The objective of this study was to assess the validity of a self-reported history of doctor-diagnosed angina in population-based studies in men.
Subjects were 5789 men from the British Regional Heart Study who reported being without an angina diagnosis at entry (1978-1980) and were alive at the end of 1992, aged 52 to 75 years.
In 1992, subjects were asked in a self-administered questionnaire if they recalled ever having had a doctor diagnosis of angina.
Self-report of diagnosed angina was compared with general practice (GP) record of angina obtained from reviews of medical records from study entry to the end of 1992.
Men were followed for a further 3 years from 1992 for major ischemic heart disease events.
The prevalence of diagnosed angina in 1992 was 10.1% according to self-reported history and 8.9% according to GP record review.
There was substantial agreement between the two sources of information : 80% of men with a GP record of angina reported their diagnosis, and 70% of men who reported an angina diagnosis had confirmation of this from the record review.
When all ischemic heart disease (angina or myocardial infarction) was considered, agreement was higher.
Genuine angina was likely in many of the 177 men who had self-reported angina not confirmed by the GP record review : 78 had an ischemic heart disease history (myocardial infarction or coronary revascularization) identified by the review, and 31 had a GP record of angina after 1992. (...)
Mots-clés Pascal : Angine poitrine, Royaume Uni, Europe, Epidémiologie, Homme, Diagnostic, Validation, Source information, Autoévaluation, Questionnaire, Etude longitudinale, Mortalité, Morbidité, Médecin, Appareil circulatoire pathologie, Cardiopathie coronaire
Mots-clés Pascal anglais : Angina pectoris, United Kingdom, Europe, Epidemiology, Human, Diagnosis, Validation, Information source, Self evaluation, Questionnaire, Follow up study, Mortality, Morbidity, Physician, Cardiovascular disease, Coronary heart disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0148874
Code Inist : 002B12A03. Création : 16/11/1999.