Katkova Anastasiya Veniaminovna* and Mishlanov Vitaly Yuryevich

Department of Propaedeutics of Internal Diseases No. 1, State Educational Institution of Higher Professional Education Perm State Medical University Ministry of Health of Russian Federation, Russia

*Corresponding Author: Katkova Anastasiya Veniaminovna, Department of Propaedeutics of Internal Diseases No. 1, State Educational Institution of Higher Professional Education Perm State Medical University Ministry of Health of Russian Federation, Russia.

Received: August 16, 2021; Published: September 25, 2021

Citation: Katkova Anastasiya Veniaminovna and Mishlanov Vitaly Yuryevich. “The Effectiveness of Primary Syndromic Diagnosis in Diseases of the Upper Gastrointestinal Tract Using the Information System “Electronic Polyclinic” in Comparison with the Validated Questionnaire GSRS". Acta Scientific Gastrointestinal Disorders 4.10 (2021): 70-76.

Abstract

  The aim of the study was to compare the results of primary syndromic diagnosis of diseases of the upper gastrointestinal tract using the gastroenterological module of the computer program "Electronic polyclinic" and the validated questionnaire GSRS. The material of the study was 20 patients with non-neoplastic diseases of the upper gastrointestinal tract and the control group consisted of 20 persons who were recognized as healthy according to the results of the medical examination of certain groups of the adult population on the basis of the Ministry of Health's order of the Russian Federation dated October 26, 2017 No. 869 n. All respondents were interviewed using 2 questionnaires: GSRS and the gastroenterological module of the interactive system "Electronic Polyclinic". Statistical analysis of the results was performed using the software package Statistica 10.0. Despite the slightly greater sensitivity of some symptoms of diseases of the upper gastrointestinal tract, obtained during an interactive examination using the computer program "Electronic polyclinic" than when using the GSRS questionnaire, the accuracy of their assessment was low (30 - 55%). Due to the syndromic principle, the accuracy of the diagnostic process has increased, to a greater extent when using the automated system "Electronic Polyclinic": the sensitivity of the method was 80% and the specificity - 90%; when using the GSRS questionnaire, the operating characteristics were 65% and 75%, respectively. According to the results obtained, a conclusion was made about a higher effectiveness of primary syndromic diagnosis when using the gastroenterological module of the computer program "Electronic Polyclinic" in comparison with the use of the GSRS questionnaire due to an increase in the number of detailed symptom-questions in the interactive questionnaire, up to 15 within one syndrome, taking into account the coefficients of significance every symptom.

Keywords: Questionnaires in Gastroenterological Diseases; Risk Factors; Clinical and Functional Status; Symptom Detailing; Syndromic Diagnosis

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