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Table 7 Comparison of chronic disease management (CDM) between chart abstraction and patient survey

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

Chart Abstraction   Patient Survey   
Was any advice/info   Yes No Total Kappa 95% CI
/resources/websites Yes 280 26 306 .39 (0.346, .434)
/pamphlets given No 359 580 939   % agreement
regarding disease? Total 639 606 1245   =69%
Patient ever had a heart   Yes No Total Kappa 95% CI
attack? Yes 14 3 17 0.531 (.355, .708)
  No 18 221 239   % agreement
  Total 32 224 256   =92%
Hospitalized for   Yes No Total Kappa 95% CI
Chronic disease Yes 6 6 12 0.385 (.149, .621)
  No 11 275 286   % agreement
  Total 17 281 298   =94%
Wt/Ht/Wc ≤12mo?   Yes No Total Yes No
  Yes 188 33 221 0.166 (.500, .272)
  No 82 35 117   % agreement
  Total 270 68 338   =66%
Fasting Blood   Yes No Total Kappa 95% CI
Sugara Yes 223 20 243 0.122 (0, .244)
  No 54 12 66   % agreement
  Total 277 32 309   =76%
Lipid profile doneb   Yes No Total Kappa 95% CI
  Yes 220 6 226 0.312 (.122, .511)
  No 22 8 30   % agreement
  Total 242 14 256   =89%
BP controlledc (<140/90) d   Yes No Total Kappa 95% CI
  Yes 109 10 119 0.218 (.086, .35)
  No 50 19 69   % agreement
  Total 159 29 188   =68%
EKGc   Yes No Total Kappa 95% CI
  Yes 31 11 42 0.298 (.168, .428)
  No 49 93 142   % agreement
  Total 80 104 184   =67%
Renal function e   Yes No Total Kappa 95% CI
(microalbumin) Yes 54 4 58 0.023 (-.151, .204)
  No 21 2 23   % agreement
  Total 75 6 81   =69%
Lipids controlled   Yes No Total Kappa 95% CI
(LDL < 4.5 & Yes 101 7 108 0.337 (.087, .587)
total chol :HDL < 6.0)f No 10 6 16   % agreement
  Total 111 13 124   =86%
AIC ≤2 yrs e   Yes No Total Kappa 95% CI
  Yes 41 5 46 -.117 (-.189,.045)
  No 6 0 6   % agreement
  Total 47 5 52   =79%
Foot exam e   Yes No Total Kappa 95% CI
  Yes 51 3 54 0.327 (.103, .551)
  No 16 8 24   % agreement
  Total 66 11 78   =76%
Eye exam e   Yes No Total Kappa 95% CI
  Yes 53 4 57 0.15 (-.074, .374)
  No 17 4 21   % agreement
  Total 70 8 78   =73%
ASA   Yes No Total Kappa 95% CI
  Yes 92 5 97 0.572 (.472, .672)
  No 45 85 130   % agreement
  Total 137 90 227   =78%
ACE   Yes No Total Kappa 95% CI
  Yes 93 14 107 0.722 (.622, .822)
  No 13 78 91   % agreement
  Total 106 92 198   =86%
ARB   Yes No Total Kappa 95% CI
  Yes 37 13 50 0.703 (.583, .823)
  No 8 128 136   % agreement
  Total 45 141 186   =89%
Beta blocker   Yes No Total Kappa 95% CI
  Yes 58 10 68 0.675 (.568, .783)
  No 20 110 130   % agreement
  Total 78 120 198   =85%
Calcium channel   Yes No Total Kappa 95% CI
blockerg Yes 36 11 47 0.68 (.552, .808)
  No 10 101 111   % agreement
  Total 46 112 158   =87%
Diureticg   Yes No Total Kappa 95% CI
  Yes 86 11 97 0.701 (.689, .813)
  No 13 56 69   % agreement
  Total 99 67 166   =86%
Statin   Yes No Total Kappa 95% CI
  Yes 113 95 208 0.005 (-.045, .055)
  No 3 3 6   % agreement
  Total 116 98 214   =54%
  1. Notes: a Survey asked if ever; CA reported < = 2 y. bSurvey < 12 mo; CA < = 2 y. cSpecific to HTN only. d 2 high risk patients with BP over low risk cut offs but under high risk cut offs, correctly identified themselves as not under control. e Specific to DM only. f2 high risk patients with lipids over low risk cut offs but under high risk cut offs, correctly identified themselves as not under control. gAsked under HTN section in survey only.