Labberton, M. (Michelle) (2016) The Infant Stool Color Card as a Screening Tool for Early Detection of Biliary Atresia :A pilot study to determine the feasibility of the ISCC in the Dutch health-care system. thesis, Medicine.
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Abstract
Abstract Background Biliary atresia (BA) is a rare cholestatic disease of the biliary tracts in the newborn. It is a serious progressive disease and liver transplantation is almost inevitable. More successful outcomes are obtained if the Kasai procedure is performed timely. A nationwide screening program could contribute to earlier detection of the disease. An infant stool color card (ISCC) was implemented in the health-care system of Taiwan. This has led to earlier referral and higher survival rates. Other countries implemented the ISCC as well, and is seems that the tool is a simple and effective way of screening. The aim of this pilot is to determine the feasibility of the tool in the Dutch health-care system. Methods In a pilot of over three months we included the stool color card in the child health booklet (GroeiGids) in the region Amstelland. The cards were discussed during the homevisit and collected at the time of the one-month health check. Laboratory tests were carried out in case of abnormal stool color. The cards were collected and all data was entered in SPSS. In addition, parents were asked to fill in a questionnaire about the ISCC. Results 398 children were included in the pilot. 254 cards were collected and 160 surveys were returned, yielding a response rate of 64% and 40% respectively. No cases of BA were found in the pilot nor were children recorded with abnormal stool color. The specificity of the test was 100%. According to the answers of the questionnaires, parents thought of the ISCC as an easy and clear tool Conclusion The high specificity and response rate in combination with the outcomes of the survey made us believe that the ISCC can be readily implemented as a nationwide screening tool.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Hulscher, Dr. Jan B.F. and Department of Pediatric Surgery and Beatrix Children’s Hospital and University Medical Center Groningen |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:59 |
| Last Modified: | 25 Jun 2020 10:59 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1909 |
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