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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Patients routinely report more symptoms to experienced field enumerators than physicians in rural cǒte d'ivoire
American Journal of Tropical Medicine and Hygiene, Volume 89, No. 3, Year 2013
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Description
Medical history-taking is among the most powerful diagnostic tools for healthcare professionals. However, its accuracy and reliability are underexplored areas. The present post-hoc study compares medical histories from 463 people in a rural part of Cǒte d'Ivoire. The medical histories of the same individuals were taken by physicians and experienced field enumerators who were blinded to the results of the others. Kappa (k) statistics for 14 symptoms revealed only poor-to-moderate agreement between physicians and field enumerators (k = 0.01-0.54). Participants reported consistently more symptoms to field enumerators than physicians. Only 33 (7.1%) participants gave no discordant statement at all. The average number of discordant statements per participant was 3.7. Poisson regression revealed no significant association between the number of discordant statements and participants' age, sex, educational attainment, occupation, or socioeconomic status. Operational research should further explore best practices to obtain reliable medical histories in resource-constrained settings. Copyright © 2013 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Fürst, Thomas
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Switzerland, Basel
Universitat Basel
Cote D'ivoire, Abidjan
Université de Cocody-abidjan
Cote D'ivoire
Hǒpital Général de Taabo Cité
Cote D'ivoire, Abidjan
Programme National de la Lutte Contre la Schistosomiase
Silué, Kigbafori Dieudonné
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Switzerland, Basel
Universitat Basel
Cote D'ivoire, Abidjan
Université de Cocody-abidjan
Cote D'ivoire
Hǒpital Général de Taabo Cité
Cote D'ivoire, Abidjan
Programme National de la Lutte Contre la Schistosomiase
Ouattara, Mamadou M.
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Switzerland, Basel
Universitat Basel
Cote D'ivoire, Abidjan
Université de Cocody-abidjan
Cote D'ivoire
Hǒpital Général de Taabo Cité
Cote D'ivoire, Abidjan
Programme National de la Lutte Contre la Schistosomiase
Adiossan, Lukas G.
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Switzerland, Basel
Universitat Basel
Cote D'ivoire, Abidjan
Université de Cocody-abidjan
Cote D'ivoire
Hǒpital Général de Taabo Cité
Cote D'ivoire, Abidjan
Programme National de la Lutte Contre la Schistosomiase
N'Goran, Dje N.
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Switzerland, Basel
Universitat Basel
Cote D'ivoire, Abidjan
Université de Cocody-abidjan
Cote D'ivoire
Hǒpital Général de Taabo Cité
Cote D'ivoire, Abidjan
Programme National de la Lutte Contre la Schistosomiase
Yao, Azragnou J.
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Switzerland, Basel
Universitat Basel
Cote D'ivoire, Abidjan
Université de Cocody-abidjan
Cote D'ivoire
Hǒpital Général de Taabo Cité
Cote D'ivoire, Abidjan
Programme National de la Lutte Contre la Schistosomiase
Koné, Siaka D.
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Switzerland, Basel
Universitat Basel
Cote D'ivoire, Abidjan
Université de Cocody-abidjan
Cote D'ivoire
Hǒpital Général de Taabo Cité
Cote D'ivoire, Abidjan
Programme National de la Lutte Contre la Schistosomiase
N'Goran, Eliézer Kouakou
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Switzerland, Basel
Universitat Basel
Cote D'ivoire, Abidjan
Université de Cocody-abidjan
Cote D'ivoire
Hǒpital Général de Taabo Cité
Cote D'ivoire, Abidjan
Programme National de la Lutte Contre la Schistosomiase
Utzinger, Jürg
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Switzerland, Basel
Universitat Basel
Cote D'ivoire, Abidjan
Université de Cocody-abidjan
Cote D'ivoire
Hǒpital Général de Taabo Cité
Cote D'ivoire, Abidjan
Programme National de la Lutte Contre la Schistosomiase
Bogoch, Isaac Israel
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Switzerland, Basel
Universitat Basel
Cote D'ivoire, Abidjan
Université de Cocody-abidjan
Cote D'ivoire
Hǒpital Général de Taabo Cité
Cote D'ivoire, Abidjan
Programme National de la Lutte Contre la Schistosomiase
Statistics
Citations: 10
Authors: 10
Affiliations: 5
Identifiers
Doi:
10.4269/ajtmh.13-0122
ISSN:
00029637
Research Areas
Health System And Policy