Validation of a multistage asthma case-detection procedure for elementary school children.
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| Title: | Validation of a multistage asthma case-detection procedure for elementary school children. |
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| Authors: | Gerald LB (AUTHOR), Grad R (AUTHOR), Turner-Henson A (AUTHOR), Hains C (AUTHOR), Tang S (AUTHOR), Feinstein R (AUTHOR), Wille K (AUTHOR), Erwin S (AUTHOR), Bailey WC (AUTHOR) |
| Source: | Pediatrics. 2004 Oct Supplement, Vol. 114 Issue 4, pe459-68. 1p. |
| Abstract: | OBJECTIVE: The purpose of this study was to validate a 3-stage asthma case-detection procedure for elementary school-aged children. METHODS: The study was performed in 10 elementary schools in 4 inner-city school systems, with a total enrollment of 3539 children. Results of the case-detection procedure were compared with the diagnosis of an asthma specialist study physician, to determine the sensitivity and specificity of the case-detection procedure. RESULTS: Ninety-eight percent of children returned the asthma symptoms questionnaires, and 79% of those children consented to additional testing. Results indicated that the 3-stage procedure had good validity, with sensitivity, specificity, and predictive value of 82%, 93%, and 93%, respectively. A 2-stage procedure using questionnaires and spirometry had similar validity, with sensitivity, specificity, and predictive value of 78%, 93%, and 93%, respectively. However, given the time and expense associated with the 2- or 3-stage procedure and the difficulty of obtaining physician follow-up evaluation of the case-detection diagnosis, schools may prefer to use a 2-item questionnaire that has a lower sensitivity (66%) but higher specificity (96%) and predictive value (95%). CONCLUSIONS: Case-detection programs are generally well received by school personnel and can identify children with unrecognized or undiagnosed disease, as well as those with a current diagnosis but poorly controlled disease. This study yields substantial information regarding the validity, yield, and specific types of children who might be identified with the use of such procedures. For the choice of the method of case detection used in a school, the strengths and weaknesses of each procedure, as well as the resources available for case detection, physician referral, and follow-up procedures, must be considered. [ABSTRACT FROM AUTHOR] |
| Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 106627374 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Validation of a multistage asthma case-detection procedure for elementary school children. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Gerald+LB%22">Gerald LB</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grad+R%22">Grad R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Turner-Henson+A%22">Turner-Henson A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hains+C%22">Hains C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tang+S%22">Tang S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Feinstein+R%22">Feinstein R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wille+K%22">Wille K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Erwin+S%22">Erwin S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bailey+WC%22">Bailey WC</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. 2004 Oct Supplement, Vol. 114 Issue 4, pe459-68. 1p. – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVE: The purpose of this study was to validate a 3-stage asthma case-detection procedure for elementary school-aged children. METHODS: The study was performed in 10 elementary schools in 4 inner-city school systems, with a total enrollment of 3539 children. Results of the case-detection procedure were compared with the diagnosis of an asthma specialist study physician, to determine the sensitivity and specificity of the case-detection procedure. RESULTS: Ninety-eight percent of children returned the asthma symptoms questionnaires, and 79% of those children consented to additional testing. Results indicated that the 3-stage procedure had good validity, with sensitivity, specificity, and predictive value of 82%, 93%, and 93%, respectively. A 2-stage procedure using questionnaires and spirometry had similar validity, with sensitivity, specificity, and predictive value of 78%, 93%, and 93%, respectively. However, given the time and expense associated with the 2- or 3-stage procedure and the difficulty of obtaining physician follow-up evaluation of the case-detection diagnosis, schools may prefer to use a 2-item questionnaire that has a lower sensitivity (66%) but higher specificity (96%) and predictive value (95%). CONCLUSIONS: Case-detection programs are generally well received by school personnel and can identify children with unrecognized or undiagnosed disease, as well as those with a current diagnosis but poorly controlled disease. This study yields substantial information regarding the validity, yield, and specific types of children who might be identified with the use of such procedures. For the choice of the method of case detection used in a school, the strengths and weaknesses of each procedure, as well as the resources available for case detection, physician referral, and follow-up procedures, must be considered. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1542/peds.2004-0455 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 1 StartPage: e459 Titles: – TitleFull: Validation of a multistage asthma case-detection procedure for elementary school children. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Gerald LB – PersonEntity: Name: NameFull: Grad R – PersonEntity: Name: NameFull: Turner-Henson A – PersonEntity: Name: NameFull: Hains C – PersonEntity: Name: NameFull: Tang S – PersonEntity: Name: NameFull: Feinstein R – PersonEntity: Name: NameFull: Wille K – PersonEntity: Name: NameFull: Erwin S – PersonEntity: Name: NameFull: Bailey WC IsPartOfRelationships: – BibEntity: Dates: – D: 05 M: 10 Text: 2004 Oct Supplement Type: published Y: 2004 Identifiers: – Type: issn-print Value: 00314005 Numbering: – Type: volume Value: 114 – Type: issue Value: 4 Titles: – TitleFull: Pediatrics Type: main |
| ResultId | 1 |
