Identification of adults with symptoms suggestive of obstructive airways disease: Validation of a postal respiratory questionnaire
<p>Abstract</p> <p>Background</p> <p>Two simples scoring systems for a self-completed postal respiratory questionnaire were developed to identify adults who may have obstructive airways disease. The objective of this study was to validate these scoring systems.</p>...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2003-04-01
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| Series: | BMC Family Practice |
| Online Access: | http://www.biomedcentral.com/1471-2296/4/5 |
| _version_ | 1818241910301523968 |
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| author | Hirsch Sybil McNamee Roseanne R Hannaford Philip C Hazell Michelle L Cropper Jennifer A Frank Peter I Frank Timothy L Pickering Charles AC |
| author_facet | Hirsch Sybil McNamee Roseanne R Hannaford Philip C Hazell Michelle L Cropper Jennifer A Frank Peter I Frank Timothy L Pickering Charles AC |
| author_sort | Hirsch Sybil |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Two simples scoring systems for a self-completed postal respiratory questionnaire were developed to identify adults who may have obstructive airways disease. The objective of this study was to validate these scoring systems.</p> <p>Method</p> <p>A two-stage design was used. All adults in two practice populations were sent the questionnaire and a stratified random sample of respondents was selected to undergo full clinical evaluation. Three respiratory physicians reviewed the results of each evaluation. A majority decision was reached as to whether the subject merited a trial of obstructive airways disease medication. This clinical decision was compared with two scoring systems based on the questionnaire in order to determine their positive predictive value, sensitivity and specificity.</p> <p>Results</p> <p>The PPV (positive predictive value) of the first scoring system was 75.1% (95% CI 68.6–82.3), whilst that of the second system was 82.3% (95% CI 75.9–89.2). The more stringent second system had the greater specificity, 97.1% (95% CI 96.0–98.2) versus 95.3% (95% CI 94.0–96.7), but poorer sensitivity 46.9% (95% CI 33.0–66.8) versus 50.3% (95% CI 35.3–71.6).</p> <p>Conclusion</p> <p>This scoring system based on the number of symptoms/risk factors reported via a postal questionnaire could be used to identify adults who would benefit from a trial of treatment for obstructive airways disease.</p> |
| first_indexed | 2024-12-12T13:36:50Z |
| format | Article |
| id | doaj.art-64900fc57fd5447d9c7d467621ff6aca |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-12-12T13:36:50Z |
| publishDate | 2003-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-64900fc57fd5447d9c7d467621ff6aca2022-12-22T00:22:55ZengBMCBMC Family Practice1471-22962003-04-0141510.1186/1471-2296-4-5Identification of adults with symptoms suggestive of obstructive airways disease: Validation of a postal respiratory questionnaireHirsch SybilMcNamee Roseanne RHannaford Philip CHazell Michelle LCropper Jennifer AFrank Peter IFrank Timothy LPickering Charles AC<p>Abstract</p> <p>Background</p> <p>Two simples scoring systems for a self-completed postal respiratory questionnaire were developed to identify adults who may have obstructive airways disease. The objective of this study was to validate these scoring systems.</p> <p>Method</p> <p>A two-stage design was used. All adults in two practice populations were sent the questionnaire and a stratified random sample of respondents was selected to undergo full clinical evaluation. Three respiratory physicians reviewed the results of each evaluation. A majority decision was reached as to whether the subject merited a trial of obstructive airways disease medication. This clinical decision was compared with two scoring systems based on the questionnaire in order to determine their positive predictive value, sensitivity and specificity.</p> <p>Results</p> <p>The PPV (positive predictive value) of the first scoring system was 75.1% (95% CI 68.6–82.3), whilst that of the second system was 82.3% (95% CI 75.9–89.2). The more stringent second system had the greater specificity, 97.1% (95% CI 96.0–98.2) versus 95.3% (95% CI 94.0–96.7), but poorer sensitivity 46.9% (95% CI 33.0–66.8) versus 50.3% (95% CI 35.3–71.6).</p> <p>Conclusion</p> <p>This scoring system based on the number of symptoms/risk factors reported via a postal questionnaire could be used to identify adults who would benefit from a trial of treatment for obstructive airways disease.</p>http://www.biomedcentral.com/1471-2296/4/5 |
| spellingShingle | Hirsch Sybil McNamee Roseanne R Hannaford Philip C Hazell Michelle L Cropper Jennifer A Frank Peter I Frank Timothy L Pickering Charles AC Identification of adults with symptoms suggestive of obstructive airways disease: Validation of a postal respiratory questionnaire BMC Family Practice |
| title | Identification of adults with symptoms suggestive of obstructive airways disease: Validation of a postal respiratory questionnaire |
| title_full | Identification of adults with symptoms suggestive of obstructive airways disease: Validation of a postal respiratory questionnaire |
| title_fullStr | Identification of adults with symptoms suggestive of obstructive airways disease: Validation of a postal respiratory questionnaire |
| title_full_unstemmed | Identification of adults with symptoms suggestive of obstructive airways disease: Validation of a postal respiratory questionnaire |
| title_short | Identification of adults with symptoms suggestive of obstructive airways disease: Validation of a postal respiratory questionnaire |
| title_sort | identification of adults with symptoms suggestive of obstructive airways disease validation of a postal respiratory questionnaire |
| url | http://www.biomedcentral.com/1471-2296/4/5 |
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