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Referrals for suspected hematologic malignancy: A survey of primary care physicians

dc.contributor.authorAbel, G. A.
dc.contributor.authorFriese, C. R.
dc.contributor.authorNeville, B. A.
dc.contributor.authorWilson, K.
dc.contributor.authorHastings, B.
dc.contributor.authorEarle, C. C.
dc.contributor.authorKeating, N.
dc.contributor.authorRichardson, L. C.
dc.date.accessioned2012-10-09T16:08:29Z
dc.date.available2012-10-09T16:08:29Z
dc.date.issued2012-06
dc.identifier.citationAmerican Journal of Hematology, vol. 87, 2012, pp. 634-636 <http://hdl.handle.net/2027.42/93784>en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/93784
dc.description.abstractLittle is known about referrals from primary care providers (PCPs) for suspected hematologic malignancies, including their clinical triggers and frequency. A random sample of 190 Massachusetts PCPs were presented with a vignette concerning a patient with a new finding of moderate anemia, asked how they would respond, and then asked what they would do if the patient returned with persistent anemia plus one additional sign or symptom. We also asked about referral behaviors for suspected hematologic malignancies during the prior year. A total of 134 (70.5%) PCPs responded. At first anemia presentation,only 3.8% reported referring to hematology. The development of a second sign or symptom yielded higher referral rates: pancytopenia 588.7%, leukopenia 5 63.9%, thrombocytopenia 5 63.9%, lymphadenopathy 5 42.9%, leukocytosis 5 37.6%, night sweats 5 25.6%, and weight loss 5 23.3%. The median yearly number (interquartile range) of patients PCPs reported suspecting of having hematologic malignancy was 5 (3, 10), and the median formally referred was 5 (3, 10). We conclude that anemia plus signs and symptoms suggestive of myelodysplasia or leukemia (compared with those suggestive of lymphoma) are more likely to prompt hematology referral. In addition, given their rarity,the numbeen_US
dc.language.isoen_USen_US
dc.subjectHematologyen_US
dc.subjectReferralsen_US
dc.titleReferrals for suspected hematologic malignancy: A survey of primary care physiciansen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelNursing
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumNursing, School ofen_US
dc.contributor.affiliationumcampusAnn Arboren_US
dc.identifier.pmid22473854
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/93784/1/Referrals for suspected hematologic malignancy A survey of primary care physicians.pdf
dc.identifier.sourceAmerican Journal of Hematologyen_US
dc.owningcollnameNursing, School of


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