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Table 2 Unweighted prevalence and concordance measures for chronic diseases using health administrative and self-reported data

From: Ascertainment of chronic diseases using population health data: a comparison of health administrative data and patient self-report

Self-reported data

Health administrative data

  

Diabetes

Yes

No

Total

Kappa

0.80 (0.80, 0.81)

Yes

5,312

474

5,786

Sensitivity of self-report

0.73

No

1,867

77,848

79,715

Specificity of self-report

0.99

Total

7,179

78,322

85,501

Positive agreement

82%

(missing = 48)

  

Negative agreement

99%

 

Prevalence HA vs. SR

8.4% vs. 6.8%

Stroke

Yes

No

Total

  

Yes

433

1,020

1,453

Kappa

0.36 (0.34, 0.39)

No

453

83,592

84,045

Sensitivity of self-report

0.49

Total

886

84,612

85,498

Specificity of self-report

0.99

(missing = 51)

 

Positive agreement

37%

 

Negative agreement

99%

 

Prevalence HA vs. SR

1.0% vs. 1.7%

Hypertension

Yes

No

Total

  

Yes

15,314

2,530

17,844

Kappa

0.66 (0.65, 0.66)

No

8,284

59,293

67,577

Sensitivity of self-report

0.65

Total

23,598

61,823

85,421

Specificity of self-report

0.96

(missing = 128)

  

Positive agreement

74%

   

Negative agreement

92%

   

Prevalence HA vs. SR

27.6% vs. 20.8%

AMI*

Yes

No

Total

  

Yes

732

1,326

2,058

Kappa

0.48 (0.45, 0.50)

No

213

54,799

55,012

Sensitivity of self-report

0.77

Total

945

56,125

57,070

Specificity of self-report

0.98

(missing = 74)

  

Positive agreement

49%

  

Negative agreement

99%

  

Prevalence HA vs. SR

1.7% vs. 3.6%

CHF*

Yes

No

Total

  

Yes

413

458

871

Kappa

0.33 (0.30, 0.35)

No

1,151

55,042

56,193

Sensitivity of self-report

0.26

Total

1,564

55,500

57,064

Specificity of self-report

0.99

(missing = 80)

  

Positive agreement

34%

  

Negative agreement

99%

  

Prevalence HA vs. SR

2.7% vs. 1.5%

Asthma

Yes

No

Total

  

Yes

4,620

2,742

7,362

Kappa

0.55 (0.54, 0.56)

No

3,730

74,417

78,147

Sensitivity of self-report

0.55

Total

8,350

77,159

85,509

Specificity of self-report

0.96

(missing = 40)

  

Positive agreement

59%

   

Negative agreement

96%

   

Prevalence HA vs. SR

9.8% vs. 8.6%

COPD (≥ 35 years)

Yes

No

Total

  

Yes

1,880

1,842

3,722

Kappa

0.29 (0.27, 0.30)

No

5,474

56,916

62,390

Sensitivity of self-report

0.26

Total

7,354

58,758

66,112

Specificity of self-report

0.97

(missing = 12)

  

Positive agreement

34%

   

Negative agreement

94%

   

Prevalence HA vs. SR

11.1% vs. 5.6%

  1. *For CCHS cycle 1.1 and 2.1 — assumes ‘no’ to heart disease also means ‘no’ to AMI or CHF.
  2. Abbreviations: AMI = acute myocardial infarction; CHF = congestive heart failure; COPD = chronic obstructive pulmonary disease; HA = health administrative data; SR = self-reported data.