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• W2009255247 abstract "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. 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. 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. 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." @default.
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• W2009255247 date "2013-07-01" @default.
• W2009255247 modified "2023-10-07" @default.
• W2009255247 title "Agreement between obstructive airways disease diagnoses from self-report questionnaires and medical records" @default.
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• W2009255247 doi "https://doi.org/10.1016/j.ypmed.2013.04.001" @default.
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