ArticlePediatrics2004
Validation of a multistage asthma case-detection procedure for elementary school children.
Article in Pediatrics, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed.
- Design of the supervised asthma therapy study: implementing an adherence intervention in urban elementary schools.Contemporary clinical trials · 2008Trial
- Outcomes for a comprehensive school-based asthma management program.The Journal of school health · 2006Trial
- Determining the Relative Burden of Childhood Asthma at the Local Level by Surveying School Nurses.Pediatric allergy, immunology, and pulmonology · 2013Article
- Availability of Asthma Quick Relief Medication in Five Alabama School Systems.Pediatric allergy, immunology, and pulmonology · 2012Article
- Asthma morbidity among children evaluated by asthma case detection.Pediatrics · 2009Article
- Identification and education of adolescents with asthma in an urban school district: results from a large-scale asthma intervention.Journal of urban health : bulletin of the New York Academy of Medicine · 2008Article
- Quality of life in children with undiagnosed and diagnosed asthma.European journal of pediatrics · 2007Article
- Comparison of parent and student responses to asthma surveys: students grades 1-4 and their parents from an urban public school setting.The Journal of school health · 2006Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveThe purpose of this study was to validate a 3-stage asthma case-detection procedure for elementary school-aged children.
methodsThe study was performed in 10 elementary schools in 4 inner-city school systems, with a total enrollment of 3539 children. Results of the case-detection procedure were compared with the diagnosis of an asthma specialist study physician, to determine the sensitivity and specificity of the case-detection procedure.
resultsNinety-eight percent of children returned the asthma symptoms questionnaires, and 79% of those children consented to additional testing. Results indicated that the 3-stage procedure had good validity, with sensitivity, specificity, and predictive value of 82%, 93%, and 93%, respectively. A 2-stage procedure using questionnaires and spirometry had similar validity, with sensitivity, specificity, and predictive value of 78%, 93%, and 93%, respectively. However, given the time and expense associated with the 2- or 3-stage procedure and the difficulty of obtaining physician follow-up evaluation of the case-detection diagnosis, schools may prefer to use a 2-item questionnaire that has a lower sensitivity (66%) but higher specificity (96%) and predictive value (95%).
conclusionsCase-detection programs are generally well received by school personnel and can identify children with unrecognized or undiagnosed disease, as well as those with a current diagnosis but poorly controlled disease. This study yields substantial information regarding the validity, yield, and specific types of children who might be identified with the use of such procedures. For the choice of the method of case detection used in a school, the strengths and weaknesses of each procedure, as well as the resources available for case detection, physician referral, and follow-up procedures, must be considered.
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