Sensitivity and specificity of patient self-report of influenza and pneumococcal polysaccharide vaccinations among elderly outpatients in diverse patient care strata. Export

@article{citeulike:524403, abstract = {National surveys of adult vaccination indicate moderate self-reported immunization rates in the US, with limited validity data. We compared self-report with medical record abstraction for 820 persons aged > or =66 years from inner-city health centers, Veterans Affairs (VA) outpatient clinics, rural and suburban practices. For influenza vaccine, sensitivity was 98\% (95\% CI: 96-99\%); specificity was 38\% (95\% CI: 33-43\%). For pneumococcal polysaccharide vaccine, sensitivity was 85\% (95\% CI: 82-89\%) and specificity was 46\% (95\% CI: 42-50\%). The VA had the highest sensitivity and lowest specificity for both vaccines while the converse was true in inner-city centers. High negative predictive values indicate that clinicians can confidently vaccinate based on negative patient self-report.}, address = {Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, 3518 Fifth Avenue, PA 15261, USA. zimmer@pitt.edu}, author = {Zimmerman, R. K. and Raymund, M. and Janosky, J. E. and Nowalk, M. P. and Fine, M. J.}, citeulike-article-id = {524403}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/12615445}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=12615445}, day = {28}, issn = {0264-410X}, journal = {Vaccine}, keywords = {pneumovax}, month = {March}, number = {13-14}, pages = {1486--1491}, posted-at = {2006-02-28 20:18:59}, priority = {5}, title = {Sensitivity and specificity of patient self-report of influenza and pneumococcal polysaccharide vaccinations among elderly outpatients in diverse patient care strata.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/12615445}, volume = {21}, year = {2003} }

TY - JOUR ID - citeulike:524403 L3 - citeulike-article-id:524403 N2 - National surveys of adult vaccination indicate moderate self-reported immunization rates in the US, with limited validity data. We compared self-report with medical record abstraction for 820 persons aged > or =66 years from inner-city health centers, Veterans Affairs (VA) outpatient clinics, rural and suburban practices. For influenza vaccine, sensitivity was 98% (95% CI: 96-99%); specificity was 38% (95% CI: 33-43%). For pneumococcal polysaccharide vaccine, sensitivity was 85% (95% CI: 82-89%) and specificity was 46% (95% CI: 42-50%). The VA had the highest sensitivity and lowest specificity for both vaccines while the converse was true in inner-city centers. High negative predictive values indicate that clinicians can confidently vaccinate based on negative patient self-report. IS - 13-14 JF - Vaccine SN - 0264-410X AD - Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, 3518 Fifth Avenue, PA 15261, USA. zimmer@pitt.edu EP - 1491 TI - Sensitivity and specificity of patient self-report of influenza and pneumococcal polysaccharide vaccinations among elderly outpatients in diverse patient care strata. VL - 21 SP - 1486 KW - pneumovax AU - Zimmerman, RK AU - Raymund, M AU - Janosky, JE AU - Nowalk, MP AU - Fine, MJ PY - 2003/03/28/ UR - http://view.ncbi.nlm.nih.gov/pubmed/12615445 ER -