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DOI	10.1002/ppul.24432
	Agreement between a health claims algorithm and parent-reported asthma in young children
	Omand, Jessica A.1; Maguire, Jonathon L.2,3,4,5,6,7; O’Connor, Deborah L.3,8; Parkin, Patricia C.1,4,5,6,7; Birken, Catherine S.1,4,5,6,7; Thorpe, Kevin E.4; Zhu, Jingqin 1,2,9; To, Teresa 1,4,9
通讯作者	Omand, Jessica A. ; To, Teresa
来源期刊	PEDIATRIC PULMONOLOGY
ISSN	8755-6863
EISSN	1099-0496
出版年	2019
卷号	54 期号:10 页码:1547-1556
英文摘要	Introduction Asthma prevalence is commonly measured in national surveys by questionnaire. The Ontario Asthma Surveillance Information System (OASIS) developed a validated health claims diagnosis algorithm to estimate asthma prevalence. The primary objective was to assess the agreement between two approaches of measuring asthma in young children. Secondary objectives were to identify concordant and discordant pairs, and to identify factors associated with disagreement. Study design and setting A measurement study to evaluate the agreement between the OASIS algorithm and parent-reported asthma (criterion standard). Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated. Multivariable logistic regression was used to determine factors associated with disagreement. Results Healthy children aged 1 to 5 years (n =3642) participating in the TARGet Kids! practice based research network 2008-2013 in Toronto, Canada were included. Prevalence of asthma was 14% and 6% by the OASIS algorithm and parent-reported asthma, respectively. The Kappa statistic was 0.43, sensitivity 81%, specificity 90%, PPV 34%, and NPV 99%. There were 3249 concordant and 393 discordant pairs. Statistically significant factors associated with asthma identified by OASIS but not parent report included: male sex, higher zBMI, and parent history of asthma. Males were less likely to have asthma identified by parent report but not OASIS. Conclusion The OASIS algorithm identified more asthma cases in young children than parent-reported asthma. The OASIS algorithm had high sensitivity, specificity, and NPV but low PPV relative to parent-reported asthma. These findings need replication in other populations.
英文关键词	asthma health claims algorithm OASIS algorithm parent-reported asthma preschool children
类型	Article
语种	英语
国家	Canada
收录类别	SCI-E
WOS记录号	WOS:000477527000001
WOS关键词	BODY-MASS INDEX ; IDENTIFYING PATIENTS ; CHILDHOOD ASTHMA ; PEDIATRIC ASTHMA ; RISK-FACTORS ; VALIDATION ; DIAGNOSIS ; PREVALENCE ; QUESTIONNAIRE ; TRENDS
WOS类目	Pediatrics ; Respiratory System
WOS研究方向	Pediatrics ; Respiratory System
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/217884
作者单位	1.Hosp Sick Children, Child Hlth Evaluat Sci, Peter Gilgan Ctr Res & Learning, Toronto, ON, Canada; 2.St Michaels Hosp, Li Ka Shing Knowledge Inst, Toronto, ON, Canada; 3.Univ Toronto, Dept Nutr Sci, Fac Med, Toronto, ON, Canada; 4.Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada; 5.Hosp Sick Children, Div Paediat Med, Toronto, ON, Canada; 6.Hosp Sick Children, Paediat Outcomes Res Team, Toronto, ON, Canada; 7.Univ Toronto, Dept Pediat, Toronto, ON, Canada; 8.Hosp Sick Children, Translat Med, Toronto, ON, Canada; 9.Inst Clin Evaluat Sci, Toronto, ON, Canada
推荐引用方式 GB/T 7714	Omand, Jessica A.,Maguire, Jonathon L.,O’Connor, Deborah L.,et al. Agreement between a health claims algorithm and parent-reported asthma in young children[J],2019,54(10):1547-1556.
APA	Omand, Jessica A..,Maguire, Jonathon L..,O’Connor, Deborah L..,Parkin, Patricia C..,Birken, Catherine S..,...&To, Teresa.(2019).Agreement between a health claims algorithm and parent-reported asthma in young children.PEDIATRIC PULMONOLOGY,54(10),1547-1556.
MLA	Omand, Jessica A.,et al."Agreement between a health claims algorithm and parent-reported asthma in young children".PEDIATRIC PULMONOLOGY 54.10(2019):1547-1556.