芬兰喘诊断时的自我报告和登记年龄之间的协议
Elias Nurmi1,2, Iida Vähätalo3,4, Pinja Ilmarinen3,4
1Tampere University Respiratory Research group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland. elias.nurmi@tuni.fi.
BMC pulmonary medicine
|March 16, 2024
概括
自我报告的喘诊断年龄通常是可靠的,特别是在成人发作的喘. 然而,由于登记延迟,早期喘诊断报告可能不那么准确.
科学领域:
- 流行病学 流行病学
- 肺部病理学 肺部病理学
- 公共卫生 公共卫生
背景情况:
- 在流行病学研究中,喘发病年龄通常依赖于自我报告的诊断日期.
- 自我报告的喘诊断年龄的准确性经常受到质疑.
- 评估自我报告和注册喘诊断年龄之间的一致性对于可靠的流行病学数据至关重要.
研究的目的:
- 评估自我报告和注册年龄在喘诊断时之间的一致性.
- 确定影响自我报告和注册喘诊断年龄之间的一致性因素.
主要方法:
- 一项以人口为基础的研究,涉及赫尔辛基和芬兰西部的样本 (2016年FinEsS调查).
- 自我报告的喘诊断年龄与芬兰特殊补偿登记册中登记的年龄的比较.
- 分析与自我报告和注册诊断年龄之间的差异相关的特征,其中5年差异被认为是可靠的.
主要成果:
- 在61.9% (赫尔辛基) 和77.8% (芬兰西部) 的受试者中观察到可靠的喘诊断年龄自我报告.
- 中位数差异表明早期自我报告的诊断年龄 (赫尔辛基: -2.0年;西芬兰: -1.0年).
- 更高的可靠性与非过敏性喘和最近的诊断有关.
结论:
- 自我报告和注册喘诊断年龄之间存在很好的一致性,特别是在成人发作喘方面.
- 早期喘的差异可能源于与退款标准相关的注册延迟.
- 这些发现凸显了在喘流行病学研究中考虑报告偏见的必要性.
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