2003
DOI: 10.1111/j.1532-5415.2004.52021.x
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Agreement Between Self‐Report of Disease Diagnoses and Medical Record Validation in Disabled Older Women: Factors That Modify Agreement

Abstract: In disabled older women, self-report of physician diagnosis of HF, PD, DM, cancer, stroke, and DD appears valid. In general, increasing comorbidity and age and decreasing cognition and education do not reduce validity for diseases where agreement was excellent overall.

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Cited by 282 publications
(294 citation statements)
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“…Other selected populations of the elderly have demonstrated that older age is associated with poor agreement between self-report and the medical record. (19,20) We also have shown that for most diseases we evaluated inaccurate reporting was associated with either a greater number of comorbid diseases or a higher level of severity of disease. It may be that patients who are older, who also have been diagnosed with an average of five comorbid diseases, have a difficult time maintaining the broad knowledge base required to communicate these diverse conditions.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Other selected populations of the elderly have demonstrated that older age is associated with poor agreement between self-report and the medical record. (19,20) We also have shown that for most diseases we evaluated inaccurate reporting was associated with either a greater number of comorbid diseases or a higher level of severity of disease. It may be that patients who are older, who also have been diagnosed with an average of five comorbid diseases, have a difficult time maintaining the broad knowledge base required to communicate these diverse conditions.…”
Section: Discussionmentioning
confidence: 99%
“…The agreement between self-report and the medical record is similar to that found in other studies using a variety of terms to describe lung disease. (19,20,(26)(27)(28)(29) However, it is possible that if the term used were not recognized then a patient may be misclassified as inaccurate, when they actually were aware of their comorbid disease. Given the structure of the survey question it is less likely that an inaccurate patient would be misclassified as accurate.…”
Section: Discussionmentioning
confidence: 99%
“…Assessment of chronic medical conditions relied on self-report rather than official medical records; however, research has demonstrated high concordance rates between self-reported medical conditions and medical records and agreement is especially high for stroke (Horner, Cohen, & Blazer, 2001;Okura, Urban, Mahoney, Jacobsen, & Rodeheffer, 2004;Simpson, Boyd, Carlson, Griswold, Guralnik, & Fried, 2004), heart attack (Okura et al, 2004), cancer (Simpson et al, 2004), and diabetes (Kehoe, Wu, Leske, & Chylack, 1994;Kriegsman, Penninx, van Eijk, Boeke, & Deeg, 1996;Simpson et al, 2004). Given that NCS-R respondents were limited to persons living in non-institutionalized households, it is expected that the sample represents the healthiest in terms of their chronic medical conditions, thus it is unclear how these findings would compare to research within health care settings.…”
Section: Discussionmentioning
confidence: 99%
“…Most reliability or validation studies of selfreported chronic diseases compare participant self-report with the medical record, however comparisons with a clinical examination (1)(2)(3)(4)(5)(6)(7) and also administrative data have been performed. (8)(9)(10) When comparing the medical record with patient self-report, some studies found good agreement for diabetes, hypertension, myocardial infarction and cerebrovascular disease (1,(11)(12)(13)(14)(15)(16), while others found lower agreement for some of these same conditions. (5,7,9,10,14,(17)(18)(19) Agreement between self-report and the medical record varies, depending upon the specific disease that is being evaluated.…”
Section: Introductionmentioning
confidence: 99%