Dyspepsia in the community

Value of a community-based mailed survey to identify potential participants for a randomized clinical trial

Linda M Herrick, Giles Richard Locke, Cathy D. Schleck, Alan R. Zinsmeister, Vickie Treder, Nicholas J. Talley

Research output: Contribution to journalArticle

Abstract

Objective. To assess the usefulness of a community-based mailed survey to identify participants with functional dyspepsia (FD) for a clinical trial. Material and methods. In 2008, a valid self-report questionnaire of gastrointestinal symptoms required for diagnosis of FD was mailed to randomly selected cohorts of Olmsted County, Minnesota, residents. From survey responses (54%), FD cases and controls were identified. Phone calls were completed in 2010 and 2011 to 54% of respondents offering participation to those meeting criteria. Results. Of 937 people identified from the survey, 189 cases and 265 controls were contacted by phone using four questions similar to the written survey resulting in a moderate level of agreement (Kappa 0.43, 95% CI: 0.35-0.51; p = 0.11). The proportion reporting FD symptoms by survey was 42%, while the proportion by phone was 38%. Comparing classification of cases and controls, 118 (62%) survey cases had dyspepsia symptoms on phone screening while 53 (20%) of the survey controls reported FD symptoms. Of 171 who had symptoms, 60 (35%) declined, 33 (19%) were over study age limit, 24 (14%) had inadequate symptom levels and 36 (21%) had comorbidities. Of survey respondents contacted, six (3%) people were enrolled with two screen fails resulting in four (1%) randomized. Conclusion. Agreement between survey and phone questions was modest. Classifications between case and control changed. People eligible and willing to participate were a fraction of people reporting symptoms. People participating in clinical trials do not broadly represent those in the population.

Original languageEnglish (US)
Pages (from-to)959-964
Number of pages6
JournalScandinavian Journal of Gastroenterology
Volume50
Issue number8
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

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Dyspepsia
Randomized Controlled Trials
Surveys and Questionnaires
Clinical Trials
Self Report
Comorbidity

Keywords

  • Clinical trial
  • Dyspepsia
  • Epidemiology
  • Prevalence
  • Response rate

ASJC Scopus subject areas

  • Medicine(all)
  • Gastroenterology

Cite this

Dyspepsia in the community : Value of a community-based mailed survey to identify potential participants for a randomized clinical trial. / Herrick, Linda M; Locke, Giles Richard; Schleck, Cathy D.; Zinsmeister, Alan R.; Treder, Vickie; Talley, Nicholas J.

In: Scandinavian Journal of Gastroenterology, Vol. 50, No. 8, 01.01.2015, p. 959-964.

Research output: Contribution to journalArticle

Herrick, Linda M ; Locke, Giles Richard ; Schleck, Cathy D. ; Zinsmeister, Alan R. ; Treder, Vickie ; Talley, Nicholas J. / Dyspepsia in the community : Value of a community-based mailed survey to identify potential participants for a randomized clinical trial. In: Scandinavian Journal of Gastroenterology. 2015 ; Vol. 50, No. 8. pp. 959-964.
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abstract = "Objective. To assess the usefulness of a community-based mailed survey to identify participants with functional dyspepsia (FD) for a clinical trial. Material and methods. In 2008, a valid self-report questionnaire of gastrointestinal symptoms required for diagnosis of FD was mailed to randomly selected cohorts of Olmsted County, Minnesota, residents. From survey responses (54{\%}), FD cases and controls were identified. Phone calls were completed in 2010 and 2011 to 54{\%} of respondents offering participation to those meeting criteria. Results. Of 937 people identified from the survey, 189 cases and 265 controls were contacted by phone using four questions similar to the written survey resulting in a moderate level of agreement (Kappa 0.43, 95{\%} CI: 0.35-0.51; p = 0.11). The proportion reporting FD symptoms by survey was 42{\%}, while the proportion by phone was 38{\%}. Comparing classification of cases and controls, 118 (62{\%}) survey cases had dyspepsia symptoms on phone screening while 53 (20{\%}) of the survey controls reported FD symptoms. Of 171 who had symptoms, 60 (35{\%}) declined, 33 (19{\%}) were over study age limit, 24 (14{\%}) had inadequate symptom levels and 36 (21{\%}) had comorbidities. Of survey respondents contacted, six (3{\%}) people were enrolled with two screen fails resulting in four (1{\%}) randomized. Conclusion. Agreement between survey and phone questions was modest. Classifications between case and control changed. People eligible and willing to participate were a fraction of people reporting symptoms. People participating in clinical trials do not broadly represent those in the population.",
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