Nadalin Victoria, Cotterchio Michelle, McKeown-Eyssen Gail, Gallinger Steven
Division of Preventive Oncology, Research Unit, Cancer Care Ontario, Toronto, Ontario, Canada.
Chronic Dis Can. 2003 Winter;24(1):1-8.
Case-control studies of fatal cancers often rely on proxy respondents. Therefore, it is important to determine the completeness and accuracy of proxy-reported information. We evaluated proxy reports using the Ontario Familial Colon Cancer Registry epidemiology questionnaire. A proxy questionnaire was completed by spouses or relatives identified by a sample of participating cases. Item non-response and percentage agreement (between case and proxy reports) were assessed. More than 30% of proxies were unable to report on physical activity, gynecological surgery, alcohol intake, weight 20 years ago, and oral contraceptive use. Proxy reports of medical history and bowel screening varied, the percentage missing ranging from 5% for diabetes to 44% for familial polyposis in the case of medical history, and from 4% for colonoscopy to 27% for hemoccult tests in the case of screening. Agreement between case and proxy report was good to excellent for colonic screening, most medical history, and for reproductive, medication and vitamin use variables (74% to 100%). It is useful to collect proxy information on such variables as medical history, parity, colonic screening and vitamin use, whereas oral contraceptive use and previous weight are not well reported.
致命癌症的病例对照研究通常依赖于代理受访者。因此,确定代理报告信息的完整性和准确性很重要。我们使用安大略省家族性结肠癌登记处的流行病学调查问卷评估了代理报告。一份代理问卷由参与研究的病例样本所确定的配偶或亲属填写。评估了项目无应答情况以及(病例报告与代理报告之间的)百分比一致性。超过30%的代理人无法报告身体活动、妇科手术、饮酒情况、20年前的体重以及口服避孕药使用情况。病史和肠道筛查的代理报告各不相同,病史方面,缺失百分比从糖尿病的5%到家族性息肉病的44%不等,筛查方面,从结肠镜检查的4%到潜血试验的27%不等。病例报告与代理报告之间在结肠筛查、大多数病史以及生殖、用药和维生素使用变量方面的一致性良好至极佳(74%至100%)。收集病史、产次、结肠筛查和维生素使用等变量的代理信息是有用的,而口服避孕药使用情况和既往体重则报告不佳。