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Gastrointestinal re...
Gastrointestinal recall questionnaires compare poorly with prospective patient diaries for gastrointestinal symptoms : data from population and primary health centre samples
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- Jones, Michael P. (author)
- Macquarie Univ, Australia
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- Walter, Susanna (author)
- Linköpings universitet,Avdelningen för neuro- och inflammationsvetenskap,Medicinska fakulteten,Region Östergötland, Magtarmmedicinska kliniken
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- Olsen Faresjö, Åshild (author)
- Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten
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- Grodzinsky, Ewa (author)
- Linköpings universitet,Avdelningen för läkemedelsforskning,Medicinska fakulteten,Division of Forensic Genetics and Forensic Toxicology, National Board of Forensic Medicine, Sweden
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- Kjellstrom, Lars (author)
- Department of Clinical Neuroscience, Sweden
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- Viktorsson, Lisa (author)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för samhällsmedicin,Region Östergötland, Enheten för forskningsstöd
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- Talley, Nicholas J. (author)
- Univ Newcastle, Australia
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- Agreus, Lars (author)
- Karolinska Institutet,Karolinska Institutet, Sweden
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- Andreasson, Anna (author)
- Stockholms universitet,Stressforskningsinstitutet,Karolinska Institutet, Sweden; Stockholm Univ, Sweden
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(creator_code:org_t)
- Lippincott Williams & Wilkins, 2019
- 2019
- English.
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In: European Journal of Gastroenterology and Hepathology. - : Lippincott Williams & Wilkins. - 0954-691X .- 1473-5687. ; 31:2, s. 163-169
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Abstract
Subject headings
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- Background: Clinical understanding of gastrointestinal symptoms is commonly based on patient reports of symptom experience. For diagnosis and treatment choices to be appropriate, symptom reports need to be accurate. We examined the agreement between questionnaire recall and prospective diary enumeration of symptoms relevant to the irritable bowel syndrome.Patients and methods: Data are reported from a randomly selected general population sample (n=238) and also a primary healthcare centre (PHC) sample (n=503, 10 PHCs). All the patients completed the questionnaires, which included Rome III-qualifying irritable bowel syndrome items and a stool and symptom diary over either 7 or 14 days. Agreement between retrospective questionnaire reports and prospective diaries was evaluated.Results: Concordance between questionnaires and diaries was highest for the simple construct of the occurrence of abdominal pain, although after adjusting for possible chance, agreement was only moderate in the general population sample. More complex constructs, such as pain relieved by defecation, yielded poorer concordance. In general, concordance was stronger among PHC respondents than in the general population sample.Conclusion: Concordance between questionnaires and diaries was generally poor and related to the complexity of the symptom construct and the type of respondent. The information used to classify individuals based on patient self-report may be unreliable, and therefore, more effort is needed to develop data collection instruments.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- diary
- functional gastrointestinal disorders
- irritable bowel syndrome
- questionnaires
- symptom recording
- validation
Publication and Content Type
- ref (subject category)
- art (subject category)
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