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In addition information was extracted by only three researchers who were in agreement to complete the questionnaires, raising doubts about the consistency of the study and whether the results can be extrapolated to other external auditors.
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Yet a closer look at the questions used in the questionnaires raises some more fundamental concerns about the adequacy of the various scales.
The relatively low return rate of the questionnaires raises the possibility of self selection bias.
Retrospective assessment of costs via questionnaires raises the question of how often participants should be contacted and what is the appropriate recall time frame [ 11, 12].
Screening with self-report questionnaires raises the possibility that people answer the questions about pain problems other than joint pain, like nerve pain or muscle pain, which could result in incorrect selection of people with joint pain.
During this former study we observed that this culture questionnaire raised awareness and stimulated some professionals to change their practice.
Some of these studies have used self-made abbreviated versions of questionnaires, thus raising the question of the validity of the results.
The supervisor reviewed all filled questionnaires and raised queries where gaps were identified in the filled questionnaire, or the consenting process.
All questionnaires that raised queries were returned to interviewers for clarification in the field.
Finally, self-administered questionnaires can raise biased information on clinical symptoms.
Overall, this report provides some pointers for distinguishing FM patients from patients with RA or SLE in clinical questionnaires and raises some potentially novel issues regarding musculoskeletal symptoms in SLE patients.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com