Steinkirchner, Anna B. and Zimmermann, Martina E. and Donhauser, Ferdinand J. and Dietl, Alexander and Brandl, Caroline and Koller, Michael and Loss, Julika and Heid, Iris M. and Stark, Klaus J. (2022) Self-report of chronic diseases in old-aged individuals: extent of agreement with general practitioner medical records in the German AugUR study. JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 76 (11). pp. 931-938. ISSN 0143-005X, 1470-2738
Full text not available from this repository. (Request a copy)Abstract
Background To estimate prevalence and incidence of diseases through self-reports in observational studies, it is important to understand the accuracy of participant reports. We aimed to quantify the agreement of self-reported and general practitioner-reported diseases in an old-aged population and to identify socio-demographic determinants of agreement. Methods This analysis was conducted as part of the AugUR study (n=2449), a prospective population-based cohort study in individuals aged 70-95 years, including 2321 participants with consent to contact physicians. Self-reported chronic diseases of participants were compared with medical data provided by their respective general practitioners (n=589, response rate=25.4%). We derived overall agreement, over-reporting/under-reporting, and Cohen's kappa and used logistic regression to evaluate the dependency of agreement on participants' sociodemographic characteristics. Results Among the 589 participants (53.1% women), 96.9% reported at least one of the evaluated chronic diseases. Overall agreement was >80% for hypertension, diabetes, myocardial infarction, stroke, cancer, asthma, bronchitis/chronic obstructive pulmonary disease and rheumatoid arthritis, but lower for heart failure, kidney disease and arthrosis. Cohen's kappa was highest for diabetes and cancer and lowest for heart failure, musculoskeletal, kidney and lung diseases. Sex was the primary determinant of agreement on stroke, kidney disease, cancer and rheumatoid arthritis. Agreement for myocardial infarction and stroke was most compromised by older age and for cancer by lower educational level. Conclusion Self-reports may be an effective tool to assess diabetes and cancer in observational studies in the old and very old aged. In contrast, self-reports on heart failure, musculoskeletal, kidney or lung diseases may be substantially imprecise.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | HEALTH; ACCURACY; ADULTS; KAPPA; RISK; AGING; EPIDEMIOLOGY; GENERAL PRACTICE; GERIATRICS; HEALTH STATUS |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Augenheilkunde Medicine > Lehrstuhl für Innere Medizin II Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien Medicine > Institut für Epidemiologie und Präventivmedizin Medicine > Institut für Epidemiologie und Präventivmedizin > Lehrstuhl für Genetische Epidemiologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 17 Oct 2023 09:49 |
| Last Modified: | 17 Oct 2023 09:49 |
| URI: | https://pred.uni-regensburg.de/id/eprint/56489 |
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