The accuracy of self-report of physician diagnosed rheumatoid arthritis in moderately to severely disabled older women

Shari M. Ling, Linda P Fried, Elizabeth Garrett, Rosemarie Hirsch, Jack M. Guralnik, Marc C. Hochberg

Research output: Contribution to journalArticle

Abstract

Objective. To determine the accuracy of self-report of physician diagnosed rheumatoid arthritis (RA) in moderately to severely disabled older women. Methods. A total of 1002 participants in the Women's Health and Aging Study were included. These women were ≥65 years old, had an average of 4 chronic illnesses, and represented the one-third most disabled women living in the community. Self-report of a physician's diagnosis of RA was compared to cases of 'definite' RA that were adjudicated using an algorithm modeled on the American College of Rheumatology criteria for RA. Results. The sensitivity of self-report of physician diagnosed RA was 77%, with 90.6% specificity and 99% negative predictive value, kappa = 0.46. The positive predictive value was 34% and likely reflected the low prevalence of RA in this sample (3.1%). Five of the 6 women who did not correctly report RA were under the care of a rheumatologist. Conclusion. The accuracy of self-report of a physician's diagnosis of RA in this sample of disabled women with multiple chronic illnesses matched that observed in the general adult population of previous studies. Accuracy was enhanced by including report of receiving care by a rheumatologist.

Original languageEnglish (US)
Pages (from-to)1390-1394
Number of pages5
JournalJournal of Rheumatology
Volume27
Issue number6
StatePublished - 2000

Fingerprint

Self Report
Rheumatoid Arthritis
Physicians
Women's Health
Chronic Disease
Population

Keywords

  • Disability
  • Elderly
  • Rheumatoid arthritis

ASJC Scopus subject areas

  • Rheumatology
  • Immunology

Cite this

The accuracy of self-report of physician diagnosed rheumatoid arthritis in moderately to severely disabled older women. / Ling, Shari M.; Fried, Linda P; Garrett, Elizabeth; Hirsch, Rosemarie; Guralnik, Jack M.; Hochberg, Marc C.

In: Journal of Rheumatology, Vol. 27, No. 6, 2000, p. 1390-1394.

Research output: Contribution to journalArticle

Ling, SM, Fried, LP, Garrett, E, Hirsch, R, Guralnik, JM & Hochberg, MC 2000, 'The accuracy of self-report of physician diagnosed rheumatoid arthritis in moderately to severely disabled older women', Journal of Rheumatology, vol. 27, no. 6, pp. 1390-1394.
Ling, Shari M. ; Fried, Linda P ; Garrett, Elizabeth ; Hirsch, Rosemarie ; Guralnik, Jack M. ; Hochberg, Marc C. / The accuracy of self-report of physician diagnosed rheumatoid arthritis in moderately to severely disabled older women. In: Journal of Rheumatology. 2000 ; Vol. 27, No. 6. pp. 1390-1394.
@article{22ff72910ec543bbb4b3d760337db0bd,
title = "The accuracy of self-report of physician diagnosed rheumatoid arthritis in moderately to severely disabled older women",
abstract = "Objective. To determine the accuracy of self-report of physician diagnosed rheumatoid arthritis (RA) in moderately to severely disabled older women. Methods. A total of 1002 participants in the Women's Health and Aging Study were included. These women were ≥65 years old, had an average of 4 chronic illnesses, and represented the one-third most disabled women living in the community. Self-report of a physician's diagnosis of RA was compared to cases of 'definite' RA that were adjudicated using an algorithm modeled on the American College of Rheumatology criteria for RA. Results. The sensitivity of self-report of physician diagnosed RA was 77{\%}, with 90.6{\%} specificity and 99{\%} negative predictive value, kappa = 0.46. The positive predictive value was 34{\%} and likely reflected the low prevalence of RA in this sample (3.1{\%}). Five of the 6 women who did not correctly report RA were under the care of a rheumatologist. Conclusion. The accuracy of self-report of a physician's diagnosis of RA in this sample of disabled women with multiple chronic illnesses matched that observed in the general adult population of previous studies. Accuracy was enhanced by including report of receiving care by a rheumatologist.",
keywords = "Disability, Elderly, Rheumatoid arthritis",
author = "Ling, {Shari M.} and Fried, {Linda P} and Elizabeth Garrett and Rosemarie Hirsch and Guralnik, {Jack M.} and Hochberg, {Marc C.}",
year = "2000",
language = "English (US)",
volume = "27",
pages = "1390--1394",
journal = "Journal of Rheumatology",
issn = "0315-162X",
publisher = "Journal of Rheumatology",
number = "6",

}

TY - JOUR

T1 - The accuracy of self-report of physician diagnosed rheumatoid arthritis in moderately to severely disabled older women

AU - Ling, Shari M.

AU - Fried, Linda P

AU - Garrett, Elizabeth

AU - Hirsch, Rosemarie

AU - Guralnik, Jack M.

AU - Hochberg, Marc C.

PY - 2000

Y1 - 2000

N2 - Objective. To determine the accuracy of self-report of physician diagnosed rheumatoid arthritis (RA) in moderately to severely disabled older women. Methods. A total of 1002 participants in the Women's Health and Aging Study were included. These women were ≥65 years old, had an average of 4 chronic illnesses, and represented the one-third most disabled women living in the community. Self-report of a physician's diagnosis of RA was compared to cases of 'definite' RA that were adjudicated using an algorithm modeled on the American College of Rheumatology criteria for RA. Results. The sensitivity of self-report of physician diagnosed RA was 77%, with 90.6% specificity and 99% negative predictive value, kappa = 0.46. The positive predictive value was 34% and likely reflected the low prevalence of RA in this sample (3.1%). Five of the 6 women who did not correctly report RA were under the care of a rheumatologist. Conclusion. The accuracy of self-report of a physician's diagnosis of RA in this sample of disabled women with multiple chronic illnesses matched that observed in the general adult population of previous studies. Accuracy was enhanced by including report of receiving care by a rheumatologist.

AB - Objective. To determine the accuracy of self-report of physician diagnosed rheumatoid arthritis (RA) in moderately to severely disabled older women. Methods. A total of 1002 participants in the Women's Health and Aging Study were included. These women were ≥65 years old, had an average of 4 chronic illnesses, and represented the one-third most disabled women living in the community. Self-report of a physician's diagnosis of RA was compared to cases of 'definite' RA that were adjudicated using an algorithm modeled on the American College of Rheumatology criteria for RA. Results. The sensitivity of self-report of physician diagnosed RA was 77%, with 90.6% specificity and 99% negative predictive value, kappa = 0.46. The positive predictive value was 34% and likely reflected the low prevalence of RA in this sample (3.1%). Five of the 6 women who did not correctly report RA were under the care of a rheumatologist. Conclusion. The accuracy of self-report of a physician's diagnosis of RA in this sample of disabled women with multiple chronic illnesses matched that observed in the general adult population of previous studies. Accuracy was enhanced by including report of receiving care by a rheumatologist.

KW - Disability

KW - Elderly

KW - Rheumatoid arthritis

UR - http://www.scopus.com/inward/record.url?scp=0034092254&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034092254&partnerID=8YFLogxK

M3 - Article

C2 - 10852259

AN - SCOPUS:0034092254

VL - 27

SP - 1390

EP - 1394

JO - Journal of Rheumatology

JF - Journal of Rheumatology

SN - 0315-162X

IS - 6

ER -