A Korean Rheumatic Diseases Screening Questionnaire.
10.3346/jkms.2003.18.2.171
- Author:
Hye Soon LEE
1
;
Kwang Taek OH
;
Tae Hwan KIM
;
Sung Soo JUNG
;
Dae Hyun YOO
;
Sang Cheol BAE
Author Information
1. Department of Internal Medicine, Division of Rheumatology, Hanyang University College of Medicine, The Hospital for Rheumatic Diseases, Seoul, Korea. scbae@hanyang.ac.kr
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Rheumatic Diseases;
Arthritis;
Questionnaires;
Sensitivity and Specificity;
Epidemiology;
Korea
- MeSH:
Adult;
Aged;
Female;
Human;
Korea/epidemiology;
Male;
Mass Screening*;
Middle Aged;
Predictive Value of Tests;
Questionnaires*;
Reproducibility of Results;
Rheumatic Diseases/diagnosis;
Rheumatic Diseases/epidemiology*;
Rheumatic Diseases/physiopathology
- From:Journal of Korean Medical Science
2003;18(2):171-178
- CountryRepublic of Korea
- Language:English
-
Abstract:
The aim of our study was to develop a Korean rheumatic diseases-screening questionnaire. The questionnaire was constructed based on American College of Rheumatology criteria for rheumatic diseases and a connective tissue diseases screening questionnaire. Two groups of patients were selected and completed the questionnaire: (i) those with osteoarthritis (n=46), rheumatoid arthritis (n=52), systemic lupus erythematosus (n=50), scleroderma (n=8), polymyositis or dermatomyositis (n=7), Sjogren's disease (n=4), and mixed connective-tissue disease (n=9) as case subjects; and (ii) those with fibromyalgia (n=8) and general disease without evidence of any rheumatic disease (n=72) as controls. Laboratory results were analyzed for correlation with actual data using kappa (kappa) statistics. Test-retest reliability was performed in 12 patients, and showed strong agreement between the first and second interviews (kappa=0.91). The sensitivity of the questionnaire ranged from 77.8 to 100%, and specificity ranged from 68.8 to 95.0%. Negative predictive values were very high in the general population, from 98.4 to 99.99%. The kappa statistic for agreement between laboratory items was 0.22-0.56, except for rheumatoid factor, antinuclear antibody test, and muscle enzyme level. We have developed a simple and sensitive Korean rheumatic diseases-screening questionnaire for the epidemiologic study of rheumatic diseases in Korea.
