Agreement between questionnaire data and medical records of chronic diseases in middle-aged and elderly Finnish men and women
Agreement between questionnaire data and medical records of chronic diseases in middle-aged and elderly Finnish men and women
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DOI：
10.1093/aje/145.8.762
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发表时间：
1997-04-15
影响因子：
5
通讯作者：
Vuori, I
中科院分区：
文献类型：
--
作者：
Haapanen, N;Miilunpalo, S;Vuori, I
在45-73岁的芬兰男性和女性（n = 596）的代表性样本中，评估了问卷调查中自我报告的疾病与医疗记录数据之间的一致性。累积的病历信息提取自研究区域内各卫生中心和中心医院的病历。对于心血管疾病、高血压、心绞痛、心肌梗死和糖尿病，两种信息来源之间的一致性非常高（kappa 0.73-0.80），而对于下背部疾病、髋关节和膝关节疾病以及跛行，一致性最低（kappa < 0.55）。结果表明，对于诊断标准明确、易于与患者沟通的知名慢性病，问卷调查数据与病历的一致性较好。相反，对于诊断标准不确定且病程波动的疾病，该协议很差。
The agreement between self-reported diseases in a questionnaire survey and data from medical records was assessed in a representative sample of Finnish men and women (n = 596) aged 45-73 years. The accumulated medical record information was abstracted from the records in the health centers and the central hospital in the study region. The agreement between the two information sources was substantial (kappa 0.73-0.80) for cardiovascular diseases as a group, hypertension, angina pectoris, myocardial infarction, and diabetes, She lowest agreement (kappa < 0.55) was found for lower back disorder, hip and knee arthrosis, and claudication. These results showed that the agreement between questionnaire data and medical records was good for well-known chronic diseases that have clear diagnostic criteria and are easily communicated to the patient. Conversely, the agreement was poor for diseases with nonestablished diagnostic criteria and a fluctuating course.