Agreement between self-report of disease diagnoses and medical record validation in disabled older women: Factors that modify agreement
Agreement between self-report of disease diagnoses and medical record validation in disabled older women: Factors that modify agreement
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DOI：
10.1111/j.1532-5415.2004.52021.x
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发表时间：
2004-01-01
影响因子：
6.3
通讯作者：
Fried, LP
中科院分区：
文献类型：
--
作者：
Simpson, CF;Boyd, CM;Fried, LP
目的：采用多种确定方法确定慢性病的自我报告与经证实的疾病证据之间的一致性，并评估认知、教育、年龄和合并症的影响。设计：横断面分析。地点：马里兰州的社区巴尔的摩。参与者：1002名65岁及以上的社区居住残疾妇女。测量：计算Kappa统计量以确定14种疾病的自我报告与标准化算法之间的关系。采用简易精神状态检查评分、受教育程度、慢性病数量和年龄进行分层分析。结果：Kappa对髋部骨折（HF）、帕金森病（PD）、糖尿病（DM）、癌症、中风和椎间盘疾病（DD）的评分为优，对心绞痛、充血性心力衰竭和心肌梗死的评分为一般至良好;外周动脉疾病、椎管狭窄症、骨质疏松症、关节炎和肺部疾病较差。总体而言，Kappa下降，认知和教育程度降低，年龄增加，四个或更多的diseases.CONCLUSION：在残疾老年妇女，自我报告的医生诊断HF，PD，DM，癌症，中风，DD似乎是有效的。一般来说，增加合并症和年龄，降低认知和教育不会降低疾病的有效性，其中协议是优秀的整体。
OBJECTIVES: To determine the agreement between self-report of chronic disease and validated evidence of disease using multiple ascertainment methods and to assess effects of cognition, education, age, and comorbidity.DESIGN: Cross-sectional analysis.SETTING: Community Baltimore, Maryland.PARTICIPANTS: One thousand two community-dwelling disabled women aged 65 and older.MEASUREMENTS: Kappa statistics were calculated to determine the relationship between self-report of 14 diseases and standardized algorithms. Analyses were stratified using Mini-Mental State Examination score, education, number of chronic diseases, and age.RESULTS: Kappa was excellent for hip fracture (HF), Parkinson's disease (PD), diabetes mellitus (DM), cancer, stroke, and disc disease (DD); fair to good for angina pectoris, congestive heart failure, and myocardial infarction; and poor for peripheral arterial disease, spinal stenosis, osteoporosis, arthritis, and lung disease. Overall, kappa decreased with decreasing cognition and education, increasing age, and four or more diseases.CONCLUSION: In disabled older women, self-report of physician diagnosis of HF, PD, DM, cancer, stroke, and DD appears valid. In general, increasing comorbidity and age and decreasing cognition and education do not reduce validity for diseases where agreement was excellent overall.