对一个调查问卷的评估,以评估对无症状患者查结肠镜检查的适用性
Veit Phillip1, Alexander Hapfelmeier2,3, Benjamin Walter4,5
1TUM School of Medicine and Health, Department of Clinical Medicine - Clinical Department for Internal Medicine II, University Medical Center, Technical University of Munich, Munich, Germany.
Zeitschrift fur Gastroenterologie
|October 24, 2023
概括
一个新的调查问卷准确地识别了需要查结肠镜的人,旨在促进参与这一重要的结肠直肠癌预防计划. 这种工具在评估无症状患者的结肠镜指示时表现出高灵敏度和特异性.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 预防医学 预防医学
背景情况:
- 结肠直肠癌是全球癌症死亡的主要原因之一.
- 查结肠镜在预防结肠直肠癌和降低死亡率方面是有效的.
- 查计划的低参与率限制了它们在人口层面的影响.
研究的目的:
- 开发和评估患者自我评估问卷,用于查结肠镜检查的适用性.
- 通过提供可访问的信息,增加对结直肠癌查计划的参与.
- 根据专家建议验证问卷.
主要方法:
- 根据德国的指导方针,根据德国的指导方针制定了一个最多7个问题的问卷.
- 无症状的患者参加了胃肠道外科诊所的诊所.
- 调查问卷的准确性是根据专家确定的查结肠镜检查的指示进行评估的,测量灵敏度,特异性和预测值.
主要成果:
- 调查问卷显示了高准确度:在整体队列中100%的灵敏度和97%的特异性 (n=335).
- 阳性预测值为86%,负预测值为100%.
- 在从未接受过结肠镜检查的小组患者中观察到类似的结果 (n=109).
结论:
- 自我评估问卷是一个高度敏感和特定的工具,用于识别被推进行查结肠镜检查的个人.
- 这份经过验证的问卷可以帮助增加无症状个体的查参与率.
- 该工具为患者提供了一种可访问的方法来评估他们对结肠镜检查的需要.
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