Comparison of self-reported fecal occult blood testing with automated laboratory records among older women in a health maintenance organization.
Comparison of self-reported fecal occult blood testing with automated laboratory records among older women in a health maintenance organization.
复制标题
健康维护组织中老年妇女自我报告的粪便潜血检测与自动实验室记录的比较。
DOI：
10.1093/oxfordjournals.aje.a010060
复制
发表时间：
1999
影响因子：
5
通讯作者：
Lee,NC
中科院分区：
文献类型：
--
作者：
Mandelson,MT;LaCroix,AZ;Anderson,LA;Nadel,MR;Lee,NC
结直肠癌筛查指南建议对 50 岁及以上的成年人每年进行粪便潜血 (FOB) 检测。自我报告的筛查史通常是研究人员和临床医生可用的唯一数据来源。这项研究在 1, 021 名老年女性样本中验证了 FOB 测试。基于自我报告数据的检测率比基于计算机化实验室记录的检测率高出 13. 9%。一致性中等（kappa = 0. 52；95% 置信区间 0. 47、0. 58）。敏感性为 0. 92，特异性为 0. 58。Logistic 回归分析表明，年龄较大和医生对 FOB 测试的鼓励与准确回忆相关 (p < 0. 05)。自我报告是有关癌症检测程序的发生和时间的最常见的信息。这些数据表明，在临床决策以及研究和监测中，应谨慎使用 FOB 的自我报告筛查。Am J Epidemiol1999； 150：617-21。
Screening guidelines for colorectal cancer recommend annual fecal occult blood (FOB) testing for adults aged 50 years and older. Self-reported history of screening is frequently the sole source of data available to researchers and clinicians. This study validated FOB testing in a sample of 1, 021 older women. Testing rates based on self-reported data exceeded rates based on computerized laboratory records by 13. 9%. Agreement was moderate (kappa = 0. 52; 95% confidence interval 0. 47, 0. 58). Sensitivity was 0. 92 and specificity 0. 58. Logistic regression analysis showed that older age and physician encouragement for FOB testing were associated with accurate recall (p < 0. 05). Self-report is the most commonly available information about the occurrence and timing of cancer detection procedures. These data suggest cautious use of self-reported screening by FOB for clinical decision making and for research and surveillance.Am J Epidemiol1999; 150: 617-21.