Browse > Article

Comparison of Face-to-Face Interview Questionnaires and Medical Records Data for Smoking Habits in Lung Cancer Patients  

Lee, Eui-Cheol (Department of Occupational and Environmental Medicine, College of Medicine, Inha University)
Ryu, Jeong-Seon (Department of Internal Medicine, College of Medicine, Inha University)
Kim, Hyun-Jung (Department of Internal Medicine, College of Medicine, Inha University)
Cho, Jae-Hwa (Department of Internal Medicine, College of Medicine, Inha University)
Kwak, Seoung-Min (Department of Internal Medicine, College of Medicine, Inha University)
Lee, Hong-Lyeol (Department of Internal Medicine, College of Medicine, Inha University)
Publication Information
Tuberculosis and Respiratory Diseases / v.62, no.1, 2007 , pp. 27-32 More about this Journal
Abstract
Background: This study evaluated the accuracy of smoking habit from the data obtained from the medical records of lung cancer patients against the data obtained form face-to-face interview questionnaires Methods: The smoking habits of 225 lung cancer patients were categorized into never smoked, ex-smoker and current smoker in face-to-face interview questionnaire and medical record taken at the time of admission for a diagnosis. The overall agreement between two sources was evaluated. The factors affecting the disagreement between two sources and the level of data omission of the smoking habits in medical records were analyzed suing multiple logistic regression. Results: The smoking habit between two sources showed moderate overall agreement(Kappa $({\kappa})=0.60$). The lowest agreement was observed in the ex-smokers(${\kappa}=0.49$). Multivariate analysis revealed an age of 65 or older to be a statistically significant factor associated with the increasing disagreement risk compared with those 64 or younger (OR 3.02; 95% CI 1.58-5.80). The omission rate of smoking habits in the medical records was 18.2%. Adenocarcinoma was shown to be a statistically significant factor of associated with an increasing omission rate compared with squamous cell carcinoma (OR 3.00; 95% CI 1.19-7.59). Conclusion: The smoking habits obtained from medical record moderately reflect their true behavior. However, the smoking habit data from medical record should be used with caution when being used in a clinical study or cohort study of lung cancer.
Keywords
Medical record; Questionnaire; Smoking; Lung cancer;
Citations & Related Records

Times Cited By SCOPUS : 0
연도 인용수 순위
  • Reference
1 Smoking prevalence in Korean adults. The Korean Association of Smoking and Health. 2004 Avail from: http://www.kash.or.kr
2 Last JM. A dictionary of epidemiology. 4th ed. New York: Oxford University Press 2001
3 Ryu JS, Lee HJ, Leem JH, Kim L, Lee KH, Cho JH, et al. Clinical charicteristics of primary lung cancer patients in a Tertiary Hospital. Tuberc Respir Dis 2006, 60:321-9   DOI   ScienceOn
4 Nieuwenhuijsen MJ. Exposure assessment in occupational and environmental epidemiology. London: Oxford University Press 2003
5 Ryu J, Viguier J, Praz F. Genetic effect of ERCC1 codon 118 polymorphism and confounding factors. Clin Cancer Res 2006;12:4784-5   DOI   ScienceOn
6 Wilson A, Manku-Scott T, Shepherd D, Jones B. A comparison of individual and population smoking data from a postal survey and general practice records. Br J Gen Pract 2000;50:465-8
7 Toh CK, Gao F, Lim WT, Leong SS, Fong KW, Yap SP, et al. Never-smokers with lung cancer: epidemiologic evidence of a distinct disease entity. J Clin Oncol 2006;24:2245-51   DOI   ScienceOn
8 Mant J, Murpht M, Rose P, Vessey M. The accuracy of general practitioner records of smoking and alcohol use: comparison with patient questionnaires. J Public Health Med 2000;22:198-201   DOI
9 Zhu K, McKnight B, Stergachis A, Daling JR, Levine RS. Comparison of self-report data and medical records data: results from a case-control study on prostate cancer. Int J Epidemiol 1999;28:409-17   DOI
10 Park SY, Hong YC, Kim JH, Kwak SM, Cho JH, Lee HL, et al. Effect of ERCC1 polymorphisms and the modification by smoking on the survival of non-small cell lung cancer patients. Med Oncol 2006. (In press)
11 Richiardi L, Forastiere F, Boffetta P, Simonato L, Merletti F. Effect of different approaches to treatment of smoking as a potential confounder in a case-control study on occupational exposures. Occup Environ Med 2005;62:101-4   DOI   ScienceOn