Cerveri I, Bruschi C, Ricciardi M, Zocchi L, Zoia M C, Rampulla C
Eur J Epidemiol. 1987 Jun;3(2):202-5. doi: 10.1007/BF00239760.
Within an epidemiological survey on Chronic Obstructive Pulmonary Disease, before reporting data on the prevalence of bronchial asthma we checked the group of subjects defined as "pathological" by means of a suitable questionnaire and a group of "normals" as a control. We evaluated the sensitivity and specificity of the questionnaire, in comparison with a clinical evaluation made by two physicians and controlled the relationship among their results, non-specific bronchial hyperreactivity and skin tests. In particular the correspondence between diagnosis made by physicians from a clinical evaluation and that obtained by questionnaire was not satisfactory. We suggest the importance of employing physicians for an epidemiological approach to asthma, in absence of a valid objective criterion.
在一项关于慢性阻塞性肺疾病的流行病学调查中，在报告支气管哮喘患病率数据之前，我们通过一份合适的问卷对被定义为“病理性”的受试者组以及作为对照的“正常”组进行了检查。我们将问卷的敏感性和特异性与两位医生进行的临床评估进行了比较，并控制了他们的结果、非特异性支气管高反应性和皮肤试验之间的关系。特别是，医生通过临床评估做出的诊断与通过问卷得出的诊断之间的对应性并不令人满意。我们建议，在缺乏有效客观标准的情况下，在哮喘的流行病学研究中聘请医生的重要性。
