Document Detail


Diagnostic criteria and reporting procedures for pre-eclampsia: a national survey among obstetrical departments in Denmark.
MedLine Citation:
PMID:  16260339     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: A precondition for the rational use of obstetric databases in biomedical research is detailed knowledge on how data are being generated. We identified the diagnostic procedures and criteria for pre-eclampsia (PE) and assessed the level of obstetric training of the personnel responsible for the records submitted to the patient registry at the Danish National Board of Health. STUDY DESIGN: A structured questionnaire, including three case stories, was sent to the chief consultant of the department. RESULTS: Thirty-three out of the 34 Danish departments (97%) returned the questionnaire. Reporters of pregnancy diagnoses to the National Patient Registry differed widely in training. For complicated pregnancies, departments ranged from having only specialists reporting all cases to secretaries reporting up to 50%. Cut off limits of blood pressure (BP) and protein loss used to diagnose pre-eclampsia showed large differences across departments. The diagnoses given to three case stories showed little correlation to the criteria the departments reported using. CONCLUSION: Even in a small country like Denmark with 34 obstetrical departments, there was little consensus on the diagnostic criteria for pre-eclampsia. The findings emphasize the need for standardizing diagnostic criteria and reporting practice and may have implications on how to interpret data regarding pre-eclampsia.
Authors:
Ase K Klemmensen; Sjurdur F Olsen; Christina M Wengel; Ann Tabor
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  123     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-01     Completed Date:  2006-02-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  41-5     Citation Subset:  IM    
Affiliation:
Departments of Obstetrics and Gynecology, H:S Hvidovre Hospital, University of Copenhagen, Kettegård Allé 30, DK-2650 Hvidovre, Denmark. klem@dadlnet.dk
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure
Denmark / epidemiology
Education, Medical
Female
Gynecology / education
Humans
Obstetrics / education
Pre-Eclampsia / diagnosis*,  epidemiology
Pregnancy
Questionnaires
Registries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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