VALIDATION OF QUESTIONNAIRE INFORMATION ON RISK-FACTORS AND DISEASE OUTCOMES IN A PROSPECTIVE COHORT STUDY OF WOMEN
VALIDATION OF QUESTIONNAIRE INFORMATION ON RISK-FACTORS AND DISEASE OUTCOMES IN A PROSPECTIVE COHORT STUDY OF WOMEN
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DOI：
10.1093/oxfordjournals.aje.a114319
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发表时间：
1986-05-01
影响因子：
5
通讯作者：
SPEIZER, FE
中科院分区：
文献类型：
--
作者：
COLDITZ, GA;MARTIN, P;SPEIZER, FE
为了评估自我报告疾病的有效性，研究人员回顾了参与者的医疗记录，这些参与者在1976年开始的前瞻性队列研究中使用的两年期随访问卷中报告了重大疾病。在超过90%的乳腺癌、皮肤癌、大肠癌和甲状腺癌病例中，组织病理学报告证实了受试者的自我报告。肺癌、卵巢癌和子宫癌的确诊率较低。应用严格的诊断标准也导致心肌梗死（68%）和中风（66%）的确诊率较低。在报告骨折和高血压的妇女的随机样本中，所有记录都得到了证实的自我报告。对于自我报告的胆固醇水平升高，85.7%的自我报告得到证实。自我报告是一种有价值的流行病学工具，但当疾病诊断复杂时，可能需要额外的文件。
To assess the validity of self-reported illnesses, medical records were reviewed for participants reporting major illnesses on the biennial follow-up questionnaires used in a prospective cohort study which began in 1976. In over 90% of cases of cancer of the breast, skin, large bowel, and thyroid, histopathology reports confirmed the subjects'' self-report. Lower levels of confirmation were obtained for cancers of the lung, ovary, and uterus. Application of strict diagnostic criteria also gave lower levels of confirmation for myocardial infarction (68%) and stroke (66%). Among random samples of women reporting fractures and hypertension all records obtained confirmed self-reports. For self-reported elevated cholesterol levels 85.7% of self-reports were confirmed. Self-report is a valuable epidemiologic tool but may require additional documentation when the disease is diagnostically complex.