Star V L, Scott J C, Sherwin R, Lane N, Nevitt M C, Hochberg M C
Department of Medicine, University of Maryland School of Medicine, Baltimore, USA.
J Rheumatol. 1996 Nov;23(11):1862-5.
To determine the validity of a self-reported physician diagnosis of rheumatoid arthritis (RA) in elderly women.
Women with self-reported RA were contacted and permission requested to contact their physician. Physicians were mailed a questionnaire requesting information on the subject's arthritic condition. Hand radiographs obtained at study entry were read for changes of RA.
The self-reported diagnosis of RA could be confirmed in 26 (21%) individuals.
The positive predictive value of self-reported RA was low in this cohort. Caution needs to be exercised in the use and interpretation of self-report data concerning arthritic conditions in epidemiologic studies.
确定老年女性自我报告的类风湿关节炎(RA)医生诊断的有效性。
联系自我报告患有RA的女性,并请求获得联系其医生的许可。向医生邮寄一份问卷,要求提供有关该受试者关节炎状况的信息。对研究开始时获得的手部X光片进行类风湿关节炎变化的解读。
26名(21%)个体的自我报告RA诊断得到证实。
在该队列中,自我报告RA的阳性预测值较低。在流行病学研究中,使用和解释有关关节炎状况的自我报告数据时需谨慎。