Carmalt M H, Freeman P, Stephens A J, Whitehead T P
Br Med J. 1970 Mar 7;1(5696):620-3. doi: 10.1136/bmj.1.5696.620.
The paper describes the investigation of 296 patients selected at random from those attending the general practitioners' surgery and studied by means of multiple biochemical and haematological tests. The tests that would not normally have been requested led to a new diagnosis of clinical significance in 16.9% of patients, in most instances requiring an alteration of the patient's therapy. The effect of the profile tests on patient follow-up, referral of patients to hospital, and the need for subsequent investigations was studied by comparing the patients profiled with a control group of patients not having a blood profile. The place of such an investigation in general practice is considered.
本文描述了从全科医生诊所就诊的患者中随机选取296例患者,并通过多种生化和血液学检查进行研究的情况。那些通常不会被要求做的检查在16.9%的患者中得出了具有临床意义的新诊断结果,在大多数情况下需要改变患者的治疗方案。通过将接受检查的患者与未进行血液检查的对照组患者进行比较,研究了这些检查项目对患者随访、患者转诊至医院以及后续检查需求的影响。本文还探讨了此类检查在全科医疗中的作用。