Diagnostic accuracy of self-reported arthritis in the general adult population is acceptable

Peeters, G. M. E. E. (Geeske), Alshurafa, Mohamad, Schaap, Laura and de Vet, Henrica C. W. (2015) Diagnostic accuracy of self-reported arthritis in the general adult population is acceptable. Journal of Clinical Epidemiology, 68 4: 452-459. doi:10.1016/j.jclinepi.2014.09.019


Author Peeters, G. M. E. E. (Geeske)
Alshurafa, Mohamad
Schaap, Laura
de Vet, Henrica C. W.
Title Diagnostic accuracy of self-reported arthritis in the general adult population is acceptable
Journal name Journal of Clinical Epidemiology   Check publisher's open access policy
ISSN 0895-4356
1878-5921
Publication date 2015-04
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.jclinepi.2014.09.019
Open Access Status
Volume 68
Issue 4
Start page 452
End page 459
Total pages 8
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Collection year 2015
Language eng
Formatted abstract
Objective: To summarize the diagnostic accuracy of self-reported osteoarthritis (OA), rheumatoid arthritis (RA), and arthritis (i.e., unspecified) in the general adult population.

Study Design and Setting: A systematic literature search identified studies reporting diagnostic data on self-reported diagnosis of OA, RA, or arthritis in adults in population-based or primary care samples. Index tests included any form of participant-reported presence of the condition. Reference tests included rheumatologist, physician, or health professional examination; medical record review; physician interview; laboratory tests; or radiography. Relevant articles were scored using the QUADAS tool. Diagnostic values were summarized using pooled estimates for sensitivity and specificity.

Results: The search strategy identified 16 articles: 11 for OA, 5 for RA, and 4 for arthritis. Four of 16 articles scored high on quality. The pooled sensitivity and specificity were 0.75 [95% confidence interval (CI): 0.56, 0.88] and 0.89 (95% CI: 0.77, 0.95) for OA, 0.88 (95% CI: 0.59, 0.97) and 0.93 (95% CI: 0.66, 0.99) for RA, and 0.71 (95% CI: 0.59, 0.80) and 0.79 (95% CI: 0.65, 0.89) for arthritis. There were not enough studies to conduct meta-analyses for joint-specific OA.

Conclusion: The accuracy of self-reported OA and RA is acceptable for large-scale studies in which rheumatologist examination is not feasible. More high-quality studies are required to confirm the accuracy of self-reported arthritis and joint-specific OA.  
Keyword Validity
Sensitivity and specificity
Osteoarthritis
Rheumatoid arthritis
Meta-analysis
Diagnosis
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Public Health Publications
School of Human Movement and Nutrition Sciences Publications
 
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Created: Mon, 23 Feb 2015, 09:23:10 EST by Dr Geeske Peeters on behalf of School of Public Health