The usefulness of a free self-test for screening albuminuria in the general population a cross-sectional survey 英文参考文献.docVIP

BMC Public Health BioMedCentral Research article Open Access The usefulness of a free self-test for screening albuminuria in the general population: a cross-sectional survey Markus MJ Nielen*1, Fran?ois G Schellevis1,2 and Robert A Verheij1 Address: 1NIVEL (Netherlands Institute for Health Services Research), P.O. Box 1568, 3500BN Utrecht, The Netherlands and 2Department of General Practice/EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands Email: Markus MJ Nielen* - m.nielen@nivel.nl; Fran?ois G Schellevis - f.schellevis@nivel.nl; Robert A Verheij - r.verheij@nivel.nl * Corresponding author Published: 9 October 2009 Received: 26 May 2009 Accepted: 9 October 2009 BMC Public Health 2009, 9:381 doi:10.1186/1471-2458-9-381 This article is available from: /1471-2458/9/381 ? 2009 Nielen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: In this study we evaluated the usefulness of a free self-test for screening albuminuria in the general population. Methods: Dutch adults were invited by the Dutch Kidney Foundation to order a free albuminuria self-test, consisting of three semi quantitative dipstick tests, via the Internet. Results were classified in negative, low-positive and high-positive. In case of a positive test result, the tester was recommended to visit a GP for supplementary examination and/or treatment. Participants of the programme were sent a questionnaire for evaluation by e-mail eight weeks after receiving the self- test. Results: During the first 30 days of the self-test programme, 996,927 self-tests were ordered. In total, 71,714 participants completed the questionnaire: 79% had a negative test result and 21% had a positive test result (20% lo