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Table 3 Screening and preventive care (Mammography /PAP smear/ Influenza vaccination/Bone mineral density/Colorectal cancer screening) - Table of administrative data vs chart abstraction vs patient survey

From: Assessing methods for measurement of clinical outcomes and quality of care in primary care practices

Chart Abstraction

 

Administrative Data

 

Patient Survey

 

Colorectal Screening*

 

Yes

No

Total

Kappa (95% CI)

Yes

No

Total

Kappa (95% CI)

Yes

175

127

302

.442 (.372, .511)

138

105

243

.046 (-.052, .144)

50+ yrs

No

26

202

228

% agreement

87

80

167

% agreement

 

Total

201

329

530

=71%

225

185

410

=53%

Bone Mineral

 

Yes

No

Total

Kappa (95% CI)

Yes

No

Total

Kappa (95% CI)

Density ≤5 yrs

Yes

123

6

129

.852 (.789, .916)

86

15

101

.667 (.549, .785)

65+ yrs**

No

13

115

128

% agreement

18

65

83

% agreement

 

Total

136

121

257

=93%

104

80

184

=82%

Flu Shot ≤ 2 yrs*

 

Yes

No

Total

Kappa (95% CI)

Yes

No

Total

Kappa (95% CI)

65+ yrs

Yes

83

102

185

.253 (.168, .338)

133

15

148

.209 (.056, .353)

 

No

9

71

80

% agreement

40

16

56

% agreement

 

Total

92

173

265

=58%

173

31

204

=73%

PAP ≤ 2 yrs*

 

Yes

No

Total

Kappa (95% CI)

Yes

No

Total

Kappa (95% CI)

Females

Yes

255

100

355

.351 (.265, .437)

270

12

282

.232 (.092, .372)

18-69 yrs

No

14

57

71

% agreement

42

12

54

% agreement

 

Total

269

157

426

=73%

312

24

336

=84%

Clinical Breast Exam ≤ 2 yrs*

 

Yes

No

Total

Kappa (95% CI)

Yes

No

Total

Kappa (95% CI)

     

118

16

134

.094 (-.09, .278)

Females

  

*Not

in

Billing*

19

5

24

% agreement

50-69 yrs

     

137

21

158

=78%

Mammogram*

≤ 2 yrs

 

Yes

No

Total

Kappa (95% CI)

Yes

No

Total

Kappa (95% CI)

Yes

146

20

166

.407 (.241, .573)

135

4

139

.190 (-.012, .392)

Females

No

13

17

30

% agreement

20

4

24

% agreement

50-69 yrs

Total

159

37

196

=83%

155

8

163

=85%

  1. *Comparing survey “ever” done to CA search back in chart for 2 yrs.
  2. **Comparing survey “ever “done to CA search back in chart for 5 yrs.
  3. Note that the total number of subjects for each item varies based on eligibility for the manoeuvre as well as completeness of the data set. Chart abstraction data had very few missing values as for most items missing was coded as “No”. However, in the patient survey some individual questions or sections of the survey were skipped resulting in a reduced subsample for the comparison in a given question.