Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure
Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure
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DOI：
10.1016/j.jclinepi.2004.04.005
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发表时间：
2004-10-01
影响因子：
7.2
通讯作者：
Rodeheffer, RJ
中科院分区：
文献类型：
--
作者：
Okura, Y;Urban, LH;Rodeheffer, RJ
目的：用疾病负担量表估算疾病负担。问卷答复与标准之间的一致性对于最佳疾病流行率估计很重要。我们测量了自我报告的疾病和疾病的医疗记录诊断之间的一致性。研究设计和设置：总共2,037名明尼苏达州奥姆斯特德县的居民，年龄大于或等于45岁。调查人员询问受试者是否有过心力衰竭、糖尿病、高血压、心肌梗死或中风。结果：自报疾病对所有疾病的特异性均大于90%，但对心力衰竭（69%）和糖尿病（66%）的敏感性较低。糖尿病、高血压、MI和卒中的自我报告与病历之间的一致性很高（kappa 0.71-0.80），但心力衰竭的一致性不高（kappa 0.46）。通过多变量分析，与高总一致性相关的因素是年龄12岁和0 Charlson指数评分（P < .05）。MI和中风）和需要持续管理的慢性疾病（例如，糖尿病和高血压）。在年轻女性和受教育程度较高的受试者中，它们更准确。(C)2004年爱思唯尔公司All rights reserved.
Objectives: Questionnaires are used to estimate disease burden. Agreement between questionnaire responses and a criterion standard is important for optimal disease prevalence estimates. We measured the agreement between self-reported disease and medical record diagnosis of disease.Study Design and Setting: A total of 2,037 Olmsted County, Minnesota residents greater than or equal to45 years of age were randomly selected. Questionnaires asked if subjects had ever had heart failure, diabetes, hypertension, myocardial infarction (MI), or stroke. Medical records were abstracted.Results: Self-report of disease showed >90% specificity for all these diseases, but sensitivity was low for heart failure (69%) and diabetes (66%). Agreement between self-report and medical record was substantial (kappa 0.71-0.80) for diabetes, hypertension, MI, and stroke but not for heart failure (kappa 0.46). Factors associated with high total agreement by multivariate analysis were age 12 years, and zero Charlson Index score (P < .05).Conclusion: Questionnaire data are of greatest value in life-threatening, acute-onset diseases (e.g., MI and stroke) and chronic disorders requiring ongoing management (e.g.,diabetes and hypertension). They are more accurate in young women and better-educated subjects. (C) 2004 Elsevier Inc. All rights reserved.