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Titolo:
Physician recognition of active injection drug use in HIV-infected patients is lower than validity of patient's self-reported drug use
Autore:
Messiah, A; Loundou, AD; Maslin, V; Lacarelle, B; Moatti, JP;
Indirizzi:
Univ Penn, Ctr Studies Addict, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 es Addict, Philadelphia, PA 19104 USA Univ Bordeaux 2, INSERM, U330, F-33076 Bordeaux, France Univ Bordeaux 2 Bordeaux France F-33076 , U330, F-33076 Bordeaux, France Observ Reg Sante Provence Alpes Cote dAzur, Marseille, France Observ Reg Sante Provence Alpes Cote dAzur Marseille France lle, France Univ Mediterranee, Lab Pharmacocinet, Fac Pharm, Marseille, France Univ Mediterranee Marseille France ocinet, Fac Pharm, Marseille, France INSERM, U379, F-13258 Marseille, France INSERM Marseille France F-13258INSERM, U379, F-13258 Marseille, France
Titolo Testata:
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
fascicolo: 2, volume: 21, anno: 2001,
pagine: 103 - 112
SICI:
0885-3924(200102)21:2<103:PROAID>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMAN-IMMUNODEFICIENCY-VIRUS; RISK BEHAVIORS; GENERAL-PRACTITIONERS; RELIABILITY; EUROPE; HEALTH; INEQUALITIES; MANAGEMENT; EPIDEMIC; ABUSERS;
Keywords:
recognition; injection drug use; physicians; HIV infection; self-reports; validity; social vulnerability;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
53
Recensione:
Indirizzi per estratti:
Indirizzo: Messiah, A Univ Penn, Ctr Studies Addict, Bldg 3,3900 Chestnut St, Philadelphia, PA 19104 USA Univ Penn Bldg 3,3900 Chestnut St Philadelphia PA USA 19104 USA
Citazione:
A. Messiah et al., "Physician recognition of active injection drug use in HIV-infected patients is lower than validity of patient's self-reported drug use", J PAIN SYMP, 21(2), 2001, pp. 103-112

Abstract

A French survey, of 325 HIV-infected subjects with a history of injecting drugs allowed us to study the recognition of patients' injection drug use (IDU) by physicians providing HIV-infection care, and to analyze the correlation between patient demographics and incorrect IDU identification. Kappa for concordance of physician's reports of their patient's IDU with patient'sdeclaration was 0.37; concordance was lower among socially vulnerable patients. This contrasted with a nested study of validity of patient's self-report of opioid use: Kappa for patient's declaration of opioid use within thepast two days against a biological assay was 0.61, and concordance was higher among socially vulnerable patients. Concordance of physicians' ratings and patients' reports of IDU was not more than fair even though physicians were knowledgeable about their patient's IDU history. This concordance varied with social status in a way that did not correspond with variations in self-reported opioid use validity, suggesting that identification of active IDU might be partly based on incorrect interpretation of subjective cues. (C) U.S. Cancer Pain Relief Committee, 2001.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 04:25:53