Validation of self-reported history of colorectal cancer screening.
Notice bibliographique
Résumé
OBJECTIVE: This study aims to determine the validity of self-reported history of colorectal cancer (CRC) testing consisting of fecal occult blood tests (FOBTs)in the past 2 years or endoscopy (flexible sigmoidoscopy or colonoscopy) in the past 5 years by comparing it with reports provided by physicians. DESIGN: A cross-sectional design was used for this study. SETTING: Study participants were selected directly from the city's population. Self-reported history of CRC testing was validated using records obtained from their physicians' offices. PARTICIPANTS: Participants were adults of 50 to 74 years, living within the boundaries of Calgary Health Region in Alberta. INTERVENTIONS: Participants were recruited by a random-digit dial telephone survey of adults aged 50 to 74 years (n = 598). Following a phased process, a subset of these people (n = 200) agreed to provide names of their physicians to be contacted for their histories of CRC testing. Physicians' reports were used to measure validity of self-reported history. MAIN OUTCOME MEASURES: Agreement between self-reported history and physician's records was measured using kappa statistics and concordance. Validity of self-report was measured by calculating sensitivity, specificity, positive predictive values, and negative predictive values. Reasons for testing reported by the participants were compared with those reported by their physicians. RESULTS: Complete information was received for 146 participants, revealing a 34.2% testing rate for CRC. Intermediate level of agreement for testing history (kappa = 0.66 and concordance = 84.9%) was found between the 2 types of reporting for CRC testing. Self-reported history showed sensitivity of 76.0% (95% CI = 61.8%-86.9%) and specificity of 89.6% (95% CI = 81.7%-94.9%). High specificity was also observed for self-reporting of the individual tests, but low sensitivity was seen for the reporting of FOBT in the last 2 years. Most participants who correctly recalled the testing history also accurately identified the reason for testing (concordance = 80.0% for FOBT and 69.6% for endoscopy). CONCLUSION: Self-reported history of CRC testing and physicians' reports showed dependable agreement. Physicians need to probe their patients further for the history of FOBT. These results can be useful in clinical practice to determine the CRC screening status of the patients.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».