Validity and reliability of self-reported arthritis - Georgia senior centers, 2000-2001
Validity and reliability of self-reported arthritis - Georgia senior centers, 2000-2001
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DOI：
10.1016/j.amepre.2004.12.004
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发表时间：
2005-04-01
影响因子：
5.5
通讯作者：
Wilson, WH
中科院分区：
文献类型：
--
作者：
Bombard, JM;Powell, KE;Wilson, WH
背景：关节炎和其他风湿性疾病是美国成年人残疾的常见原因。基于州的行为风险因素监测系统（BRFSS）的电话访谈被州和地区用来估计关节炎的患病率。本研究的目的是评估1996-2001年BRFSS关节炎病例定义的有效性和可靠性在高级center population.Methods：在选定的高级中心在格鲁吉亚的487名受访者进行了电话调查，评估3至4周后，由董事会认证的风湿病学家，并完成了书面调查，在2000年至2001年。使用风湿病学家的总结评估“这个人是否有关节炎或相关疾病”作为标准，计算BRFSS关节炎病例定义的敏感性和特异性。BRFSS关节炎病例定义的可靠性也通过比较电话调查的反应与书面调查的反应进行计算。结果：灵敏度为70.8%（95%置信区间[CI] =65.9-75.6），特异性为70.3%（95% CI=62.9-77.8）。电话和书面答复之间的协议，表明自我报告关节炎是高（kappa=0.68）。结论：1996-2001年BRFSS中自报关节炎在这些老年中心参与者中具有高度可靠性，中等敏感性和特异性。(Am J Prev Med 2005;28（3）：251-258）（c）2005年美国预防医学杂志。
Background: Arthritis and other rheumatic conditions are a common cause of disability among adults in the United States. Telephone interviews of the state-based Behavioral Risk Factor Surveillance System (BRFSS) are used by states and territories to estimate the prevalence of arthritis. The purpose of this study was to assess the validity and reliability of the 1996-2001 BRFSS arthritis case definition in a senior center population.Methods: A total of 487 respondents at selected senior centers in Georgia were surveyed by telephone, evaluated 3 to 4 weeks later by board-certified rheumatologists, and completed a written survey in 2000 to 2001. Using the rheumatologists' summary assessment "Does this person have arthritis or a related condition" as the standard, the sensitivity and specificity of the BRFSS arthritis case definitions were calculated. Reliability for the BRFSS arthritis case definition was also calculated by comparing responses to the telephone survey with responses to a written survey.Results: Sensitivity was 70.8% (95% confidence interval [CI] =65.9-75.6), and the specificity was 70.3% (95% CI=62.9-77.8). The agreement between the telephone and written responses indicating self-reported arthritis was high (kappa=0.68). Analyses were conducted in 2002 to 2004.Conclusions: Self-reported arthritis in the 1996-2001 BRFSS was highly reliable, and moderately sensitive and specific among these senior center participants. (Am J Prev Med 2005;28 (3):251-258) (c) 2005 American Journal of Preventive Medicine.