Holtedahl K A
Kvaløysletta helse- og sosialsenter, Kvaløysletta, Norway.
Scand J Prim Health Care. 1987 Sep;5(3):133-9. doi: 10.3109/02813438709013993.
Previous studies have dealt with the role of seven warning signals of cancer in public health education and cancer diagnostics in general practice. Registrations of warning signals from medical records have some inconveniences common to most retrospective record studies. In the present inter-observer variation study it is found that agreement is good for warning signals in cancer patients when the warning signal has a probable connection with the disease. In control patients, and for more incidentally occurring warning signals in cancer patients, agreement is not so good. It seems that reproducible registrations from records are possible when there is a precise definition of what to look for and the data are relevant to the patient's disease. This study stresses the importance of good record keeping in medical practice.
先前的研究探讨了癌症的七种警示信号在公共卫生教育及全科医疗中的癌症诊断方面的作用。从医疗记录中登记警示信号存在大多数回顾性记录研究共有的一些不便之处。在本观察者间变异研究中发现，当癌症患者的警示信号与疾病有可能的关联时，对于该警示信号的一致性良好。在对照患者中，以及对于癌症患者中更偶然出现的警示信号，一致性则没那么好。似乎当对要查找的内容有精确的定义且数据与患者疾病相关时，从记录中进行可重复登记是可行的。本研究强调了医疗实践中良好记录保存的重要性。
