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首页> 外文学位 >Concordance between medical records and personal interview in ascertaining breast cancer and diabetes status: Analysis of the south Texas women's health project.
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Concordance between medical records and personal interview in ascertaining breast cancer and diabetes status: Analysis of the south Texas women's health project.

机译：在确定乳腺癌和糖尿病状况方面医疗记录和个人访谈之间的一致性：对德克萨斯州南部妇女健康项目的分析。

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摘要

Accurate ascertainment of risk factors and disease status is vital in public health research for proper classification of research subjects. The two most common ways of obtaining this data is by self-report and review of medical records (MRs). South Texas Women's Health Project was a case-control study looking at interrelationships between hormones, diet, and body size and breast cancer among Hispanic women 30-79 years of age. History of breast cancer, diabetes mellitus (DM) and use of DM medications was ascertained from a personal interview. At the time of interview, the subject identified her major health care providers and signed the medical records release form, which was sent to the designated providers. The MRs were reviewed to confirm information obtained from the interview.;Aim of this study was to determine the sensitivity and specificity between MRs and personal interview in diagnosis of breast cancer, DM and DM treatment. We also wanted to assess how successful our low-cost approach was in obtaining pertinent MRs and what factors influenced the quality of MR or interview data. Study sample was 721 women with both self-report and MR data available by June 2007. Overall response rate for MR requests was 74.5%. MRs were 80.9% sensitive and 100% specific in confirming breast cancer status. Prevalence of DM was 22.7% from the interviews and 16% from MRs. MRs did not provide definite information about DM status of 53.6% subjects. Sensitivity and specificity of MRs for DM status was 88.9% and 90.4% respectively. Disagreement on DM status from the two sources was seen in 15.9% subjects. This discordance was more common among older subjects, those who were married and were predominantly Spanish speaking. Income and level of education did not have a statistically significantly association with this disagreement.;Both self-report and MRs underestimate the prevalence of DM. Relying solely on MRs leads to greater misclassification than relying on self-report data. MRs have good to excellent specificity and thus serve as a good tool to confirm information obtained from self-report. Self-report and MRs should be used in a complementary manner for accurate assessment of DM and breast cancer status.
机译：准确确定危险因素和疾病状态对于公共卫生研究对于正确分类研究对象至关重要。获取此数据的两种最常见方法是通过自我报告和检查病历（MR）。南德克萨斯妇女健康项目是一项病例对照研究，旨在研究30-79岁的西班牙裔女性的激素，饮食，体型和乳腺癌之间的相互关系。通过个人访谈确定了乳腺癌，糖尿病（DM）和DM药物使用史。在采访时，受试者确定了她的主要医疗保健提供者，并签署了病历发布表，该表已发送给指定的提供者。审查了MR，以确认从访谈中获得的信息。本研究的目的是确定MR与个人访谈之间在诊断乳腺癌，DM和DM治疗中的敏感性和特异性。我们还想评估我们的低成本方法在获得相关MR方面的成功程度，以及哪些因素影响了MR或访谈数据的质量。截至2007年6月，研究样本共有721名女性，其中包括自我报告和MR数据。MR要求的总体回应率为74.5％。 MRs在确认乳腺癌状态时敏感度为80.9％，特异性为100％。访谈中DM的患病率为22.7％，MR的患病率为16％。 MR没有提供有关53.6％受试者的DM状态的确切信息。 MR对DM状态的敏感性和特异性分别为88.9％和90.4％。在15.9％的受试者中，发现两种来源的DM状态存在分歧。这种矛盾在年纪较大的人（已婚且主要讲西班牙语）中更为普遍。收入和受教育程度与这一分歧在统计学上没有显着相关性。自我报告和MR均低估了DM的患病率。仅依靠MR会导致比依靠自我报告数据更大的错误分类。 MR具有良好的特异性，因此可作为确认从自我报告中获得的信息的良好工具。自我报告和MR可以互补使用，以准确评估DM和乳腺癌的状况。

著录项

  • 作者

    Gupta, Varun.;

  • 作者单位

    The University of Texas School of Public Health.;

  • 授予单位 The University of Texas School of Public Health.;
  • 学科 Health Sciences Public Health.
  • 学位 M.P.H.
  • 年度 2010
  • 页码 49 p.
  • 总页数 49
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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