The aim of the DREAM study is to evaluate the diagnostic relevance of blood testing in children and adolescents with fatigue. This project provides new insights into the current approach to diagnosis and the potential cost-effectiveness of different blood testing strategies in children with fatigue in general practice. Additionally, the project will help optimize the use, interpretation, and communication of blood test results for this patient group.
Currently, there are no guidelines for blood testing in children with persistent fatigue in general practice. GPs frequently order various blood tests, but the cost-effectiveness of this approach remains unclear. It is often assumed that parents expect or request blood tests, yet different expectations among GPs, children, and parents can lead to frustration, fear, and uncertainty.
Objective
The main aim of this study is to evaluate the diagnostic relevance of blood testing in children aged 4 to 18 years presenting with fatigue in general practice. To achieve this, we will analyze routine primary care data to evaluate current blood test ordering practices for children with persistent fatigue. In addition, we will conduct semi-structured interviews with GPs, children and parents to assess experiences, preferences, and shared understanding of blood testing, identifying the most common and acceptable test strategies in primary care. Lastly, using the collected data and decision trees, we will evaluate whether these test strategies have the potential to be cost-effective.
Impact
This study aims to support GPs in making well-informed decisions about ordering blood tests and improving communication with children and parents.
University Medical Center Groningen (UMCG)
Department of Primary and Long-term Care
Internal postcode FA21
P.O. Box 196
9700 AD Groningen
Visiting address
UMCG
Department of Primary and Long-term Care
Oostersingel | entrance 47 | building 50 | 2nd floor
Groningen
The Netherlands
