Journal article
Agreement of self-reported comorbid conditions with medical and physician reports varied by disease among end-stage renal disease patients
Journal of clinical epidemiology, v 60(6), pp 634-642
01 Jun 2007
PMID: 17493523
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To compare self-report of eight diseases with review of medical records and physician reports.
In a cohort of 965 incident end-stage renal disease (ESRD) patients (Choices for Healthy Outcomes in Caring for End-stage renal disease study), data on existing medical conditions were obtained from medical record abstraction, physician report (CMS Form 2728), and self-report in a baseline questionnaire. We evaluated agreement with kappa statistics (k) and sensitivity of self-report. Regression models were used to examine characteristics associated with agreement.
The results showed excellent or substantial agreement between self-report and the medical record for diabetes (k
=
0.93) and coronary artery intervention (k
=
0.79), and poor agreement for chronic obstructive pulmonary disease (k
=
0.20). Physician-reported prevalence for all diseases was equal or lower than that by self-report. Male patients were more likely to inaccurately report hypertension. Compared to white patients, African American patients were more likely to inaccurately report cardiovascular diseases.
In ESRD patients, self-report agreement with the medical record varies with the specific disease. Awareness of diseases of the cardiovascular system appears to be low. African American and male ESRD patients are at risk of low awareness of disease and educational interventions are needed in this high-risk population.
Metrics
Details
- Title
- Agreement of self-reported comorbid conditions with medical and physician reports varied by disease among end-stage renal disease patients
- Creators
- Sharon Stein Merkin - University of California, Los AngelesKerri Cavanaugh - Johns Hopkins MedicineJ. Craig Longenecker - Kuwait UniversityNancy E. Fink - Johns Hopkins UniversityAndrew S. Levey - Tufts Medical CenterNeil R. Powe - Johns Hopkins University
- Publication Details
- Journal of clinical epidemiology, v 60(6), pp 634-642
- Publisher
- Elsevier Inc
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000246784600019
- Scopus ID
- 2-s2.0-34247614461
- Other Identifier
- 991022052308004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Public, Environmental & Occupational Health