Receipt of Diagnostic Tests for Breast Cancer: Validity of Self-Reports Among Low-Income, Mostly Latina, Indigent Women
Receipt of Diagnostic Tests for Breast Cancer: Validity of Self-Reports Among Low-Income, Mostly Latina, Indigent Women
复制标题
DOI：
10.1177/0163278710367802
复制
发表时间：
2010-12-01
影响因子：
2.9
通讯作者：
Bastani, Roshan
中科院分区：
文献类型：
--
作者：
Mojica, Cynthia M.;Bastani, Roshan
很少有人知道的有效性自我报告完成诊断检测后，异常的乳腺癌筛查测试。本研究评估自我报告的诊断随访的有效性之间的819低收入，主要是拉丁裔，贫困妇女与乳房异常在洛杉矶县的两家公立医院。将接受乳房X线摄影、超声、细针穿刺、手术活检或临床乳腺检查以诊断评估乳腺异常的调查答复与病历数据进行比较。作者计算了一致性、Cohen's kappa统计量以及敏感性和特异性。Kappa值表明，乳腺X线摄影、超声和临床乳腺检查的一致性较低，细针穿刺和手术活检的一致性中等。自我报告的敏感性高，所有的测试，特异性差，除手术活检。与医疗记录相比，低收入（主要是拉丁裔）贫困妇女接受乳房异常诊断检测的自我报告并不准确。
Little is known about the validity of self-reported completion of diagnostic testing after an abnormal breast cancer screening test. This study assesses the validity of self-reported diagnostic follow-up among 819 low-income, mostly Latina, indigent women with a breast abnormality at two public hospitals in Los Angeles County. Survey responses on receipt of a mammogram, ultrasound, fine needle aspiration, surgical biopsy, or clinical breast exam for diagnostic evaluation of the breast abnormality were compared to medical record data. The authors calculated concordance, Cohen's kappa statistic, and sensitivity and specificity. Kappa values indicated slight agreement for mammogram, ultrasound, and clinical breast exam, and moderate agreement for fine needle aspiration and surgical biopsy. Sensitivity of self-reports was high for all tests; specificity was poor for all tests except surgical biopsy. Self-reports of receipt of diagnostic testing for a breast abnormality among low-income, mostly Latina, indigent women are not accurate when compared to medical records.