Self-reports and general practitioner information on the presence of chronic diseases in community dwelling elderly : A study on the accuracy of patients'self-reports and on determinants of inaccuracy.
The object of the study is to investigate the (in) accuracy of patients'self-reports, as compared with general practitioners'information, regarding the presence of specific chronic diseases, and the influence of patient characteristics.
Questionnaire data of 2380 community-dwelling elderly patients, aged 55-85 years, on the presence of chronic non-specific lung disease, cardiac disease, peripheral atherosclerosis, stroke, diabetes, malignancies, and osteoarthritis/rheumatoid arthritis were compared with data from the general practitioners, using the kappa-statistic.
Associations between the accuracy of self-reports and patient characteristics were studied by multiple logistic regression analyses.
Kappa's ranged from 0.30 to 0.40 for osteoarthritis/rheumatoid arthritis and atherosclerosis, to 0.85 for diabetes mellitus.
In the multivariate analyses, educational level, level of urbanization, deviations in cognitive function, and depressive symptomatology had no influence on the level of accuracy.
An influence of gender, age, mobility limitations, and recent contact with the general practitioner was shown for specific diseases.
For chronic non-specific lung disease, both « underreporting » and « overreporting » are more prevalent in males, compared to females.
Furthermore, males tend to overreport stroke and underreport malignancies and arthritis, whereas females tend to overreport malignancies and arthritis. (...)
Mots-clés Pascal : Maladie, Chronique, Autoévaluation, Précision, Fidélité test, Questionnaire, Psychométrie, Vieillard, Homme, Etude comparative, Dossier médical, Médecin généraliste, Démographie, Statut socioéconomique
Mots-clés Pascal anglais : Disease, Chronic, Self evaluation, Accuracy, Test reliability, Questionnaire, Psychometrics, Elderly, Human, Comparative study, Medical record, General practitioner, Demography, Socioeconomic status
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0166694
Code Inist : 002B30A01A1. Création : 21/05/1997.