Sørensen H T, Steffensen F H, Ejlersen E, Møller-Petersen J F, Rasmussen H H, Hamburger H, Olesen F
Aarhus Universitet, Center for Epidemiologisk Grundforskning.
Ugeskr Laeger. 1995 Oct 2;157(40):5538-40.
The use of strong analgesics was continuously registered in 90 patients throughout 12 months via the public health authorities, who are responsible for the control of prescription of strong analgesics. After the 12 months, questionnaires were sent to the prescribing doctors about the treatment during that period. Twenty-five patients were excluded mainly due to incomplete data and non-responding GPs. Analysis of validity of the GPs' registration, with the public health authorities' registration used as the reference standard, showed 90% (95% confidence limits (CL):68-99%) agreement concerning continuing treatment with strong analgesics and 98% (CL:88-100%) regarding GPs' registration of patients not being treated with strong analgesics. In all, misclassification occurred in 5% (CL:1-13%) of the patients. Our study suggests that the GPs' information about prescriptions of strong analgesics is valid, and that it can be used in research.
在12个月期间,通过负责管控强效镇痛药处方的公共卫生部门,持续记录了90名患者使用强效镇痛药的情况。12个月后,向开处方的医生发送了关于该时期治疗情况的调查问卷。25名患者被排除,主要原因是数据不完整和全科医生未回复。以公共卫生部门的记录作为参考标准,对全科医生记录的有效性进行分析,结果显示,在强效镇痛药持续治疗方面,二者的一致性为90%(95%置信区间(CL):68 - 99%);在未使用强效镇痛药患者的记录方面,一致性为98%(CL:88 - 100%)。总体而言,5%(CL:1 - 13%)的患者出现了分类错误。我们的研究表明,全科医生关于强效镇痛药处方的信息是有效的,可用于研究。