- Validity of Self-reported Stroke and Myocardial Infarction in Korea: The Health Examinees (HEXA) Study
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Sunho Choe, Joonki Lee, Jeeyoo Lee, Daehee Kang, Jong-Koo Lee, Aesun Shin
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J Prev Med Public Health. 2019;52(6):377-383. Published online November 12, 2019
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DOI: https://doi.org/10.3961/jpmph.19.089
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 Abstract
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- 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.
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Summary
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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
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Hyeongtaek Woo, Jeeyoo Lee, Jeonghee Lee, Ji Won Park, Sungchan Park, Jeongseon Kim, Jae Hwan Oh, Aesun Shin
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J Prev Med Public Health. 2016;49(1):45-52. Published online December 22, 2015
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DOI: https://doi.org/10.3961/jpmph.15.029
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10,042
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159
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Abstract
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- 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.
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Summary
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Citations
Citations to this article as recorded by - Relationship Between Aspirin Use and Site-Specific Colorectal Cancer Risk Among Individuals With Metabolic Comorbidity
Seokyung An, Madhawa Gunathilake, Jeonghee Lee, Minji Kim, Jae Hwan Oh, Hee Jin Chang, Dae Kyung Sohn, Aesun Shin, Jeongseon Kim
Journal of Korean Medical Science.2024;[Epub] CrossRef - 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
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