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Total and Differential Leukocyte Counts in Clinically Well ChildrenInformation or Misinformation?
Virginia A. Moyer, MD, MPH;
Richard M. Grimes, PhD
Am J Dis Child. 1990;144(11):1200-1203.
Abstract
• To determine whether the total and differential leukocyte count is of value as a case-finding test, we applied the evaluation criteria developed by the US Preventive Services Task Force. The criteria comprise review of the current burden of suffering of the disease to be prevented, the attributes of the intervention to be used, and the quality of the evidence available. A literature search revealed no evidence in the form of data from patients, so a chart review of all complete blood cell counts ordered during a 1-year period by one group of pediatricians was undertaken. At least one value outside of published normal ranges was found on 74.7% of the tests performed on clinically well children. No unsuspected illness was discovered as a result of an abnormal total and differential leukocyte count.
(AJDC. 1990;144:1200-1203)
Author Affiliations
From the Kelsey-Seybold Clinic (Dr Moyer) and the Department of Pediatrics, Division of Community and General Pediatrics, School of Medicine (Dr Moyer) and the School of Public Health (Dr Grimes), University of Texas Health Science Center at Houston. Dr Moyer is now with the University of Texas Health Science Center at Houston.
Footnotes
Accepted for publication May 2, 1990.
Reprint requests to Department of Pediatrics, University of Texas Health Science Center, 6655 Travis, Suite 570, Houston, TX 77030 (Dr Moyer).
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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