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- Kisiel, Marta A.,1984-Uppsala universitet,Arbets- och miljömedicin (author)
Agreement between reported questionnaire data and medical records on diagnosis and COVID-19 symptoms at onset
- Article/chapterEnglish2023
Publisher, publication year, extent ...
- Taylor & Francis,2023
- electronicrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:uu-518029
- https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-518029URI
- https://doi.org/10.1080/20018525.2023.2282251DOI
Supplementary language notes
- Language:English
- Summary in:English
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Notes
- The aim of this study was to assess whether there was agreement between self-reported data in a survey and medical records regarding diagnoses and symptoms at COVID-19 onset. The impact of sociodemographic factors on agreement between the two data sources was also assessed. Cross-sectional data were extracted from a Swedish longitudinal cohort study. In total, 401 non-hospitalized patients with a polymerase chain reaction-confirmed COVID-19 infection responded to a survey and agreed to a review of their electronic medical records. Agreement, estimated using the kappa statistic, sensitivity, and specificity were calculated for nine diagnoses and eleven symptoms. Differences between subgroups based on sociodemographic factors were assessed. The agreement between the self-reported data and medical records was at a substantial to moderate level for diagnoses such as diabetes mellitus (kappa 0.65, sensitivity 86%) and hypertension (kappa 0.59, sensitivity 56%) and at a fair level for more difficult-to-define conditions such as ongoing immunosuppressive treatment (kappa 0.27, sensitivity 25%). The agreement between the two data sources on symptoms was between fair and poor (kappa 0.36 for fever; kappa 0.05 for fatigue). Agreement for some diagnoses and symptoms varied across some sociodemographic subgroups, e.g. agreement in diabetes mellitus was significantly better in males (kappa 1.0) than females (kappa 0.52, homogeneity tests p = 0.02). In general, kappa values were lower for symptoms than diagnoses. The agreement between the two sources varied with diagnoses and symptoms and was also influenced by sociodemographic factors. This study illustrates that it is important to consider type of data used in the epidemiological studies as different information sources differ with quality and accuracy.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
- Agreement between the two data sources
- kappa statistic
- sensitivity and specificity
- symptoms at COVID-19
- diagnosis prior to COVID-19
Added entries (persons, corporate bodies, meetings, titles ...)
- Kock, ClaesUppsala universitet,Statistiska institutionen (author)
- Sultan, JosefUppsala universitet,Institutionen för medicinska vetenskaper(Swepub:uu)jossu128 (author)
- Janols, HelenaUppsala universitet,Infektionsmedicin(Swepub:uu)helja415 (author)
- Janson, ChristerUppsala universitet,Lung- allergi- och sömnforskning(Swepub:uu)chrisjn (author)
- Pingel, Ronnie,1978-Uppsala universitet,Statistiska institutionen(Swepub:uu)ronpi764 (author)
- Uppsala universitetArbets- och miljömedicin (creator_code:org_t)
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- In:European Clinical Respiratory Journal: Taylor & Francis10:12001-8525
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