Abstract：
BACKGROUND: Anemia is a complex condition with diverse causes and poses diagnostic challenges amid the expanding landscape of laboratory testing. Implementation of an anemia diagnostic management team (DMT) can aid health care providers in navigating this complexity.
METHODS: This quasi-experimental study assessed the impact of an anemia DMT on laboratory test ordering by primary care providers for anemic patients. This study included adult patients (≥18 years) with anemia (hemoglobin <12.0 g/dL for nonpregnant women, hemoglobin <13.0 g/dL for men) presenting to a family medicine clinic. Cases reviewed by the DMT (n = 100) were compared with a control group (n = 95).
RESULTS: The DMT recommended additional testing for 76 patients. Significantly more patients in the DMT group underwent follow-up tests compared with controls (59% vs 34%; P < .001). Moreover, the DMT group underwent a higher mean number of tests per patient (1.70 ± 2.2 vs 0.95 ± 1.9; P = .01).
CONCLUSIONS: Implementation of an anemia DMT influenced follow-up testing patterns in anemic patients, potentially enhancing diagnostic thoroughness and patient care.
METHODS: This quasi-experimental study assessed the impact of an anemia DMT on laboratory test ordering by primary care providers for anemic patients. This study included adult patients (≥18 years) with anemia (hemoglobin <12.0 g/dL for nonpregnant women, hemoglobin <13.0 g/dL for men) presenting to a family medicine clinic. Cases reviewed by the DMT (n = 100) were compared with a control group (n = 95).
RESULTS: The DMT recommended additional testing for 76 patients. Significantly more patients in the DMT group underwent follow-up tests compared with controls (59% vs 34%; P < .001). Moreover, the DMT group underwent a higher mean number of tests per patient (1.70 ± 2.2 vs 0.95 ± 1.9; P = .01).
CONCLUSIONS: Implementation of an anemia DMT influenced follow-up testing patterns in anemic patients, potentially enhancing diagnostic thoroughness and patient care.
摘要：
背景：贫血是一种复杂的疾病，具有不同的原因，并且在实验室检测领域不断扩大的背景下提出了诊断挑战。贫血诊断管理团队（DMT）的实施可以帮助医疗保健提供者应对这种复杂性。
方法：这项准实验研究评估了贫血DMT对初级保健提供者为贫血患者订购实验室检查的影响。这项研究包括成人患者（≥18岁）贫血（血红蛋白<12.0g/dL的非妊娠妇女，男性的血红蛋白<13.0g/dL)提交给家庭医学诊所。将DMT审查的病例（n=100）与对照组（n=95）进行比较。
结果：DMT建议对76例患者进行额外检测。与对照组相比，DMT组接受随访测试的患者明显更多（59%vs34%；P<.001）。此外，DMT组每位患者接受的平均检查次数较高(1.70±2.2vs0.95±1.9;P=.01).
结论：实施贫血DMT影响贫血患者的随访检测模式，有可能增强诊断彻底性和患者护理。
方法：这项准实验研究评估了贫血DMT对初级保健提供者为贫血患者订购实验室检查的影响。这项研究包括成人患者（≥18岁）贫血（血红蛋白<12.0g/dL的非妊娠妇女，男性的血红蛋白<13.0g/dL)提交给家庭医学诊所。将DMT审查的病例（n=100）与对照组（n=95）进行比较。
结果：DMT建议对76例患者进行额外检测。与对照组相比，DMT组接受随访测试的患者明显更多（59%vs34%；P<.001）。此外，DMT组每位患者接受的平均检查次数较高(1.70±2.2vs0.95±1.9;P=.01).
结论：实施贫血DMT影响贫血患者的随访检测模式，有可能增强诊断彻底性和患者护理。
