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Reliability of Medical History Reporting in Older Adults With and Without Cognitive Impairment

BACKGROUND: Clinical diagnosis of cognitive disorders depends on accurate reporting of medical history, yet little is known about the reliability and the validity of such reports, particularly in older patients with and without cognitive impairment. METHODS: In 2 studies, we examined the reliability...

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Autores principales: Curcio, Nicholas, Wilmoth, Kristin, LoBue, Christian, Cullum, C Munro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6477758/
https://www.ncbi.nlm.nih.gov/pubmed/31040738
http://dx.doi.org/10.1177/1179573519843874
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author Curcio, Nicholas
Wilmoth, Kristin
LoBue, Christian
Cullum, C Munro
author_facet Curcio, Nicholas
Wilmoth, Kristin
LoBue, Christian
Cullum, C Munro
author_sort Curcio, Nicholas
collection PubMed
description BACKGROUND: Clinical diagnosis of cognitive disorders depends on accurate reporting of medical history, yet little is known about the reliability and the validity of such reports, particularly in older patients with and without cognitive impairment. METHODS: In 2 studies, we examined the reliability and the validity of reported histories of select medical events in adults with and without cognitive impairment from a large national cohort. RESULTS: Information from subjects (N(1) = 3664), obtained from 2 time points, 6 to 12  months apart, was consistent across most medical events, regardless of the diagnostic group (range = 97.6%-100% agreement; Cohen κ range = 0.712-0.945), with few exceptions. Validity analyses (N(2) = 382) revealed that 3 of 5 medical events assessed showed substantial agreement between self-report information and clinician diagnosis. CONCLUSIONS: These data represent some of the first to demonstrate the reliability and the validity of reported select medical events in older adults with and without cognitive impairment.
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spelling pubmed-64777582019-04-30 Reliability of Medical History Reporting in Older Adults With and Without Cognitive Impairment Curcio, Nicholas Wilmoth, Kristin LoBue, Christian Cullum, C Munro J Cent Nerv Syst Dis Original Research BACKGROUND: Clinical diagnosis of cognitive disorders depends on accurate reporting of medical history, yet little is known about the reliability and the validity of such reports, particularly in older patients with and without cognitive impairment. METHODS: In 2 studies, we examined the reliability and the validity of reported histories of select medical events in adults with and without cognitive impairment from a large national cohort. RESULTS: Information from subjects (N(1) = 3664), obtained from 2 time points, 6 to 12  months apart, was consistent across most medical events, regardless of the diagnostic group (range = 97.6%-100% agreement; Cohen κ range = 0.712-0.945), with few exceptions. Validity analyses (N(2) = 382) revealed that 3 of 5 medical events assessed showed substantial agreement between self-report information and clinician diagnosis. CONCLUSIONS: These data represent some of the first to demonstrate the reliability and the validity of reported select medical events in older adults with and without cognitive impairment. SAGE Publications 2019-04-22 /pmc/articles/PMC6477758/ /pubmed/31040738 http://dx.doi.org/10.1177/1179573519843874 Text en © The Author(s) 2019 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Curcio, Nicholas
Wilmoth, Kristin
LoBue, Christian
Cullum, C Munro
Reliability of Medical History Reporting in Older Adults With and Without Cognitive Impairment
title Reliability of Medical History Reporting in Older Adults With and Without Cognitive Impairment
title_full Reliability of Medical History Reporting in Older Adults With and Without Cognitive Impairment
title_fullStr Reliability of Medical History Reporting in Older Adults With and Without Cognitive Impairment
title_full_unstemmed Reliability of Medical History Reporting in Older Adults With and Without Cognitive Impairment
title_short Reliability of Medical History Reporting in Older Adults With and Without Cognitive Impairment
title_sort reliability of medical history reporting in older adults with and without cognitive impairment
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6477758/
https://www.ncbi.nlm.nih.gov/pubmed/31040738
http://dx.doi.org/10.1177/1179573519843874
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