| Agreement between self-report and medical records on signs and symptoms of respiratory illness. | |
| | |
MedLine Citation:
|
PMID: 22273629 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Information on patient symptoms can be obtained by patient self-report or medical records review. Both methods have limitations. AIMS: To assess the agreement between self-report and documentation in the medical records of signs/symptoms of respiratory illness (fever, cough, runny nose, sore throat, headache, sinus problems, muscle aches, fatigue, earache, and chills). METHODS: Respondents were 176 research participants in the Hutterite Influenza Prevention Study during the 2008-2009 influenza season with information about the presence or absence of signs/symptoms from both self-report and primary care medical records. RESULTS: Compared with medical records, lower proportions of self-reported fever, sore throat, earache, cough, and sinus problems were found. Total agreements between self-report and medical report of symptoms ranged from 61% (for sore throat) to 88% (for muscle aches and earache), with kappa estimates varying from 0.05 (for chills) to 0.41 (for cough) and 0.51 (for earache). Negative agreement was considerably higher (from 68% for sore throat to 93% for muscle aches and earache) than positive agreement (from 13% for chills to 58% for earache) for each symptom except cough where positive agreement (77%) was higher than negative agreement (64%). Agreements varied by age group. We found better agreement for earache (kappa=0.62) and lower agreements for headache, sinus problems, muscle aches, fatigue, and chills in older children (aged >5 years) and adults. CONCLUSIONS: Agreements were variable depending on the specific symptom. Contrary to research in other patient populations which suggests that clinicians report fewer symptoms than patients, we found that the medical record captured more symptoms than selfreport. Symptom agreement and disagreement may be affected by the perspectives of the person experiencing them, the observer, the symptoms themselves, measurement error, the setting in which the symptoms were observed and recorded, and the broader community and cultural context of patients. |
| | |
Authors:
|
Angela M Barbara; Mark Loeb; Lisa Dolovich; Kevin Brazil; Margaret Russell |
Related Documents
:
|
8946449 - Amiodarone induced hyperthyroidism: a case series and brief review of literature. 15213839 - Thromboprophylaxis in medical patients: the role of low-molecular-weight heparin. 6145539 - A new series of oral medications for chronic (cancer) pain relief. 19364759 - Where do out-of-hours calls to a consultant microbiologist come from? 20981179 - Venous thromboembolism prophylaxis for hospitalized medical patients, current status an... 10255459 - Civilian health and medical program of the uniformed services (champus); amendment on e... 16078799 - Physician migration to and from canada: the challenge of finding the ethical and politi... 19048089 - Informatics-based medical procedure assistance during space missions. 10138699 - Problem knowledge couplers: can they extend our ability to use practice guidelines? |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-1-24 |
Journal Detail:
|
Title: Primary care respiratory journal : journal of the General Practice Airways Group Volume: - ISSN: 1475-1534 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
|
Created Date: 2012-1-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101121543 Medline TA: Prim Care Respir J Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Prioritising the respiratory research needs of primary care: the International Primary Care Respira...
Next Document: Perception of environmental problems and common mental disorders (CMD).