Validity of the MONICA cardiovascular questionnaire compared with clinical records

OBJECTIVE: To assess the validity of the questionnaire Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) compared with clinical records.

METHODS: A descriptive, prospective, multicenter study was performed within the framework of the Peripheral Arterial Disease Study (PERART) in 3,329 persons aged >50 years old. The sample was selected by simple random sampling in 32 primary health care centers. The diagnoses included were acute myocardial infarction, angina pectoris, cerebrovascular disease, hypertension, diabetes mellitus, and hypercholesterolemia. Treatment variables were also considered (antihypertensive, lipid-lowering and hypoglycemic agents or insulin, as well as antiplatelet or anticoagulant agents). The sensitivity, specificity, predictive values, and kappa index were computed to test the validity of the MONICA questionnaire.

RESULTS: The mean age was 65 years (SD 8.9) and 54.8% were women. The sensitivity of the questionnaire was >90% for all the variables apart from angina pectoris (89.9%) and cerebrovascular disease (86.5%). Specificity was also >90%, except for angina pectoris (88.3%) and hypercholesterolemia (77.5%). The positive predictive value was >90% for all the treatments; >80% for angina pectoris, acute myocardial infarction and hypertension; 79.4% for cerebrovascular disease; 79.1% for hypercholesterolemia and 73.4% for diabetes mellitus. The negative predictive value was >90% for all the variables. The kappa indexes were >0.80 for all the variables apart from hypercholesterolemia (0.69) and diabetes mellitus (0.79).

CONCLUSIONS: The MONICA cardiovascular questionnaire is valid in the assessment of cardiovascular disease, risk factors and treatments in patients aged >50 years old.

Medienart:

E-Artikel

Erscheinungsjahr:

2009

Erschienen:

2009

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Gaceta sanitaria - 23(2009), 6 vom: 15. Nov., Seite 519-25

Sprache:

Spanisch

Weiterer Titel:

Validez del cuestionario cardiovascular MONICA comparado con la historia clínica

Beteiligte Personen:

Baena-Díez, José M [VerfasserIn]
Alzamora-Sas, María T [VerfasserIn]
Grau, María [VerfasserIn]
Subirana, Isaac [VerfasserIn]
Vila, Joan [VerfasserIn]
Torán, Pere [VerfasserIn]
García-Navarro, Ylenia [VerfasserIn]
Bermúdez-Chillida, Noemí [VerfasserIn]
Alegre-Basagaña, Judit [VerfasserIn]
Viozquez-Meia, María [VerfasserIn]
Marrugat, Jaume [VerfasserIn]

Links:

Volltext

Themen:

Cardiovascular Agents
Comparative Study
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Validation Study

Anmerkungen:

Date Completed 23.06.2010

Date Revised 10.12.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.gaceta.2009.01.009

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM188949046