ACCURACY OF SELF-REPORT FOR STOMACH-CANCER SCREENING
ACCURACY OF SELF-REPORT FOR STOMACH-CANCER SCREENING
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DOI：
10.1016/0895-4356(94)90112-0
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发表时间：
1994-09-01
影响因子：
7.2
通讯作者：
SUGAWARA, N
中科院分区：
文献类型：
--
作者：
TSUBONO, Y;FUKAO, A;SUGAWARA, N
关于癌症筛查回忆准确性的证据有限。我们将日本东北部一个乡村小镇的 337 名居民的胃癌筛查自我报告与医疗记录进行了比较，这些居民有资格接受该小镇提供的年度筛查。过去 5 年内的出席频率通过自填问卷进行询问，并根据进行筛选的组织的记录确定。当将频率分为 5 年内曾经/从未筛查过时，自我报告与医疗记录基本一致，但往往高估了实际就诊率（kappa = 0.68，敏感性 = 100%，特异性 = 75.6%）。既往胃十二指肠疾病史和胃癌家族史与过度报告有关。尽管研究的人群是高度选择性的（日本农村志愿者），但对先前有关乳房X光检查和子宫颈抹片检查的研究的回顾也表明，自我报告往往被夸大。癌症筛查的自我报告应被视为高估其真实患病率的指标。
Limited evidence is available regarding the accuracy of recall for cancer screenings. We compared the self-report of stomach cancer screening with medical records in 337 residents of a rural town in northeastern Japan, who were eligible for annual screening offered by the town. Frequencies of attendance within the last 5 years were asked in a self-administered questionnaire, and determined from the records of the organization conducting the screening. When the frequencies were dichotomized as ever/never screened within 5 years, the self-report agreed substantially with medical records, but tended to overestimate the actual attendance (kappa = 0.68, sensitivity = 100%, specificity = 75.6%). Past history of gastroduodenal diseases and family history of stomach cancer were associated with the overreport. Although the population studied was highly selective (rural Japanese volunteers), review of the previous studies on mammography and Pap smear also showed that self-reports tended to be exaggerated. Self-report of cancer screening should be regarded as an overestimated indicator of its true prevalence.