Background
Methods
Survey
Vignette
Scoring
Question 1: What specific data are you searching for in this patient's history? |
History of primary tuberculosis infection or of visceral tuberculosis |
History of vaccination with BCG (bacille Calmette-Guerin) |
History of positive response to intradermal tuberculin testing |
History of correct treatment for possible active tuberculosis |
History of infection: cutaneous |
History of infection: pulmonary |
History of infection: urinary |
History of infection: septicemia |
History of infection: septic arthritis |
History of neurologic disease |
History of neoplasia or of hemopathy |
Question 2: What clinical data are you personally searching for during the physical examination? |
Lymphadenopathy |
Neurologic abnormalities |
Question 3: Which biological, radiolographic or other tests do you request? |
Blood count |
Serum protein electrophoresis |
Liver function tests |
Hepatitis C serology |
HIV serology |
Antinuclear antibodies |
Chest x-ray |
Question 4: What other preventive measures do you take? |
Tuberculin skin test |
Question 1: What specific data are you searching for in this patient's history? |
History of tuberculosis |
Question 2: What clinical data are you personally searching for during the physical examination? |
None |
Question 3: Which biological, radiographic or other tests do you request? |
Chest x-ray |
Question 4: What other preventive measures do you take? |
Tuberculin skin test |
Questionnaire administration
Statistical analysis
Results
Respondents
Physician characteristics | Questionnaire A (open-ended) | Questionnaire B (closed-ended with deceptive items) | Questionnaire C (closed-ended) | |
---|---|---|---|---|
N | 114 | 118 | 118 | |
Sex (% female) | 41.2 | 37.3 | 37.3 | |
Age (mean ± SD) | 43.8 ± 9.2 | 46.4 ± 8.8 | 47.2 ± 9.6 | |
Years practicing rheumatology (mean ± SD) | 17.8 ± 8.6 | 18.7 ± 8.5 | 19.4 ± 8.9 | |
Exclusive private practice (%) | 35.0 | 32.8 | 31.1 | |
Practice | Both private and public practice (%) | 26.5 | 32.8 | 28.6 |
Exclusive public practice (%) | 38.5 | 34.4 | 40.3 | |
Previously prescribed TNF-blocking drug (yes, %) | 64.9 | 68.6 | 73.9 | |
Access to a checklist before TNF-blocker drug prescription (yes, %) | 46.6 | 44.5 | 51.9 |
Questionnaire responses
Questionnaire A | Questionnaire B | Questionnaire C | A and B comparison p-value | A and C comparison p-value | B and C comparison p-value | A, B and C comparison p-value | |
---|---|---|---|---|---|---|---|
Long version of checklist | 0.0 | 5.0 | 5.9 | 0.0293 | 0.0143 | 1.0000 | 0.0167 |
Short version of checklist | 50.4 | 84.0 | 95.0 | <0.0001 | <0.0001 | <0.0001 | 0.0060 |
Chose item "chest X-rays" | 84.6 | 96.6 | 98.3 | 0.0015 | 0.0002 | 0.6835 | <0.0001 |
Chose item "tuberculin skin test" | 65.8 | 85.7 | 95.8 | 0.0004 | < 0.0001 | 0.0072 | <0.0001 |