Principles and Practice of Screening for Disease.

Principles and Practice of Screening for Disease.
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疾病筛查的原则和实践。

DOI:
10.1001/archinte.1969.00300130131020
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发表时间:
1969
影响因子:
39
通讯作者:
M. Zavon
M. Zavon
中科院分区:
医学1区
文献类型:
--
作者:
M. Zavon

文献摘要

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筛查程序的概念可以识别疾病早期或症状前阶段的个人,这一概念已经讨论了几年。威尔逊和容纳对筛查的主题进行了全面的回顾,并对目前的知识状况进行了评估。筛查被定义为“通过应用测试、检查或其他可以快速应用的程序来推定未被识别的疾病或缺陷。筛查测试显然能很好地将可能患有疾病的人与可能没有疾病的人区分开来。筛查测试不是为了诊断。阳性或可疑发现的人必须转诊给他们的医生进行诊断和必要的治疗。”筛查的目的是快速且相对便宜,正如作者所说,它意味着“一种相对简单(尽管不一定不复杂)的病例发现方法。”在这个存在过度的日子里
The concept of a screening procedure that can identify individuals in the early or presymptomatic stages of disease has been discussed for some years. Wilson and Jungner have presented a comprehensive review of the subject of screening and an appraisal of the current state of knowledge. Screening has been defined as "the presumptive identification of unrecognized disease or defect by the application of tests, examinations, or other procedures which can be applied rapidly. Screening tests sort out apparently well persons who probably have a disease from those who probably do not. A screening test is not intended to be diagnostic. Persons with positive or suspicious findings must be referred to their physicians for diagnosis and necessary treatment." Screening is intended to be rapid and relatively inexpensive, and, as the authors say, it implies "a relatively simple (though not necessarily unsophisticated) method of case finding." In this day of existing excessive