American Journal of Epidemiology Vol. 123, No. 5: 894-900
Copyright © 1986 by The Johns Hopkins University School of Hygiene and Public Health
research-article |
VALIDATION OF QUESTIONNAIRE INFORMATION ON RISK FACTORS AND DISEASE OUTCOMES IN A PROSPECTIVE COHORT STUDY OF WOMEN
1Channing Laboratory, Departments of Medicine and Preventive Medicine and Clinical Epidemiology, Harvard Medical School and Brigham and Women's Hospital Boston, MA
2Department of Epidemiology, Harvard School of Public Health Boston, MA
Reprint requests to Dr. Graham A. Colditz, Channing Laboratory, 180 Longwood Avenue, Boston, MA. 02115
To assess the validity of self-reported illnesses, medical records were reviewed for participants reporting major illnesses on the biennial follow-up questionnaires used in a prospective cohort study which began in 1976. In over 90% of cases of cancer of the breast, skin, large bowel, and thyroid, histopathology reports confirmed the subjects' self-report. Lower levels of confirmation were obtained for cancers of the lung, ovary, and uterus. Application of strict diagnostic criteria also gave lower levels of confirmation for myocardial infarction (68%) and stroke (66%). Among random samples of women reporting fractures and hypertension all records obtained confirmed self-reports. For self-reported elevated cholesterol levels 85.7% of self-reports were confirmed. Self-report is a valuable epidemiologic tool but may require additional documentation when the disease is diagnostically complex.
diagnosis; follow-up studies; medical records; questionnaires
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T. Kurth, M. A. Slomke, C. S. Kase, N. R. Cook, I.-M. Lee, J. M. Gaziano, H.-C. Diener, and J. E. Buring Migraine, headache, and the risk of stroke in women: A prospective study Neurology, March 22, 2005; 64(6): 1020 - 1026. [Abstract] [Full Text] [PDF] |
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J. L. St. Sauver, P. T. Hagen, S. S. Cha, S. M. Bagniewski, J. N. Mandrekar, A. M. Curoe, R. J. Rodeheffer, V. L. Roger, and S. J. Jacobsen Agreement Between Patient Reports of Cardiovascular Disease and Patient Medical Records Mayo Clin. Proc., February 1, 2005; 80(2): 203 - 210. [Abstract] [PDF] |
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E. N. Taylor, M. J. Stampfer, and G. C. Curhan Obesity, Weight Gain, and the Risk of Kidney Stones JAMA, January 26, 2005; 293(4): 455 - 462. [Abstract] [Full Text] [PDF] |
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J. P. Forman, E. B. Rimm, M. J. Stampfer, and G. C. Curhan Folate Intake and the Risk of Incident Hypertension Among US Women JAMA, January 19, 2005; 293(3): 320 - 329. [Abstract] [Full Text] [PDF] |
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T. T. Fung, M. Schulze, J. E. Manson, W. C. Willett, and F. B. Hu Dietary Patterns, Meat Intake, and the Risk of Type 2 Diabetes in Women Arch Intern Med, November 8, 2004; 164(20): 2235 - 2240. [Abstract] [Full Text] [PDF] |
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S. Yousfi, G. Matthews, M. Amelang, and C. Schmidt-Rathjens Personality and Disease: Correlations of Multiple Trait Scores with Various Illnesses J Health Psychol, September 1, 2004; 9(5): 627 - 647. [Abstract] [PDF] |
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J. Porthouse, Y.F. Birks, D.J. Torgerson, S. Cockayne, S. Puffer, and I. Watt Risk factors for fracture in a UK population: a prospective cohort study QJM, September 1, 2004; 97(9): 569 - 574. [Abstract] [Full Text] [PDF] |
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T. T. Fung, M. J. Stampfer, J. E. Manson, K. M. Rexrode, W. C. Willett, and F. B. Hu Prospective Study of Major Dietary Patterns and Stroke Risk in Women Stroke, September 1, 2004; 35(9): 2014 - 2019. [Abstract] [Full Text] [PDF] |
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