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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| Affiliation: | (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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