Validation of self-reported epilepsy for purposes of community surveillance

被引：52

作者：

Brooks, Daniel R. ^{[2
]}

Avetisyan, Ruzan ^{[1
]}

Jarrett, Kelli M. ^{[1
]}

Hanchate, Amresh ^{[3
]}

Shapiro, G. D. ^{[1
]}

Pugh, M. J. ^{[4
]}

Berlowitz, Dan R. ^{[1
]}

Thurman, David ^{[5
]}

Montouris, Georgia ^{[6
]}

Kazis, Lewis E. ^{[1
]}

机构：

[1] Boston Univ, Sch Publ Hlth, CAPP, Dept Hlth Policy & Management, Boston, MA 02118 USA

[2] Boston Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02118 USA

[3] Boston Univ, Sch Med, Gen Internal Med Sect, Boston, MA 02118 USA

[4] Univ Texas Hlth Sci Ctr San Antonio, Dept Med Geriatr & Gerontol, San Antonio, TX 78229 USA

[5] Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA

[6] Boston Univ, Sch Med, Dept Neurol, Boston, MA 02118 USA

来源：

EPILEPSY & BEHAVIOR | 2012年 / 23卷 / 01期

关键词：

Epilepsy; Seizure disorder; Questionnaires; Validity; Surveillance; Self-report; HEALTH-STATUS; PREVALENCE; ADULTS; CARE; SEIZURES; GEORGIA; SYSTEM;

D O I：

10.1016/j.yebeh.2011.11.002

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

We evaluated the validity of questions designed to identify lifetime and active epilepsy, medication use, and seizure occurrence on population-based surveys. Subjects were interviewed by telephone, and responses were compared with information in their medical records. Prevalence, sensitivity, specificity, and positive predictive value (PPV) were calculated. The prevalence of ever having been diagnosed with epilepsy was 3.1% by self-report and 2.7% by medical record review. Sensitivity was 84.2%, specificity was 99.2%, and PPV was 73.5% for self-reported lifetime epilepsy, and values were similar for active epilepsy. By comparison, sensitivity was higher and specificity was lower for epilepsy medication use and seizure occurrence. The PPV for seizure occurrence was substantially higher for a recall period of 12 months than for 3 months. These results compare favorably with results for other chronic conditions, such as diabetes and arthritis, and indicate that questionnaires can be used to identify epilepsy at a population level. (C) 2011 Elsevier Inc. All rights reserved.

引用

页码：57 / 63

页数：7

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