Agreement between obstructive airways disease diagnoses from self-report questionnaires and medical records

Details

• Personal Author:
  Cohen HW ; Hall CB ; Kelly K ; Prezant DJ ; Weakley J ; Webber MP ; Ye F ; Zeig-Owens R
• Description:
  Objective: To evaluate agreement between self-reported obstructive airways disease (OAD) diagnoses of asthma, bronchitis, and chronic obstructive pulmonary disease (COPD)/emphysema obtained from the New York City Fire Department (FDNY) monitoring questionnaires with physician diagnoses from FDNY medical records. Method: We measured sensitivity, specificity, and agreement between self-report and physician OAD diagnoses in FDNY members enrolled in the World Trade Center (WTC) monitoring program who completed a questionnaire between 8/2005-1/2012. Using logistic models, we identified characteristics of those who self-report a physician diagnosis that is also reported by FDNY physicians. Results: 20.3% of the study population (N = 14,615) self-reported OAD, while 15.1% received FDNY physician OAD diagnoses. Self-reported asthma had the highest sensitivity (68.7%) and overall agreement (91.9%) between sources. Non-asthma OAD had the lowest sensitivity (32.1%). Multivariate analyses showed that among those with an OAD diagnosis from FDNY medical records, inhaler use (OR = 4.90, 95% CI = 3.84-6.26) and respiratory symptoms (OR = 1.55 95% CI = 1.25-1.92-1.77 95% CI = 1.37-2.27) were associated with self-reported OAD diagnoses. Conclusion: Among participants in the WTC monitoring program, sensitivity for self-reported OAD diagnoses ranges from good to poor and improves by considering inhaler use. These findings highlight the need for improved patient communication and education, especially for bronchitis or COPD/emphysema. Description provided by NIOSH
• Subjects:
  • Asthma
  • Asthma, Occupational
  • Delivery of Health Care
  • Diagnosis
  • Emergencies
  • Emergency Responders
  • Health Care Facilities Workforce and Services
  • Health Personnel
  • Health Promotion
  • Lung Diseases
  More +
• Keywords:
  • Health-surveys
  • Questionnaires
  • Airway-obstruction
  • Respiratory-system-disorders
  • Pulmonary-system-disorders
  • Lung-disorders
  • Emergency-response
  • Emergency-responders
  • Rescue-workers
  • Medical-monitoring
  More +
• ISSN:
  0091-7435
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Contract
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  38-42
• Volume:
  57
• Issue:
  1
• NIOSHTIC Number:
  nn:20043102
• Citation:
  Prev Med 2013 Jul; 57(1):38-42
• Contact Point Address:
  Mayris P. Webber, New York City Fire Department, Bureau of Health Services, 9 Metrotech Center, Brooklyn, NY 11201, USA
• Email:
  webberm@fdny.nyc.gov
• Federal Fiscal Year:
  2013
• Performing Organization:
  New York City Fire Department
• Peer Reviewed:
  True
• Start Date:
  20110701
• Source Full Name:
  Preventive Medicine
• End Date:
  20170331
• Download URL:
  https://stacks.cdc.gov/view/cdc/195115/cdc_195115_DS1.pdf
• File Type:
  [PDF - 218.81 KB]
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:610361b5f8cb906b034c87320a163d2ff9a2f817346fd11a91d1d1c9be78b7a8a12f3c0d580ca7c3b488f217073887bd6f749225b27a49bed178fddf0e14b225