Accuracy of Self-Reported Personal History of Cancer in an Outpatient Breast Center |
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| Authors: | Francisco J Dominguez Christine Lawrence Elkan F Halpern Brian Drohan Georges Grinstein Dalliah M Black Barbara L Smith Michele A Gadd Michele Specht Daniel B Kopans Richard H Moore Sherwood S Hughes Constance A Roche Kevin S Hughes |
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| Institution: | (1) Surgical Oncology Division, Massachusetts General Hospital, Harvard Medical School, 32 Fruit street YAW-7, Boston, Massachusetts, USA;(2) Department of Computer Science, University of Massachusetts Lowell, Lowell, Massachusetts, USA;(3) Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 32 Fruit street YAW-7, Boston, Massachusetts, USA;(4) Kevin S. Hughes, Surgical Oncology Division, Massachusetts General Hospital, Harvard Medical School, 32 Fruit street YAW-7, Boston, Massachusetts, USA |
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| Abstract: | The self-reporting of cancer history is becoming increasingly important, as it frequently guides medical decision-making.
We studied the accuracy of personal cancer history using a self-administered questionnaire, comparing the results with the
Tumor Registry at our institution. Among 39,662 records, we identified 3614 women with a single cancer in the Tumor Registry
who reported none or one cancer on their questionnaire. The sensitivity in self-reporting cancers was 85.7%, ranging from
92.1% for breast cancer to 42.9% for leukemia. The accuracy for breast cancer and Hodgkin's Lymphoma was significantly better
than other cancers (p=0.00027, CI: 1.4–3.88). Analysis of patient's characteristics showed that Caucasians reported breast cancer more accurately
than Asian/Pacific Islanders (p=0.008), and those with Jewish ancestry more accurately than non-Jewish (p=0.0435). These results will help us to improve data collection and thus improve medical decision-making. |
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| Keywords: | sensitivity neoplasm data collection data reporting questionnaires |
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