Durkin M S, Hasan Z M, Hasan K Z
G H Sergievsky Centre, Columbia University, New York, NY 10032, USA.
J Epidemiol Community Health. 1995 Aug;49(4):431-6. doi: 10.1136/jech.49.4.431.
To assess the accuracy of the ten questions screen as a measure of childhood disability for epidemiologic studies in populations lacking resources for professional assessment of children's development and functioning.
Household survey and screening of children in phase one followed by clinical assessments in phase two.
Karachi, Pakistan.
A cluster sample of 6365 children, aged 2 to 9 years, screened using the ten questions and a subsample referred for clinical assessments.
Although the sensitivity of the ten questions as a global screen for serious cognitive, motor, and seizure disabilities is high (84-100%), its sensitivity for identifying and distinguishing specific types of disability and for detecting vision, hearing, and mild disabilities, overall, is limited (generally < 80% and as low as 4% for mild vision disability). The predictive value of a positive screening result is also limited-using the ten questions in surveys without clinical confirmation results in overestimation of the prevalence of serious disability by more than 300%.
The ten questions screen is not an assessment tool. Its utility lies in its ability to screen or select a fraction of the population at high risk for serious disability. As a screening tool, it allows scarce diagnostic and other professional resources to be efficiently directed toward those at high risk.
在缺乏儿童发育和功能专业评估资源的人群中，评估十项问题筛查作为儿童残疾流行病学研究测量方法的准确性。
第一阶段对儿童进行家庭调查和筛查，第二阶段进行临床评估。
巴基斯坦卡拉奇。
采用十项问题对6365名2至9岁儿童进行整群抽样筛查，并选取一个子样本进行临床评估。
尽管十项问题作为严重认知、运动和癫痫残疾整体筛查的敏感性较高（84%-100%），但其识别和区分特定类型残疾以及检测视力、听力和轻度残疾的敏感性总体有限（一般<80%，轻度视力残疾低至4%）。筛查结果呈阳性的预测价值也有限——在无临床确诊的调查中使用十项问题会导致严重残疾患病率高估超过300%。
十项问题筛查并非一种评估工具。其作用在于能够筛查或挑选出一部分严重残疾高风险人群。作为一种筛查工具，它能使稀缺的诊断及其他专业资源有效地用于高风险人群。
