A COMPARISON OF INTERVIEW DATA AND MEDICAL RECORDS FOR PREVIOUS MEDICAL CONDITIONS AND SURGERY
A COMPARISON OF INTERVIEW DATA AND MEDICAL RECORDS FOR PREVIOUS MEDICAL CONDITIONS AND SURGERY
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DOI：
10.1016/0895-4356(89)90119-4
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发表时间：
1989-01-01
影响因子：
7.2
通讯作者：
MCCAFFREY, LD
中科院分区：
文献类型：
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作者：
LINET, MS;HARLOW, SD;MCCAFFREY, LD
虽然访谈信息通常是病例对照研究中唯一的数据来源，但很少评估这些数据的准确性。我们比较了选定的医疗条件和外科手术与慢性淋巴细胞白血病患者的医疗记录的访谈数据。我们按受访者类型（自身或代理人）、年龄、性别、种族和医院类型检查了协议。两个数据源之间的一致性强度（如通过kappa统计测量的）是实质性的（. > 0.6），用于脾切除术、阑尾切除术、哮喘和系统性红斑狼疮; > 0.4）用于扁桃体切除术/腺样体切除术、结核病、憩室炎、肝炎、风湿热和药物过敏;以及差的. < 0.3）用于慢性支气管炎、慢性鼻窦炎、牛皮癣、类风湿性关节炎和大多数其他类型的过敏。一般来说，自我回答者比代理回答者有更准确的回忆。在自我应答者中，男性比女性，白人比黑人，转诊医院的受试者比社区医院的受试者的协议强度往往更大。随着年龄的增长，没有明显的一致模式。尽管有一些限制，研究结果提供了一个除了关于这个话题的流行病学文献很少，并建议，在某些情况下，医疗记录数据收集可能需要补充采访信息。
Although interview information is usually the sole source of data in case-control studies, the accuracy of such data is infrequently assessed. We compared interview data on selected medical conditions and surgical procedures with medical records of subjects with chronic lymphocytic leukemia. We examined agreement by type of respondent (self or surrogate), age, sex, race, and type of hospital. The strength of agreement between the two data sources (as measured by kappa statistics) was substantial (.kappa. > 0.6) for splenectomy, appendectomy, asthma, and systemic lupus erythematosus; moderate (.kappa. > 0.4) for tonsillectomy/adenoidectomy, tuberculosis, diverticulitis, hepatitis,rheumatic fever, and drug allergy; and poor .kappa. < 0.3) for chronic bronchitis, chronic sinusitis, psoriasis, rheumatoid arthritis, and most other types of allergy. In general, self respondents had more accurate recall than surrogate respondents. Among self respondents the strength of agreement tended to be greater for males than females, for whites than blacks, and for subjects from referral hospitals than for community hospitals. No consistent patterns were apparent by age. Despite a number of limitations, the findings of the study provide an addition to the scant epidemiologic literature on this topic, and suggest that for certain conditions medical record data collection may be needed to supplement interview information.