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Gastrointestinal recall questionnaires compare poorly with prospective patient diaries for gastrointestinal symptoms: data from population and primary health centre samples
Macquarie Univ, Australia.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Gastroentorology.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-0723-139X
Linköping University, Department of Medical and Health Sciences, Division of Drug Research. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.
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2019 (English)In: European Journal of Gastroenterology and Hepathology, ISSN 0954-691X, E-ISSN 1473-5687, Vol. 31, no 2, p. 163-169Article in journal (Refereed) Published
Abstract [en]

Background Clinical understanding of gastrointestinal symptoms is commonly based on patient reports of symptom experience. For diagnosis and treatment choices to be appropriate, symptom reports need to be accurate. We examined the agreement between questionnaire recall and prospective diary enumeration of symptoms relevant to the irritable bowel syndrome.

Patients and methods Data are reported from a randomly selected general population sample (n=238) and also a primary healthcare centre (PHC) sample (n=503, 10 PHCs). All the patients completed the questionnaires, which included Rome III-qualifying irritable bowel syndrome items and a stool and symptom diary over either 7 or 14 days. Agreement between retrospective questionnaire reports and prospective diaries was evaluated.

Results Concordance between questionnaires and diaries was highest for the simple construct of the occurrence of abdominal pain, although after adjusting for possible chance, agreement was only moderate in the general population sample. More complex constructs, such as pain relieved by defecation, yielded poorer concordance. In general, concordance was stronger among PHC respondents than in the general population sample.

Conclusion Concordance between questionnaires and diaries was generally poor and related to the complexity of the symptom construct and the type of respondent. The information used to classify individuals based on patient self-report may be unreliable, and therefore, more effort is needed to develop data collection instruments.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2019. Vol. 31, no 2, p. 163-169
Keywords [en]
diary; functional gastrointestinal disorders; irritable bowel syndrome; questionnaires; symptom recording; validation
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Basic Medicine Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-154668DOI: 10.1097/MEG.0000000000001296ISI: 000458405800003PubMedID: 30394943Scopus ID: 2-s2.0-85058891452OAI: oai:DiVA.org:liu-154668DiVA, id: diva2:1293946
Note

Funding Agencies|FORSS (research fund in South of Sweden); Stockholm County Council, Sweden: Ersta Hospital, Stockholm, Sweden; AstraZeneca RD, Sweden; Mag-Tarmforbundet, Sweden

Available from: 2019-03-05 Created: 2019-03-05 Last updated: 2019-03-14Bibliographically approved

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Walter, SusannaOlsen Faresjö, ÅshildGrodzinsky, EwaViktorsson, Lisa
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Division of Neuro and Inflammation ScienceFaculty of Medicine and Health SciencesDepartment of GastroentorologyDivision of Community MedicineDivision of Drug ResearchResearch & Development Unit in Local Health Care
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European Journal of Gastroenterology and Hepathology
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