TY - JOUR
T1 - Comorbidities in head and neck cancer
T2 - Agreement between self-report and chart review
AU - Mukerji, Shraddha S.
AU - Duffy, Sonia A.
AU - Fowler, Karen E.
AU - Khan, Mumtaz
AU - Ronis, David L.
AU - Terrell, Jeffrey E.
N1 - Funding Information:
This research was supported by a grant made available by the U.S. National Institutes of Health through the University of Michigan’s Head and Neck SPORE (P30 CA97248). The authors thank Suzan McCormick, Chelsea Hughes, Elizabeth Knight, and the staff of the University of Michigan Hospital, Ann Arbor VAMC, and Henry Ford Hospital Otolaryngology clinics for their assistance with recruitment and data collection. The authors would also like to thank the patients that generously participated in this study.
PY - 2007/4
Y1 - 2007/4
N2 - Objectives: To determine the accuracy of self-reported comorbidities compared with medical record review and the clinical and sociodemographic characteristics associated with accuracy of self-reported comorbidities. Study Design: We conducted a prospective study of 458 newly diagnosed head and neck cancer patients using self-administered questionnaire and medical chart review data. Overall and itemwise consistency between self-report and chart review was evaluated. Social, clinical, and demographic characteristics of consistent versus inconsistent responders were analyzed. Results: Seventy-four percent of patients had at least one comorbidity. There was good overall consistency between self-report and chart review (κ = 0.50). Compared with consistent responders, inconsistent responders were found to be older (P < 0.05), have lower sleep (P < 0.05) and physical activity scores (P < 0.05), be more depressed (P < 0.05), and have more severe comorbidities (P < 0.05). Conclusions and significance: Self-report may be considered as an alternative to chart review for comorbidity assessment in head and neck cancer patients. Younger patients, those with good general health, fewer depressive symptoms, and mild comorbidities, are more likely to give responses consistent with chart review.
AB - Objectives: To determine the accuracy of self-reported comorbidities compared with medical record review and the clinical and sociodemographic characteristics associated with accuracy of self-reported comorbidities. Study Design: We conducted a prospective study of 458 newly diagnosed head and neck cancer patients using self-administered questionnaire and medical chart review data. Overall and itemwise consistency between self-report and chart review was evaluated. Social, clinical, and demographic characteristics of consistent versus inconsistent responders were analyzed. Results: Seventy-four percent of patients had at least one comorbidity. There was good overall consistency between self-report and chart review (κ = 0.50). Compared with consistent responders, inconsistent responders were found to be older (P < 0.05), have lower sleep (P < 0.05) and physical activity scores (P < 0.05), be more depressed (P < 0.05), and have more severe comorbidities (P < 0.05). Conclusions and significance: Self-report may be considered as an alternative to chart review for comorbidity assessment in head and neck cancer patients. Younger patients, those with good general health, fewer depressive symptoms, and mild comorbidities, are more likely to give responses consistent with chart review.
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U2 - 10.1016/j.otohns.2006.10.041
DO - 10.1016/j.otohns.2006.10.041
M3 - Article
C2 - 17418247
AN - SCOPUS:34047157020
SN - 0194-5998
VL - 136
SP - 536
EP - 542
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 4
ER -