Agreement between upper respiratory diagnoses from self-report questionnaires and medical records in an occupational health setting

Jessica Weakley, Mayris P. Webber, Fen Ye, Rachel Zeig-Owens, Hillel W. Cohen, Charles B. Hall, Kerry Kelly, David J. Prezant

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background: The Fire Department of the City of New York World Trade Center Health Program (FDNY-WTCHP) monitors and treats WTC-related illnesses through regular physical exams, self-administered health questionnaires and treatment visits, as indicated. Methods: We measured positive and negative predictive values (PPV, NPV) of self-reported diagnoses of GERD and rhinosinusitis from the health questionnaires in relation to FDNY physician diagnoses from the medical record. Results: Self-reported GERD had PPV and NPV of 54.0% and 95.7%, respectively; for rhinosinusitis, the PPV and NPV were 48.2% and 91.9%. These characteristics improved considerably (PPV 78.0% GERD and PPV 76.5% rhinosinusitis) in a subpopulation receiving medications from the FDNY-WTCHP. Conclusion: The PPV of self-reported diagnoses demonstrates only modest value in predicting physician diagnoses, although high NPVs suggest benefit in ruling out disease. In subgroups selected for their higher disease prevalence, self-reported diagnoses may be considerably more useful.

Original languageEnglish (US)
Pages (from-to)1181-1187
Number of pages7
JournalAmerican Journal of Industrial Medicine
Volume57
Issue number10
DOIs
StatePublished - Oct 1 2014

Keywords

  • Firefighters and EMS
  • GERD
  • Medical records
  • Negative predictive values
  • Positive predictive values
  • Rhinosinusitis
  • Self-report
  • World trade center

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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