TY - JOUR
T1 - Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure
AU - Okura, Yuji
AU - Urban, Lynn H.
AU - Mahoney, Douglas W.
AU - Jacobsen, Steven J.
AU - Rodeheffer, Richard J.
N1 - Funding Information:
We thank Tammy Burns for expert preparation of this manuscript for publication. This study was funded by grants from the Public Health Service NIH HL-55502 (R.J.R.) and NIH AR-30582 (S.J.J.), by Merck-Banyu fellowship award (Y.O.), and by the Mayo Foundation.
PY - 2004/10
Y1 - 2004/10
N2 - 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. A total of 2,037 Olmsted County, Minnesota residents ≥45 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. 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 <65 years, female sex, education >12 years, and zero Charlson Index score (P <. 05). 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.
AB - 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. A total of 2,037 Olmsted County, Minnesota residents ≥45 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. 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 <65 years, female sex, education >12 years, and zero Charlson Index score (P <. 05). 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.
KW - Cardiovascular diseases
KW - Epidemiologic methods
KW - Questionnaires
KW - Recall
KW - Reliability
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U2 - 10.1016/j.jclinepi.2004.04.005
DO - 10.1016/j.jclinepi.2004.04.005
M3 - Article
C2 - 15528061
AN - SCOPUS:7444246097
SN - 0895-4356
VL - 57
SP - 1096
EP - 1103
JO - Journal of Clinical Epidemiology
JF - Journal of Clinical Epidemiology
IS - 10
ER -