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Accuracy of Smoking Status Reporting

机译:吸烟状态报告的准确性

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Objective To assess whether patients and relatives can serve as reliable proxy reporters of other family members’ cigarette-smoking history. Patients and Methods Two samples (325 patients, 707 relatives) were identified from the Mayo Clinic Biospecimen Resource for Pancreas Research, enrolled from November, 6, 2000, to March 15, 2018. Smoking-history data, including categorical (ever/never) and quantitative (packs per day and years smoked) smoking measures, were obtained from self-completed questionnaires by patients and relatives. Relative reports were compared with patient reports on self; patient reports were compared with relative reports on self. Results Overall, spouses and first-degree relatives (FDRs) were accurate (94.5%) when reporting patient ever smoking; spouse reports were 98.6% sensitive and 97.7% accurate. Accuracy of patient reports was 97.8% for spouse smoking and 85.5% for FDR smoking; accuracy varied by relationship of FDR. When not concordant, patients generally over-reported daily packs smoked by relatives and under-reported years smoked. Within a 25% agreement range, spouse reports about patients’ daily packs smoked was 46.7%, and years smoked was 69.6%, whereas FDRs were 50% and 64.6%, respectively. When not concordant, relatives generally over-reported daily packs smoked by patients, but no consistent pattern was observed of over- or under-reporting years smoked by patients. Conclusions Patients and relatives can be reliable proxies for smoking history (ever/never) in their family members, especially spouses. An accurate reporting of smoking status will help physicians to better gauge performance status and family smoking exposures to inform disease management.
机译:目的评估患者和亲属是否可以作为其他家庭成员吸烟历史的可靠代理记者。患者和方法两样样本(325名患者,707名亲属)是从Mayo临床生物研究资源进行胰腺研究的资源,从2000年11月6日,到2018年3月15日。吸烟历史数据,包括分类(永远/永远)并定量(每天包装和烟熏)吸烟措施,由患者和亲属的自我完成问卷获得。与自我报告进行比较相关报告;将患者报告与关于自我的相对报告进行比较。报告患者曾经吸烟的结果,结果总体而言,配偶和一级亲属(FDRS)是准确的(94.5%);配偶报告敏感98.6%,准确为97.7%。对配偶吸烟的患者报告的准确性为97.8%,FDR吸烟的85.5%; FDR关系变化的准确性。当不合作时,患者通常过度报告的日常包装被亲属和未报告的岁月吸烟。在25%的协议范围内,有关患者的日常包装的配偶报告为46.7%,烟熏的较数分别为69.6%,而FDR分别为50%和64.6%。当不合作的时,亲属通常过度报道的患者吸烟的每日包装,但没有观察到患者患者的过度或报告量的一致模式。结论患者和亲属可以在家庭成员,特别是配偶中吸烟历史(永远/从未)可靠的代理。准确的吸烟状态报告将有助于医生以更好地规格的表现状态和家庭吸烟风险,以告知疾病管理。

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