Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-17T00:54:33.746Z Has data issue: false hasContentIssue false
  • English
  • Français

Medical Diagnostic Tecynology in the Home

Published online by Cambridge University Press:  10 March 2009

James M. Richter ,
John D. Goodson ,
Michael J. Barry  and
Katherine K. Treadway
James M. Richter*
Affiliation:
Massachusetts General Hospital and Harvard Medical School
John D. Goodson
Affiliation:
Massachusetts General Hospital and Harvard Medical School
Michael J. Barry
Affiliation:
Massachusetts General Hospital and Harvard Medical School
Katherine K. Treadway
Affiliation:
Massachusetts General Hospital and Harvard Medical School
*
Please address correspondence to: Dr. James M. Richter, Ambulatory Care Center 535, Massachusetts General Hospital, Boston, MA 02114, U.S.A.
Get access Rights & Permissions [Opens in a new window]

Extract

This article studies the issues surrounding the assessment of several home diagnostic tests. First, the authors review the current data and proper use of fecal occult blood and pregnancy tests. Second, they evaluate the roles of blood and urine glucose monitoring in the management of diabetes mellitus and home pressure monitoring in the management of hypertension. The authors conclude that while home measurement of blood pressure or blood sugar can be recommended to improve compliance with medical programs, home fecal occult blood testing, while helpful, has not been fully investigated.

Type
Special Section: Technology in Primary Care and Ambulatory Settings
Information
International Journal of Technology Assessment in Health Care , Volume 5 , Issue 1 , January 1989 , pp. 53 - 61
Copyright
Copyright © Cambridge University Press 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.American Cancer Society. ACS report on the cancer related health checkup. Cancer, 1980, 30, 208–15.Google Scholar
2.Boston Women's Health Collective. Our bodies, ourselves. New York: Simon and Schuster, 1979.Google Scholar
3.Camerini-Davalos, R. A., Velasco, C., Glasser, M., & Bloodworth, J. M. B.Drug induced reversal of early diabetic microangiopathy. New England Journal of Medicine, 1983, 309, 1551–56.CrossRefGoogle ScholarPubMed
4.Cottier, C., Julius, S., Gajendragadkar, S. V., & Schork, A.Usefulness of home blood pressure determination in treating borderline hypertension. Journal of the American Medical Association, 1982, 248, 555.CrossRefGoogle ScholarPubMed
5.Doshi, M. L.Accuracy of consumer performed in-home tests for the early pregnancy detection. American Journal of Public Health, 1986, 76, 512–14.CrossRefGoogle ScholarPubMed
6.Dunn, E. L., Pietri, A., & Raskin, P.Plasmid lipid and lipoprotein fuels with continuous subcutaneous insulin infusion in type I diabetes mellitus. Annals of Internal Medicine, 1981, 95, 426–31.CrossRefGoogle Scholar
7.Eggertsen, S. C. & Gergman, J. J.A four-year experience with Hemoccult testing kits in a family medicine center. Journal of Family Practice, 1983, 16, 1021–26.Google Scholar
8.Elwood, T. O., Erickson, A., & Lieberman, S.Comparative educational approaches to screening for colorectal cancer. American Journal of Public Health, 1978, 68, 135–38.CrossRefGoogle ScholarPubMed
9.Epstein, L. H., Coburn, P. C., Becker, D., Drash, A., & Siminerio, L.Measurement and modification of the accuracy of determinations of urine glucose concentration. Diabetes Care, 1980, 3, 535–37.CrossRefGoogle ScholarPubMed
10.Farrands, P. A., Griffiths, R. L., & Britton, D.C.The frome experiment-value of screening for colorectal cancer. Lancet, 1981, i, 1231–32.CrossRefGoogle Scholar
11.Frame, P. S., & Kowulich, B. A.Stool occult blood screening for colorectal cancer. Journal of Family Practice, 1982, 15, 1071–75.Google ScholarPubMed
12.Goodson, J. D., Singer, D. E., Hurxthal, K., & Nathan, D. M.The limited value of home urine testing by diabetic patients. Journal of General Medicine, 1986, 1, 243–247.Google ScholarPubMed
13.Gould, B. A., Kieso, H. A., Hornung, R., Altman, D. G., Cashman, P. M. M., & Raftery, E. B.Assessment of the accuracy and role of self recorded blood pressures in the management of hypertension. British Medical Journal, 1982, 285, 1691.CrossRefGoogle ScholarPubMed
14.Grob, P. R., Manners, B. T. B., Beynon, G. P. J., & Gibbs, F. J.Do-it-yourself pregnancy test. British Medical Journal, 1973, 1, 112–13.CrossRefGoogle Scholar
15.Hanlon, J. T., Caiola, J. M., Muhlbaier, L. H., Dennis, B. H., Edelman, D. A., & Felder, D. Jr, An evaluation of the sensitivity of five home pregnancy tests to known concentrations of human chorionic gonadotropin. American Journal of Obstetrics and Gynecology, 1982, 144, 778–82.CrossRefGoogle ScholarPubMed
16.Hayford, J. T., Weydert, J. A., & Thompson, R. G.Validity of urine glucose measurements for estimating plasma glucose concentrations. Diabetes Care, 1983, 6, 40–44.Google Scholar
17.Haynes, R. B., Sackett, D. L., Gibson, E. S., Taylor, D. W., Hackett, B. L., Roberts, R. S., & Johnson, A. L.Improvement of medication compliance in uncontrolled hypertension. Lancet, 1976, 1265.Google Scholar
18.Kleinert, H. D., Harshfield, G. A., Pickering, T. O., Devereux, R. B., Sullivan, P. A., Marion, R. M., Mallory, W. K., & Laragh, J. H.What is the value of home blood pressure measurement in patients with mild hypertension. Hypertension, 1984, 6, 574.CrossRefGoogle ScholarPubMed
19.Laughlin, K. D., Fisher, L., & Sherrard, D. J.Blood pressure reduction during self recording of home blood pressure. American Heart Journal, 1979, 98, 629.CrossRefGoogle ScholarPubMed
20.Laughlin, K. D., Sherrard, D. J. & Fisher, L.Comparison of clinic and home blood pressure levels in essential hypertension and variables associated with clinic-home differences. Journal of Chronic Diseases, 1980, 33, 197.CrossRefGoogle ScholarPubMed
21.Lauritezen, T., Frost-Larsen, K., Larsen, H.-W., Deckert, T. et al. , Effect of 1 year of near- normal blood glucose levels on retinopathy in insulin-dependent diabetes. Luncet, 1983, i, 200–203.CrossRefGoogle Scholar
22.Lindstedt, G., Himmelmann, C.-E., Salsmans, R., & Valentink. Home testing for pregnancy – can it be recommended? Scandinavian Journal of Clinical and Laboratory Investigation, 1982, 42, 371–6.CrossRefGoogle ScholarPubMed
23.Macrae, F. A., St., John D. J. B., Caligore, P., Taylor, L. S., & Legge, J. W.Optimal dietary restrictions for Hemoccult testing. Gastroenterology, 1982, 82, 899–903.CrossRefGoogle Scholar
24.Mechlenburg, R. S., Bensen, E. A., Bensen, J. W. Jr et al. , Acute complications associated with insulin infusion pump therapy. Journal of the American Medical Association, 1984, 3265–69.CrossRefGoogle Scholar
25.Norfleet, R. O., & Robert, R. C.HemmoccultTM screening for colorectal neoplasms. Wisconsin Medical Journal, 1983, 82, 23–26.Google ScholarPubMed
26.Service, J. E, Molnar, G. D., & Taylor, W. F.Urine glucose monitoring during continuous blood glucose monitoring. Journal of the American Medical Association, 1972, 222, 294–98.CrossRefGoogle Scholar
27.Stroehlein, J. R., Goulston, K., & Hunt, R. H.Diagnostic approach to evaluating the cause of a positive fecal occult blood test. Cancer, 1984, 34, 148–57.Google ScholarPubMed
28.Teutsch, S. M., Herman, W. H., Dwyer, D. M., & Lane, J. M.Mortality among diabetic patients using continuous subcutaneous insulin-infusion pumps. New England Journal of Medicine, 1984, 310, 361–67.CrossRefGoogle ScholarPubMed
29.Valnis, B. G., & Perlman, C. S.Home pregnancy testing kits: Prevalence of use, false negative rates, and compliance with instructions. American Journal of Public Health, 1982, 72, 1034–36.CrossRefGoogle Scholar
30.Walford, S., Gale, E. A. M., Allison, S. P., & Tattersall, R. B.Self-monitoring of blood- glucose. Lancer, 1978, 1, 732–35.CrossRefGoogle ScholarPubMed
31.Winchester, D. P., Shull, J. H., Scanlon, E. F.,. A mass screening program for colorectal cancer using chemical testing for occult blood in the stool. Cancer, 1980, 45, 2955–58.Google ScholarPubMed
32.Winchester, D. P., Sylvester, J., & Maler, M. L.Risks and benefits of mass screening for colorectal neoplasia with the stool guaiac test. Cancer, 1983, 33, 333–43.Google ScholarPubMed
33.Wiseman, M. J., Saunders, A. J., Keen, H., & Viberti, G.Effect of blood glucose and control on increased glomerular filtration rate and kidney size in insulin dependent diabetes. New England Journal of Medicine, 1985, 312, 617–620.CrossRefGoogle ScholarPubMed