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  1. Evaluation of macrocytosis by general practitioners.

    Article - En anglais

    Objective 

    Macrocytosis is considered to be an important sign of disease, although it often seems to be ignored.

    The aim of the present study was to assess the quality of the work done by general practitioners using macrocytosis as an indicator.

    Method 

    All consecutive outpatients at Tampere City Health Center who had blood counts taken during 8 months in 1990 and were found to have macrocytosis (MCV kappa 100 femtoliters) that had not earlier been examined, were included in this study.

    The further examinations undertaken were analyzed.

    Results 

    Of the 9,527 blood counts, previously unexamined macrocytosis was found in 3% (n=287,154 men and 133 women). (42%) men and in 48 (36%) women.

    Alcohol abuse was the most common disease present in 52 (80%) men and in 22 (46%) women.

    No cause for macrocytosis was found in seven men and in 17 women.

    No difference between the examined and unexamined groups was found concerning medical history, medications, symptoms, or blood count values, including hemoglobin and MCV.

    Conclusions 

    Evaluation of macrocytosis, when undertaken, was well done by general practitioners.

    However, it was performed too seldom and, thus, several diseases, especially alcohol abuse, may have been overlooked.

    Mots-clés Pascal : Macrocytose, Marqueur biologique, Diagnostic, Alcoolisme, Aptitude professionnelle, Médecin généraliste, Personnel sanitaire, Santé publique, Homme

    Mots-clés Pascal anglais : Biological marker, Diagnosis, Alcoholism, Vocational aptitude, General practitioner, Health staff, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0146190

    Code Inist : 002B30A05. Création : 199608.