Glynn M Kathleen, Ling Qiang, Phelps Ruby, Li Jianmin, Lee Lisa M
Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
J Acquir Immune Defic Syndr. 2008 Mar 1;47(3):391-6. doi: 10.1097/QAI.0b013e318160d52a.
To assess the degree of duplicate reporting in the US HIV/AIDS surveillance system as compared with a performance standard of <5%, and to assess the effect of duplicate removal on epidemiologic trends.
Multistate evaluation of HIV/AIDS case surveillance. Potential duplicate HIV or AIDS case reports in the national surveillance system matched on Soundex, birth date, and sex were assessed for duplication by state and territorial health departments.
Of the 990,175 cases of HIV infection and AIDS in the surveillance system on December 31, 2001, 44,945 (4.5%) were identified as duplicate reports. The duplication rate was higher for HIV cases (8.2%) than for AIDS cases (3.8%). The median of 322 duplicate AIDS reports per area (range: 1 to 3947) represented a median of 5% of all AIDS reports per area (range: 1% to 11%). The median of 369 duplicate HIV reports per area (range: 1 to 1247) represented a median of 11% of all HIV reports per area (range: 1% to 30%).
The overall duplication rate was within acceptable limits in the national HIV/AIDS surveillance system but did not meet the standard for HIV cases. Ongoing centrally coordinated efforts are necessary to minimize duplicate reporting in the future.
与低于5%的绩效标准相比，评估美国艾滋病毒/艾滋病监测系统中的重复报告程度，并评估去除重复报告对流行病学趋势的影响。
对艾滋病毒/艾滋病病例监测进行多州评估。国家监测系统中根据语音相似性编码、出生日期和性别匹配的潜在艾滋病毒或艾滋病病例报告由州和地区卫生部门评估是否重复。
在2001年12月31日监测系统中的990175例艾滋病毒感染和艾滋病病例中，44945例（4.5%）被确定为重复报告。艾滋病毒病例的重复率（8.2%）高于艾滋病病例（3.8%）。每个地区322份重复艾滋病报告的中位数（范围：1至3947）占每个地区所有艾滋病报告中位数的5%（范围：1%至11%）。每个地区369份重复艾滋病毒报告的中位数（范围：1至1247）占每个地区所有艾滋病毒报告中位数的11%（范围：1%至30%）。
国家艾滋病毒/艾滋病监测系统中的总体重复率在可接受范围内，但未达到艾滋病毒病例的标准。未来有必要持续进行中央协调努力，以尽量减少重复报告。
