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Lookup NU author(s): Alice Lin, Professor David Deehan
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© The Author(s) 2021. Published by Oxford University Press on behalf of Postgraduate Medical Journal. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. Self-reported questionnaires have become a widely adopted method of reviewing patients in clinical practice. This systematic review aimed to determine the reliability of patient-reported comorbidities and to identify which patient factors influence the reliability. Included studies assessed the reliability of at least one patient-reported comorbidity against their medical record or clinical assessment as gold standard. Twenty-four eligible studies were included in the meta-analysis. Only endocrine diseases (Cohen's Kappa Coefficient (CKC) 0.81 (95% CI 0.76 to 0.85)), consisting of diabetes mellitus (CKC 0.83 (95% CI 0.80 to 0.86)) and thyroid disease (CKC 0.68 (95% CI 0.50 to 0.86)), showed good-to-excellent reliability. Factors most frequently reported to influence concordance included age, sex and educational level. This systematic review demonstrated poor-to-moderate reliability for most systems, except for endocrine which showed good-to-excellent reliability. Although patient self-reporting can be a useful guide to clinical management, several patient factors were demonstrated to affect reliability therefore it should be avoided as a standalone measure.
Author(s): Lin CMA, Ng N, Orman A, Clement ND, Deehan DJ
Publication type: Article
Publication status: Published
Journal: Postgraduate Medical Journal
Year: 2023
Volume: 99
Issue: 1169
Pages: 127-138
Print publication date: 01/03/2023
Online publication date: 13/10/2021
Acceptance date: 18/09/2021
ISSN (print): 0032-5473
ISSN (electronic): 1469-0756
Publisher: Oxford University Press
URL: https://doi.org/10.1136/postgradmedj-2021-140857
DOI: 10.1136/postgradmedj-2021-140857
PubMed id: 37222068
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