Risk factor measurement quality in primary care routine data was variable but nondifferential between individuals
Abstract Objective To retrospectively assess the quality of cardiovascular disease risk factor measurements in routinely collected data and to examine whether there are systematic differences in measurement quality between individuals of different socioeconomic status, and changes in measurement qua...
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Published in | Journal of clinical epidemiology Vol. 61; no. 3; pp. 261 - 267.e16 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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New York, NY
Elsevier Inc
01.03.2008
Elsevier Elsevier Limited |
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Abstract | Abstract Objective To retrospectively assess the quality of cardiovascular disease risk factor measurements in routinely collected data and to examine whether there are systematic differences in measurement quality between individuals of different socioeconomic status, and changes in measurement quality over time. Study Design and Setting Comparison of last digit preference in risk factor measurement between a “routine” data set (related to a primary care–based UK cardiovascular risk factor screening programme) and relevant prospective epidemiological surveys (Health Survey for England [HSE] and WHO MONICA). For the routine data set, the records of 37,161 women and 33,977 men aged 35–60 years with a first screening episode during the 11-year period 1989–1999 were analyzed. Results Last digits of height, weight, and total cholesterol measurements in the routine data set did not exhibit a digit preference pattern, although the degree of random measurement error was greater compared with epidemiological survey data. The last digits of systolic and diastolic blood pressure (BP) measurements exhibited a strong last digit preference pattern for “0”—comprising 63.1% and 67.3% of all observations in men and women, respectively. Except for diastolic BP in men, last digit distribution patterns were not associated with participant's socioeconomic status and showed no change over time. Conclusion It may be feasible to study changes over time in cardiovascular disease risk factor levels in different socioeconomic groups using routine data sets; however, prior critical examination of measurement quality is necessary. |
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AbstractList | OBJECTIVETo retrospectively assess the quality of cardiovascular disease risk factor measurements in routinely collected data and to examine whether there are systematic differences in measurement quality between individuals of different socioeconomic status, and changes in measurement quality over time.STUDY DESIGN AND SETTINGComparison of last digit preference in risk factor measurement between a "routine" data set (related to a primary care-based UK cardiovascular risk factor screening programme) and relevant prospective epidemiological surveys (Health Survey for England [HSE] and WHO MONICA). For the routine data set, the records of 37,161 women and 33,977 men aged 35-60 years with a first screening episode during the 11-year period 1989-1999 were analyzed.RESULTSLast digits of height, weight, and total cholesterol measurements in the routine data set did not exhibit a digit preference pattern, although the degree of random measurement error was greater compared with epidemiological survey data. The last digits of systolic and diastolic blood pressure (BP) measurements exhibited a strong last digit preference pattern for "0"-comprising 63.1% and 67.3% of all observations in men and women, respectively. Except for diastolic BP in men, last digit distribution patterns were not associated with participant's socioeconomic status and showed no change over time.CONCLUSIONIt may be feasible to study changes over time in cardiovascular disease risk factor levels in different socioeconomic groups using routine data sets; however, prior critical examination of measurement quality is necessary. To retrospectively assess the quality of cardiovascular disease risk factor measurements in routinely collected data and to examine whether there are systematic differences in measurement quality between individuals of different socioeconomic status, and changes in measurement quality over time. Comparison of last digit preference in risk factor measurement between a "routine" data set (related to a primary care-based UK cardiovascular risk factor screening programme) and relevant prospective epidemiological surveys (Health Survey for England [HSE] and WHO MONICA). For the routine data set, the records of 37,161 women and 33,977 men aged 35-60 years with a first screening episode during the 11-year period 1989-1999 were analyzed. Last digits of height, weight, and total cholesterol measurements in the routine data set did not exhibit a digit preference pattern, although the degree of random measurement error was greater compared with epidemiological survey data. The last digits of systolic and diastolic blood pressure (BP) measurements exhibited a strong last digit preference pattern for "0"--comprising 63.1% and 67.3% of all observations in men and women, respectively. Except for diastolic BP in men, last digit distribution patterns were not associated with participant's socioeconomic status and showed no change over time. It may be feasible to study changes over time in cardiovascular disease risk factor levels in different socioeconomic groups using routine data sets; however, prior critical examination of measurement quality is necessary. To retrospectively assess the quality of cardiovascular disease risk factor measurements in routinely collected data and to examine whether there are systematic differences in measurement quality between individuals of different socioeconomic status, and changes in measurement quality over time. Comparison of last digit preference in risk factor measurement between a "routine" data set (related to a primary care-based UK cardiovascular risk factor screening programme) and relevant prospective epidemiological surveys (Health Survey for England [HSE] and WHO MONICA). For the routine data set, the records of 37,161 women and 33,977 men aged 35-60 years with a first screening episode during the 11-year period 1989-1999 were analyzed. Last digits of height, weight, and total cholesterol measurements in the routine data set did not exhibit a digit preference pattern, although the degree of random measurement error was greater compared with epidemiological survey data. The last digits of systolic and diastolic blood pressure (BP) measurements exhibited a strong last digit preference pattern for "0"-comprising 63.1% and 67.3% of all observations in men and women, respectively. Except for diastolic BP in men, last digit distribution patterns were not associated with participant's socioeconomic status and showed no change over time. It may be feasible to study changes over time in cardiovascular disease risk factor levels in different socioeconomic groups using routine data sets; however, prior critical examination of measurement quality is necessary. Abstract Objective To retrospectively assess the quality of cardiovascular disease risk factor measurements in routinely collected data and to examine whether there are systematic differences in measurement quality between individuals of different socioeconomic status, and changes in measurement quality over time. Study Design and Setting Comparison of last digit preference in risk factor measurement between a “routine” data set (related to a primary care–based UK cardiovascular risk factor screening programme) and relevant prospective epidemiological surveys (Health Survey for England [HSE] and WHO MONICA). For the routine data set, the records of 37,161 women and 33,977 men aged 35–60 years with a first screening episode during the 11-year period 1989–1999 were analyzed. Results Last digits of height, weight, and total cholesterol measurements in the routine data set did not exhibit a digit preference pattern, although the degree of random measurement error was greater compared with epidemiological survey data. The last digits of systolic and diastolic blood pressure (BP) measurements exhibited a strong last digit preference pattern for “0”—comprising 63.1% and 67.3% of all observations in men and women, respectively. Except for diastolic BP in men, last digit distribution patterns were not associated with participant's socioeconomic status and showed no change over time. Conclusion It may be feasible to study changes over time in cardiovascular disease risk factor levels in different socioeconomic groups using routine data sets; however, prior critical examination of measurement quality is necessary. |
Author | Lewis, P.S Lyratzopoulos, G Hanily, M Heller, R.F |
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CitedBy_id | crossref_primary_10_1186_1472_6963_9_231 crossref_primary_10_1097_HJH_0000000000001197 crossref_primary_10_1016_j_ejso_2011_02_004 crossref_primary_10_1111_j_1464_410X_2010_10058_x crossref_primary_10_4338_ACI_2013_09_RA_0074 crossref_primary_10_1038_s41371_019_0183_1 crossref_primary_10_1186_1471_2458_8_342 crossref_primary_10_1016_j_optm_2011_03_003 crossref_primary_10_1093_pubmed_fdr052 crossref_primary_10_1136_bmjopen_2017_019431 |
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Snippet | Abstract Objective To retrospectively assess the quality of cardiovascular disease risk factor measurements in routinely collected data and to examine whether... To retrospectively assess the quality of cardiovascular disease risk factor measurements in routinely collected data and to examine whether there are... OBJECTIVETo retrospectively assess the quality of cardiovascular disease risk factor measurements in routinely collected data and to examine whether there are... |
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SubjectTerms | Adult Age Factors Archives & records Biological and medical sciences Blood Pressure Body Height Body Weight Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - etiology Care Cholesterol Cholesterol - blood Data Data collection Datasets Epidemiology Female General aspects Health care policy Health risks Humans Internal Medicine Male Mass Screening - standards Measurement Medical Records - standards Medical sciences Middle Aged Planification. Prevention (methods). Intervention. Evaluation Primary Primary care Primary Health Care - standards Public health. Hygiene Public health. Hygiene-occupational medicine Quality Risk Factors Routine Socioeconomic factors Socioeconomics |
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Title | Risk factor measurement quality in primary care routine data was variable but nondifferential between individuals |
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