The accuracy of primary care patients' self-reports of prostate-specific antigen testing.
The accuracy of primary care patients' self-reports of prostate-specific antigen testing.
复制标题
初级保健患者自我报告前列腺特异性抗原检测的准确性。
DOI：
10.1016/s0749-3797(01)00397-x
复制
发表时间：
2002
影响因子：
5.5
通讯作者：
Cass,AlvahR
中科院分区：
文献类型：
--
作者：
Volk,RobertJ;Cass,AlvahR
背景男性初级保健患者先前用前列腺特异性抗原（PSA）测定筛查前列腺癌的报告的准确性对于临床实践、监测和研究是重要的。在入组后1年联系他们，询问他们是否接受过PSA检测。为了证实这些自我报告，每个病人的诊所和医院的医疗记录进行了审查的证据PSA测试results.ResultsThe原始百分比之间的协议自我报告的PSA测试和医疗记录为74.4%（κ=0.48）。与病历审查结果相比，一些患者明显多报的原因是在1年的时间范围内（4.5%）和在医疗中心外（5.3%）进行了测试。6例（4.5%）患者在其病历中报告了PSA检测结果的不确定性。11.3%的患者无法解释误报的检测结果。未完成高中学业的患者有2.7倍的可能性误报PSA检测（95%置信区间，1.61-3.87）。报告中的错误主要是由于在特定时间范围内召回测试或在初级保健环境之外进行测试的问题。低报是一个问题，病人不确定以前的测试。
BackgroundThe accuracy of reports made by male primary care patients of previous screening for prostate cancer with the prostate-specific antigen (PSA) assay is important for clinical practice, surveillance, and research.MethodsAs part of a clinical trial that evaluated a decision aid for prostate cancer screening, 133 male primary care patients, aged 45 to 70 years, were contacted 1 year after enrollment and asked whether they had received PSA testing. To corroborate these self-reports, each patient’s clinic and hospital medical records were reviewed for evidence of PSA test results.ResultsThe raw percentage agreement between self-reported PSA testing and the medical records was 74.4% (κ=0.48). When compared to the findings of the medical record reviews, apparent overreporting by some patients was explained by problems with recalling the test within the 1-year time frame (4.5%) and by having been tested outside of the medical center (5.3%). Uncertainty about having been tested was reported by six (4.5%) patients with PSA test results in their medical records. Misreported testing could not be explained for 11.3% of patients. Patients who had not completed high school were 2.7 times more likely to misreport PSA testing (95% confidence interval, 1.61–3.87).ConclusionsThe accuracy of primary care patients’ self-reports of previous PSA testing is questionable. Errors in reporting are due largely to problems with recalling a test within a specific time frame or to testing outside of the primary care setting. Under-reporting is a problem for patients uncertain of previous testing.