| Titre : | Comparison of self-reported fecal occult blood testing with automated laboratory records among older women in a health maintenance organization. (1999) |
| Auteurs : | M.T. MANDELSON ; L.A. ANDERSON ; A.Z. LACROIX ; N.C. LEE ; M.R. NADEL ; Center for Health Studies. Group Health Cooperative. Seattle. WA. USA ; National Center for Chronic Disease Prevention and Health Promotion. Centers for Disease Control and Prevention. Atlanta. GA. USA |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 150, n° 6, 1999) |
| Pagination : | 617-621 |
| Langues: | Anglais |
| Mots-clés : | Cancer ; Rectum ; Dépistage ; Sang ; Fiabilité ; Epidémiologie ; Personne âgée ; Homme ; Femme ; Etude comparée ; Examen laboratoire ; Etats Unis ; Amérique ; Appareil digestif [pathologie] ; Intestin [pathologie] ; Côlon ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST TR0xN7v0. Diffusion soumise à autorisation]. Screening guidelines for colorectal cancer recommend annual fecal occult blood (FOB) testing for adults aged 50 years and older. Self-reported history of screening is frequently the sole source of data available to researchers and clinicians. This study validated FOB testing in a sample of 1,021 older women. Testing rates based on self-reported data exceeded rates based on computerized laboratory records by 13.9%. Agreement was moderate (kappa=0.52 ; 95% confidence interval 0.47,0.58). Sensitivity was 0.92 and specificity 0.58. Logistic regression analysis showed that older age and physician encouragement for FOB testing were associated with accurate recall (p<0.05). Self-report is the most commonly available information about the occurrence and timing of cancer detection procedures. These data suggest cautious use of self-reported screening by FOB for clinical decision making and for research and surveillance. |
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