作者: Jack M. Guralnik , Marc C. Hochberg , Linda P. Fried , Rosemarie Hirsch , Elizabeth Garrett
DOI:
关键词: Rheumatology 、 Physical therapy 、 Medicine 、 Self report 、 Rheumatoid arthritis 、 Multiple Chronic Illnesses 、 Internal medicine 、 Severity of illness 、 Adult population 、 Pediatrics 、 Arthritis 、 MEDLINE
摘要: Objective To determine the accuracy of self-report physician diagnosed rheumatoid arthritis (RA) in moderately to severely disabled older women. Methods A total 1002 participants Women's Health and Aging Study were included. These women > or =65 years old, had an average 4 chronic illnesses, represented one-third most living community. Self-report a physician's diagnosis RA was compared cases "definite" that adjudicated using algorithm modeled on American College Rheumatology criteria for RA. Results The sensitivity 77%, with 90.6% specificity 99% negative predictive value, kappa = 0.46. positive value 34% likely reflected low prevalence this sample (3.1%). Five 6 who did not correctly report under care rheumatologist. Conclusion multiple illnesses matched observed general adult population previous studies. Accuracy enhanced by including receiving