The aim of the DREAM study is to evaluate the diagnostic relevance of blood analysis in fatigued minors. This project provides new insights into the current management and the potential cost-effectiveness of different blood testing strategies in children with fatigue in the general practice. Additionally, the project will help to better utilize, interpret, and communicate blood test results for such patients.
Currently, there are no guidelines for blood testing in children with persistent fatigue in general practice. GPs commonly order several blood tests, but we do not know whether this is cost-effective. It is often assumed that parents demand blood tests. Different expectations among GPs, children and parents lead to frustration, fear and uncertainty.
Objective
The main aim of this study is to evaluate the diagnostic relevance of blood analysis in children 4 to 18 years presenting with fatigue in general practice. Therefore, we will use routine primary care data to evaluate current practice of blood test ordering in children with persistent fatigue. In addition, we will evaluate experiences, preferences and shared understanding of blood testing using semi-structured interviews with GPs and children/parents to determine which test strategies of blood tests are most common and acceptable in clinical practice. Lastly, using the acquired data and using decision trees, we will evaluate whether the test strategies have to potential to be cost effective.
Impact
In general practice, this might help the GP in careful consideration of the decision to order blood tests and in clear communication to child 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
