & Kashmir Medical College, Muzaffarabad, Azad Kashmir, Pakistan.
Insights
Doctors in Kashmir primarily use only three Complete Blood Count (CBC) parameters: hemoglobin, white blood cell count, and platelets. Educational interventions could improve the utilization of other CBC tests for better patient management.
Area of Science:
- Clinical Pathology
- Hematology
Background:
- Complete Blood Count (CBC) is a fundamental laboratory test.
- Understanding physician utilization patterns of CBC parameters is crucial for optimizing diagnostic strategies.
- Current trends in CBC parameter usage among healthcare professionals in Kashmir, Pakistan, are not well-documented.
Purpose of the Study:
- To investigate the utilization trends of Complete Blood Count (CBC) parameters in patient management by doctors in Kashmir, Pakistan.
- To identify which CBC parameters are most frequently used by physicians.
- To assess physician perceptions regarding the adequacy of information provided in CBC reports.
Main Methods:
- A cross-sectional, questionnaire-based survey was conducted among doctors in four hospitals in Kashmir, Pakistan.
- Data were collected between August and December 2017.
- The survey assessed the perceived utility of 11 CBC parameters in patient management.
Main Results:
- A response rate of 43.4% was achieved, with 217 out of 500 physicians completing the questionnaire.
- Hemoglobin, white blood cell count, and platelets were identified as frequently or always useful by over 80% of physicians.
- The remaining eight CBC parameters were considered useful by less than 80% of respondents, although most physicians found the current CBC report format adequate.
Conclusions:
- The majority of physicians in Kashmir predominantly utilize only three core parameters of the Complete Blood Count (CBC).
- There is a potential need for educational initiatives to enhance physician awareness and utilization of the full spectrum of CBC parameters.
- Optimizing the use of all CBC parameters could lead to more comprehensive patient assessment and management.
Objective:
To determine the trends of utilization of CBC parameters in patient management among doctors in different hospitals in Kashmir, Pakistan.
Methodd:
A self-administered questionnaire-based survey was carried out amongst doctors working in four hospitals of Kashmir i.e. Combined Military Hospital, Muzaffarabad, Combined Military Hospital, Rawalakot, Abbas Institute of Medical Sciences, Muzaffarabad, and District Hospital, Kotli during August to December 2017.
Results:
Out of 500 physicians, 217 physicians answered the questionnaire, representing a response rate of 43.4%. Only three of the 11 parameters in the CBC report i.e. hemoglobin, white blood cell count and platelets were selected as frequently or always useful by more than 80% of physicians. Rest of the eight parameters of the CBC were found useful by less than 80% of the physicians. Most agreed that the current format of a CBC report gives adequate information.
Conclusion:
The present study concludes that majority of the physicians utilize only three of the basic parameters on the complete blood count. An educational intervention can be planned for the physicians to increase their knowledge about the utility of other parameters.
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