自我报告的子宫切除术和卵巢切除术在基于人口的队列中的有效性:HUNT研究
Tina E Rosland1,2, Nora Johansen1, Bjørn O Åsvold3,4
1Research Unit/Department of Obstetrics and Gynaecology, Sørlandet Hospital HF, Kristiansand/Arendal, Norway.
概括
自我报告的子宫切除术数据是可靠的流行病学研究,显示高准确度. 然而,自我报告的双边卵巢切除术数据需要谨慎解释,因为积极预测值较低.
科学领域:
- 妇科外科手术验证验证
- 流行病学研究方法的方法学.
- 人口健康研究 人口健康研究
背景情况:
- 对妇科手术如子宫切除术和双边卵巢切除术的准确数据对于人口健康研究至关重要.
- 自我报告的外科病史经常被用于大型队列研究,因为它的成本效益.
- 与客观来源对自我报告数据的验证对于确保数据完整性至关重要.
研究的目的:
- 通过电子医院程序代码验证自我报告的宫切除和双边卵巢切除的准确性.
- 评估大量人口队列中这些常见妇科手术的自我报告数据的可靠性.
主要方法:
- 通过使用挪威特伦德拉格健康研究 (HUNT) 的数据 (HUNT2和HUNT3) 进行了验证研究.
- 包括30263名来自HUNT2的女性和23138名来自HUNT3的女性,其中16261人参加了这两项活动.
- 与电子医院手术记录进行了自我报告的子宫切除和双边卵巢切除的比较.
主要成果:
- 自我报告的子宫切除术和双边卵巢切除术显示高特异性 (>99%) 和负预测值 (>99%).
- 对自我报告的子宫切除术的敏感度为95.9%,对双边卵巢切除术的敏感度为91.2%.
- 阴道切除术的积极预测值为85.8%,但双边卵巢切除术的预测值仅为65.4%.
结论:
- 自我报告的子宫切除术数据足够准确,可用于流行病学研究.
- 自我报告的双边卵巢切除术数据具有较低的积极预测值,应谨慎解释.
- 报告没有这些手术史的女性可以可靠地被归类为未暴露.
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