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.
Abstract

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