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Original Articles
Validity of Self-reported Stroke and Myocardial Infarction in Korea: The Health Examinees (HEXA) Study
Sunho Choe, Joonki Lee, Jeeyoo Lee, Daehee Kang, Jong-Koo Lee, Aesun Shin
J Prev Med Public Health. 2019;52(6):377-383.   Published online November 12, 2019
DOI: https://doi.org/10.3961/jpmph.19.089
  • 5,053 View
  • 93 Download
  • 6 Crossref
AbstractAbstract PDF
Objectives
Self-reported disease history is often used in epidemiological studies. In this study, we acquired the hospital records of subjects who self-reported stroke or myocardial infarction (MI) and evaluated the validity of the participants’ self-reported disease history. We also determined the level of agreement between specialists and non-specialists.
Methods
Among the participants in the Health Examinees study, 1488 subjects self-reported stroke or MI during 2012-2017, and medical records were acquired for the 429 subjects (28.8%) who agreed to share their medical information. Each record was independently assigned to 2 medical doctors for review. The records were classified as ‘definite,’ ‘possible,’ or ‘not’ stroke or MI. If the doctors did not agree, a third doctor made the final decision. The positive predictive value (PPV) of self-reporting was calculated with the doctors’ review as the gold standard. Kappa statistics were used to compare the results between general doctors and neurologists or cardiologists.
Results
Medical records from 208 patients with self-reported stroke and 221 patients with self-reported MI were reviewed. The PPV of self-reported disease history was 51.4% for stroke and 32.6% for MI. If cases classified as ‘possible’ were counted as positive diagnoses, the PPV was 59.1% for stroke and 33.5% for MI. Kappa statistics showed moderate levels of agreement between specialists and non-specialists for both stroke and MI.
Conclusions
The validity of self-reported disease was lower than expected, especially in those who reported having been diagnosed with MI. Proper consideration is needed when using these self-reported data in further studies.
Summary

Citations

Citations to this article as recorded by  
  • Stressful life events and heart disease and stroke: A study among Portuguese older adults
    Ana Quaresma, Elisabete Alves, Silvia Fraga, Ana Henriques
    Stress and Health.2024;[Epub]     CrossRef
  • Validation of self-reported cardiovascular problems in childhood cancer survivors by contacting general practitioners: feasibility and results
    Eva-Maria Hau, Tomáš Sláma, Stefan Essig, Gisela Michel, Laura Wengenroth, Eva Bergstraesser, Nicolas X. von der Weid, Christina Schindera, Claudia E. Kuehni
    BMC Primary Care.2024;[Epub]     CrossRef
  • Association of the amount of alcohol consumption with change in skeletal muscle and fat mass among Korean adults
    Jihun Song, Seulggie Choi, Sun Jae Park, Sung Min Kim, Yoosun Cho, Gyeongsil Lee, Ji Soo Kim, Sang Min Park
    Alcohol.2023; 111: 9.     CrossRef
  • History of Breastfeeding and Stroke Prevalence Among Parous Females: Findings from the National Health and Nutrition Examination Survey, 1999–2012
    Gina M. Richardson, Emily Mitchell, Kalera Stratton, Laura R. Kair, Lynn M. Marshall
    Breastfeeding Medicine.2022; 17(9): 768.     CrossRef
  • Joint effect of elevated-c-reactive protein level and hypertension on new-onset stroke: A nationwide prospective cohort study of CHARLS
    Xuanli Chen, Siyuan Liu, Jiadong Chu, Wei Hu, Na Sun, Yueping Shen
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Objectively Measured Built Environments and Cardiovascular Diseases in Middle-Aged and Older Korean Adults
    Eun Young Lee, Jungsoon Choi, Sugie Lee, Bo Youl Choi
    International Journal of Environmental Research and Public Health.2021; 18(4): 1861.     CrossRef
Diabetes Mellitus and Site-specific Colorectal Cancer Risk in Korea: A Case-control Study
Hyeongtaek Woo, Jeeyoo Lee, Jeonghee Lee, Ji Won Park, Sungchan Park, Jeongseon Kim, Jae Hwan Oh, Aesun Shin
J Prev Med Public Health. 2016;49(1):45-52.   Published online December 22, 2015
DOI: https://doi.org/10.3961/jpmph.15.029
  • 9,637 View
  • 159 Download
  • 12 Crossref
AbstractAbstract PDF
Objectives
Previous large-scale cohort studies conducted in Korea have found a positive association between diabetes mellitus (DM) and colorectal cancer (CRC) in men only, in contrast to studies of other populations that have found significant associations in both men and women.
Methods
A total of 1070 CRC cases and 2775 controls were recruited from the National Cancer Center, Korea between August 2010 and June 2013. Self-reported DM history and the duration of DM were compared between cases and controls. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by binary and polytomous logistic regression models.
Results
DM was associated with an elevated risk of CRC in both men (OR, 1.47; 95% CI, 1.13 to 1.90) and women (OR, 1.92; 95% CI, 1.24 to 2.98). This association remained when we controlled for age, body mass index, alcohol consumption, and physical activity level. In sub-site analyses, DM was associated with distal colon cancer risk in both men (multivariate OR, 2.04; 95% CI, 1.39 to 3.00) and women (multivariate ORs, 1.99; 95% CI, 1.05 to 3.79), while DM was only associated with rectal cancer risk in women (multivariate OR, 2.05; 95% CI, 1.10 to 3.82). No significant association was found between DM and proximal colon cancer risk in either men (multivariate OR, 1.45; 95% CI, 0.88 to 2.41) or women (multivariate OR, 1.79; 95% CI, 0.78 to 4.08).
Conclusions
Overall, DM was associated with an increased risk of CRC in Koreans. However, potential over-estimation of the ORs should be considered due to potential biases from the case-control design.
Summary

Citations

Citations to this article as recorded by  
  • The interaction between glycemic index, glycemic load, and the genetic variant ADIPOQ T45G (rs2241766) in the risk of colorectal cancer: a case–control study in a Korean population
    Y-Thanh Lu, Madhawa Gunathilake, Jeonghee Lee, Jae Hwan Oh, Hee Jin Chang, Dae Kyung Sohn, Aesun Shin, Jeongseon Kim
    European Journal of Nutrition.2022; 61(5): 2601.     CrossRef
  • Expression of long non-coding RNA H19 in colorectal cancer patients with type 2 diabetes
    Ming Zhao, Hantao Wang, Jingbo Chen, Yang Xi, Fuyan Wang, Cuilan Huo, Wenwen Li, Yudong Chu, Pengjie Xu, Qin Huang, Shizhong Bu
    Archives of Physiology and Biochemistry.2021; 127(3): 228.     CrossRef
  • Lymphocyte‐to‐monocyte ratio combined with CA19‐9 for predicting postoperative recurrence of colorectal cancer in patients with diabetes
    Dan Yu, Guangyu An, Jiannan Yao
    Journal of Clinical Laboratory Analysis.2021;[Epub]     CrossRef
  • Sex- and site-specific differences in colorectal cancer risk among people with type 2 diabetes
    Jetty A. Overbeek, Josephina G. Kuiper, Amber A. W. A. van der Heijden, Mariette Labots, Ulrike Haug, Ron M. C. Herings, Giel Nijpels
    International Journal of Colorectal Disease.2019; 34(2): 269.     CrossRef
  • Metabolic Syndrome and Risk of Colorectal Cancer: A Case-Control Study
    Elham Davtalab Esmaeili, Khairollah Asadollahi, Ali Delpisheh, Kourosh Sayehmiri, Hosein Azizi
    International Journal of Cancer Management.2019;[Epub]     CrossRef
  • Colorectal Cancer Risks According to Sex Differences in Patients With Type II Diabetes Mellitus: A Korean Nationwide Population-Based Cohort Study
    Ji Min Lee, Kang-Moon Lee, Dae Bum Kim, Seung-Hyun Ko, Yong Gyu Park
    Clinical and Translational Gastroenterology.2019; 10(10): e00090.     CrossRef
  • The association between plasma C-peptide concentration and the risk of prostate cancer: a nested case–control study within a Japanese population-based prospective study
    Grace Y. Kiyabu, Norie Sawada, Motoki Iwasaki, Taiki Yamaji, Taichi Shimazu, Shizuka Sasazuki, Manami Inoue, Shoichiro Tsugane
    European Journal of Cancer Prevention.2018; 27(5): 461.     CrossRef
  • Association between Cardiovascular Risk and Diabetes with Colorectal Neoplasia: A Site-Specific Analysis
    David Niederseer, Isabelle Bracher, Andreas Stadlmayr, Ursula Huber-Schönauer, Martin Plöderl, Slayman Obeid, Christian Schmied, Sabrina Hammerl, Felix Stickel, Dieter Lederer, Wolfgang Patsch, Elmar Aigner, Christian Datz
    Journal of Clinical Medicine.2018; 7(12): 484.     CrossRef
  • Optimal glycemic target level for colon cancer patients with diabetes
    Shin Jun Lee, Jae Hyun Kim, Seun Ja Park, So Young Ock, Su Kyoung Kwon, Young Sik Choi, Bu Kyung Kim
    Diabetes Research and Clinical Practice.2017; 124: 66.     CrossRef
  • Impact of detection bias on the risk of gastrointestinal cancer and its subsites in type 2 diabetes mellitus
    R.G.P.J. de Jong, A.M. Burden, S. de Kort, M.P.P. van Herk-Sukel, P.A.J. Vissers, P.K.C. Janssen, H.R. Haak, A.A.M. Masclee, F. de Vries, M.L.G. Janssen-Heijnen
    European Journal of Cancer.2017; 79: 61.     CrossRef
  • Effects of interactions between common genetic variants and smoking on colorectal cancer
    Nan Song, Aesun Shin, Hye Soo Jung, Jae Hwan Oh, Jeongseon Kim
    BMC Cancer.2017;[Epub]     CrossRef
  • Diabetes-induced mechanophysiological changes in the small intestine and colon
    Mirabella Zhao, Donghua Liao, Jingbo Zhao
    World Journal of Diabetes.2017; 8(6): 249.     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health