Abstract:
:The aim of this prospective study was to investigate whether an immunological double faecal occult blood test (Fecatwin-S/FECA-EIA) can be used in screening patients with symptoms suggestive of colonic or rectal origin in primary health care. Altogether 523 patients were referred to the study by general practitioners. Three kits were used for the faecal samples and each time the sample was taken from two places of the faeces. If the guaiac test (Fecatwin-S) was positive, the immunological test (FECA-EIA) was performed. All 71 patients with an immunotest absorbance value of over 0.8 were investigated with colonoscopy and this group had 13 cancers, eight adenomas and one hyperplastic polyp. A control group of 41 consecutive patients with an absorbance value under 0.8 had one adenoma and three hyperplastic polyps. The uninvestigated FECA-EIA negative patients had no malignant colorectal tumours in the mean follow-up period of 2.2 years according to hospital records. All cancers had very high absorbance values, the mean value being 2.461. With adenomas the mean absorbance value was 1.912 and with hyperplastic polyps 0.814. Most of the diagnosed cancers and adenomas were in patients over 65 years of age. The study indicates that the immunological occult blood test is a useful tool for a general practitioner in finding bleeding colorectal tumours. The number of needless clinical examinations can be lowered which is important especially among elderly patients. However, the test-negative patients should be retested or investigated if symptoms continue.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Kemppainen M,Häkkinen I,Räihä I,Pomoell R,Sourander Ldoi
10.1093/ageing/23.5.365subject
Has Abstractpub_date
1994-09-01 00:00:00pages
365-70issue
5eissn
0002-0729issn
1468-2834journal_volume
23pub_type
杂志文章相关文献
AGE AND AGEING文献大全abstract::Previous studies have suggested that up to a fifth of people over the age of 80 years may suffer severe dementia-like illnesses. This total population survey of over a thousand people over the age of 75 suggests that the prevalence of marked cognitive impairment is much less than expected. However, differences in the ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/15.5.278
更新日期:1986-09-01 00:00:00
abstract::A cross-sectional survey of community-dwelling elderly volunteers (104 women, 87 men, mean age 70 years) was carried out in winter to determine whether cardiovascular and other potentially modifiable lifestyle factors were associated with serum levels of 25-hydroxyvitamin D during this period. Mean winter levels of se...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/24.4.271
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVE:to investigate the associations between chronic health conditions, psychosocial and environmental factors and catastrophic decline in mobility among older people. DESIGN:longitudinal cohort. SETTING:national sample living in private households. PARTICIPANTS:nine hundred and ninety-nine adults aged > or = 6...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afl004
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:geriatrics encompasses diverse medical, social and ethical challenges requiring a multidimensional, interdisciplinary approach. Recent reports have highlighted failings in the care of older people. It is therefore vital that trainees in geriatrics are afforded opportunities to develop skills in managing this...
journal_title:Age and ageing
pub_type: 杂志文章,多中心研究
doi:10.1093/ageing/afv049
更新日期:2015-07-01 00:00:00
abstract::Myasthenia gravis is probably commoner than previously suspected, the annual incidence being nearer 9-10/million than earlier figures of 2-4/million. The current study found an annual incidence in Croyden of 9.1 per million (95% confidence limits 5.7-13.8 per million). Of the 22 patients (59%) seen in Croyden with new...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/25.1.56
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Little is known about the factors that are associated with receipt of care in older people. This study aims to describe the pattern and predictors of service usage, by a representative sample of people aged 65 and over. METHOD:We assessed psychiatric and physical morbidity, formal and informal care and pres...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/31.6.445
更新日期:2002-11-01 00:00:00
abstract::Joint geriatric/psychiatric wards are a potential solution to improving care of older patients with both psychiatric and medical illnesses in acute hospitals. A literature search using Medline, PsycINFO, Embase and CINAHL between 1980 and 2010 was carried out for information about joint wards for older people. Thirtee...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/afr080
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:to assess motivating factors of healthy elderly people to comply with influenza vaccination. DESIGN:survey of healthy elderly people invited by mail by their general practitioner to come for influenza vaccination. Compliance and the personal characteristics of gender, age and medical insurance were recorded ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/26.4.275
更新日期:1997-07-01 00:00:00
abstract::Of 1042 individuals aged 65 years and over who were successfully interviewed in a community survey of health and physical activity, 35% (n = 356) reported one or more falls in the preceding year. Although the overall ratio of female fallers to male fallers was 2.7:1, this ratio approached unity with advancing age. Mob...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/17.6.365
更新日期:1988-11-01 00:00:00
abstract::One hundred and seventy residents of 11 Leicester City Council homes for the elderly, with a total of 515 beds, were studied during a 30-week period from September 1988 to March 1989 to determine the use of influenza vaccine, the levels of influenza antibody, the incidence of influenza, and the protection afforded by ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/21.3.182
更新日期:1992-05-01 00:00:00
abstract:UNLABELLED:Older people are majority users of health and social care services in the UK and internationally. Many older people who access these services have frailty, which is a state of vulnerability to adverse outcomes. The existing health care response to frailty is mainly secondary care-based and reactive to the ac...
journal_title:Age and ageing
pub_type: 杂志文章,实务指引,评审
doi:10.1093/ageing/afu138
更新日期:2014-11-01 00:00:00
abstract::Of 212 cases of peritonitis found in a retrospective study of geriatric inpatients, the most common causes were mesenteric infarction, malignancy, intestinal obstruction, perforated peptic ulcer, cholecystitis, diverticulitis and perforation of the urinary bladder. The diagnostic accuracy was 47%. Abdominal pain had b...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/20.2.90
更新日期:1991-03-01 00:00:00
abstract::Fasting serum cholesterol and triglyceride levels, and lipoprotein electrophoretic patterns have been investigated in 42 men aged 67-92 years (mean 79 years). Although all the cholesterol and the majority of the triglyceride levels were within the normal range for younger people, both were significantly greater (P < 0...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/9.3.154
更新日期:1980-08-01 00:00:00
abstract::Postural control is no longer considered simply a summation of static reflexes but, rather, a complex skill based on the interaction of dynamic sensorimotor processes. The two main functional goals of postural behaviour are postural orientation and postural equilibrium. Postural orientation involves the active alignme...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/afl077
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVES:the purpose of this study was to evaluate the likelihood that the presence of certain medical conditions in older ambulatory patients are associated with the risk of developing a new pressure ulcer. DESIGN:a cohort study. SETTING AND SUBJECTS:a large outpatient record database from the United Kingdom calle...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/32.3.259
更新日期:2003-05-01 00:00:00
abstract::From a study of routine electrocardiography on 300 ill elderly patients in an acute geriatric unit, it is evident that the incidence of atrial fibrillation, ventricular extrasystoles, myocardial ischaemia and myocardial infarction is much higher than in the general population of similar age group. In females, the inci...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/6.3.163
更新日期:1977-08-01 00:00:00
abstract:OBJECTIVES:To describe the epidemiology and outcomes of non-traumatic dyspnoea in patients aged 75 years or older presenting to emergency departments (EDs) in the Asia-Pacific region. METHODS:A substudy of a prospective interrupted time series cohort study conducted at three time points in EDs in Australia, New Zealan...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa121
更新日期:2021-01-08 00:00:00
abstract:PURPOSE OF THE STUDY:to examine the costs and cost-effectiveness of 'second-generation' telecare, in addition to standard support and care that could include 'first-generation' forms of telecare, compared with standard support and care that could include 'first-generation' forms of telecare. DESIGN AND METHODS:a pragm...
journal_title:Age and ageing
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/ageing/afu067
更新日期:2014-11-01 00:00:00
abstract::The cardiovascular responses to tilting and breathing were studied in 24 patients with late-onset Alzheimer's disease (AD) and 54 healthy control women aged between 75 and 96 years in order to study the parasympathetic and sympathetic heart-rate control. The cardiovascular response to tilting and breathing showed no a...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/21.4.301
更新日期:1992-07-01 00:00:00
abstract:BACKGROUND:whether socioeconomic position over the life course influences the wellbeing of older people similarly in different societies is not known. OBJECTIVE:to investigate the magnitude of socioeconomic inequalities in life satisfaction among individuals in early old age and the influence of the welfare state regi...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afu004
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVES:To evaluate the influence of age on the day-night blood pressure rhythm and on the prevalence of vascular events in those whose systolic blood pressure (SBP) fell by <10% overnight (non-dippers). DESIGN:Cross-sectional observational cohort study. SETTING:Outpatient hypertension clinic. PARTICIPANTS:419 Hy...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/28.1.23
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:dysphagia is common in acute stroke. Accurate detection of the presence or absence of aspiration by bedside swallowing assessment is difficult without objective methods, tending to over-diagnose aspiration. As a result, some patients suffer restricted oral intake unnecessarily. OBJECTIVE:we examined the pre...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/29.6.495
更新日期:2000-11-01 00:00:00
abstract::Two hundred and eighteen subjects, out of 250 individuals taken from a general practice register, returned completed questionnaires giving details about rest cramps, and a further 15 were contacted by telephone. The overall prevalence of rest cramps in the survey population was 37%. The symptom was more prevalent in o...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/23.5.418
更新日期:1994-09-01 00:00:00
abstract:BACKGROUND:the study of factors associated with age-related gait decline may assist in developing methods to preserve mobility in older people. OBJECTIVE:to examine the associations between sensorimotor factors relevant to ageing and gait in the general older population. DESIGN:cross-sectional population-based study....
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afp017
更新日期:2009-05-01 00:00:00
abstract::Fracture is the clinical outcome of concern in osteoporosis, a disease variably defined over the last 30 years, mostly in terms of bone mineral density (BMD). However, an 'osseocentric' view of the condition may have hampered our understanding of how best to identify patients at the greatest risk of fragility fracture...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/aft095
更新日期:2013-09-01 00:00:00
abstract::There have so far been no reported studies of localization of urinary tract infection (UTI) in elderly women. The site of infection, renal or bladder, in significant urinary tract infection in 50 elderly women (mean age 80) admitted acutely to a geriatric unit was determined by the Fairley bladder washout method. Of t...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/12.4.317
更新日期:1983-11-01 00:00:00
abstract:OBJECTIVES:to describe gender differences in levels of, and longitudinal changes in, habitual physical activity among older people. DESIGN:longitudinal study. PARTICIPANTS:sub-groups of survivors (with sample sizes dependent on the availability of complete datasets, ranging from 303-344) assessed on three occasions: ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/27.suppl_3.24
更新日期:1998-12-01 00:00:00
abstract:Background:a trend towards decline in disability has been reported in older adults, but less is known about corresponding temporal trends in measured physical functions. Objective:to verify these trends during 2001-16 in an older Swedish population. Methods:functional status was assessed at three occasions: 2001-04 (...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afy085
更新日期:2018-09-01 00:00:00
abstract::Plasma and red-cell folate levels and dietary folate intake were monitored for about six months, including two months during which supplementary vitamin C was given, in 21 healthy elderly men and women living at home in the north of England. Although biochemical values were consistently low in some subjects, no clinic...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/9.4.241
更新日期:1980-11-01 00:00:00
abstract:Background:overactive bladder (OAB) is a common condition in older persons. Antimuscarinic treatment remains the mainstay of treatment of OAB but clinicians have been reluctant to prescribe this to older patients. This study examined efficacy and safety information from patients >65 in fesoterodine trials to reaffirm e...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afw252
更新日期:2017-07-01 00:00:00