0385/2020 - Diferenças entre medidas autorreferidas e laboratoriais de diabetes, doença renal crônica e hipercolesterolemia Differences between self-reported and laboratory measures of diabetes, chronic kidney disease and hypercholesterolemia
Objetivo: Comparar as prevalências autorreferidas e medidas por exames laboratoriais, assim como a ocorrência valores de falsos positivos e negativos, para diabetes, doença renal crônica e hipercolesterolemia. Métodos: Foram utilizadas informações da entrevista e exames laboratoriais da Pesquisa Nacional de Saúde (2013,2014-2015). Foram calculadas a sensibilidade, especificidade, segundo sexo, idade, escolaridade, ter plano de saúde e tempo desde a última consulta médica. Por meio de regressão logística, foram analisados fatores associados à ocorrência de falsos positivos e falsos negativos. Resultados: A sensibilidade foi mais elevada para o diabetes e entre os idosos e os que tiveram consulta médica mais recentemente. A especificidade, foi alta para todos as doenças, com melhor desempenho entre os jovens, os com alta escolaridade e os que consultaram há mais de um ano. As chances de falsos positivos e falsos negativos diminuíram com a escolaridade e aumentaram com a idade. Conclusão: A sensibilidade baixa indica que as prevalências podem ser mais elevadas que as medidas autoreferidas apontam.
Palavras-chave:
Sensibilidade e Especificidade; Autorrelato; Diabetes Mellitus; Insuficiência Renal Crônica; Hipercolesterolemia.
Abstract:
Objective: To compare sensitivity, specificity and false positive and negative values between self-reported and laboratory tests diagnosis for diabetes, chronic kidney disease and hypercholesterolemia. Methods: Informationthe interview and laboratory tests of the National Health Survey (2013,2014-2015) were used. Sensitivity, specificity were calculated, according to sex, age, education, having health insurance and time since the last medical consultation. We use logistic regression to analyze associated factors with the occurrence of false positives and false negatives. Results: Sensitivity was higher for diabetes, and among the elderly and those who had a medical appointment more recently. Specificity was high for all diseases, with better performance among younger people, those with high schooling and those who consulted more than one year ago. The chances of false positives and false negatives decreased with schooling and increased with age. Conclusion: Low sensitivity suggests that prevalence might be higher than self-reported measures indicates.
Differences between self-reported and laboratory measures of diabetes, chronic kidney disease and hypercholesterolemia
Resumo (abstract):
Objective: To compare sensitivity, specificity and false positive and negative values between self-reported and laboratory tests diagnosis for diabetes, chronic kidney disease and hypercholesterolemia. Methods: Informationthe interview and laboratory tests of the National Health Survey (2013,2014-2015) were used. Sensitivity, specificity were calculated, according to sex, age, education, having health insurance and time since the last medical consultation. We use logistic regression to analyze associated factors with the occurrence of false positives and false negatives. Results: Sensitivity was higher for diabetes, and among the elderly and those who had a medical appointment more recently. Specificity was high for all diseases, with better performance among younger people, those with high schooling and those who consulted more than one year ago. The chances of false positives and false negatives decreased with schooling and increased with age. Conclusion: Low sensitivity suggests that prevalence might be higher than self-reported measures indicates.
Pinheiro, P., Barros, M.B.A, Landmann, S.C, Machado, I.E., Malta, D.C.. Diferenças entre medidas autorreferidas e laboratoriais de diabetes, doença renal crônica e hipercolesterolemia. Cien Saude Colet [periódico na internet] (2020/dez). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/diferencas-entre-medidas-autorreferidas-e-laboratoriais-de-diabetes-doenca-renal-cronica-e-hipercolesterolemia/17867?id=17867
