ArticleBMC pulmonary medicine2011
Verifying a questionnaire diagnosis of asthma in children using health claims data.
Article in BMC pulmonary medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Gene-Air Pollution Interaction and Diversity of Genetic Sampling: The Southern California Children's Health Study.Genetic epidemiology · 2025Article
- Patterns and drivers of disparities in pediatric asthma outcomes among Medicaid-enrolled children living in subsidized housing in NYC.Preventive medicine · 2024Article
- Agreement of parent- and child-reported wheeze and its association with measurable asthma traits.Pediatric pulmonology · 2021Article
- Early life blood lead levels and asthma diagnosis at age 4-6 years.Environmental health and preventive medicine · 2021Article
- Gestational hypertension and childhood atopy: a Millennium Cohort Study analysis.European journal of pediatrics · 2021Article
- Prodromal clinical, demographic, and socio-ecological correlates of asthma in adults: a 10-year statewide big data multi-domain analysis.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020Article
- Asthma and Attendance in Urban Schools.Preventing chronic disease · 2019Article
- Effects of policy-driven hypothetical air pollutant interventions on childhood asthma incidence in southern California.Proceedings of the National Academy of Sciences of the United States of America · 2019Article
- Association of Changes in Air Quality With Incident Asthma in Children in California, 1993-2014.JAMA · 2019Article
- Neighborhood Material Deprivation Is Associated with Childhood Asthma Development: Analysis of Prospective Administrative Data.Canadian respiratory journal · 2019Article
- Agreement in reporting of asthma by parents or offspring - the RHINESSA generation study.BMC pulmonary medicine · 2018Article
- Association of Infant Eczema with Childhood and Adult Asthma: Analysis of Data from the 1958 Birth Cohort Study.International journal of environmental research and public health · 2018Article
- Asthma.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2018Review
- Economic burden of diagnosed pertussis among individuals with asthma or chronic obstructive pulmonary disease in the USA: an analysis of administrative claims.Epidemiology and infection · 2017Article
- Development of a validated algorithm for the diagnosis of paediatric asthma in electronic medical records.NPJ primary care respiratory medicine · 2016Article
- Prevalence and risk factors of asthma in First Nations children living on reserves in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2016Article
- Association between personal exposure to ambient metals and respiratory disease in Italian adolescents: a cross-sectional study.BMC pulmonary medicine · 2016Article
- Association between vitamin D levels and allergy-related outcomes vary by race and other factors.The Journal of allergy and clinical immunology · 2015Article
- Reduced levels of maternal progesterone during pregnancy increase the risk for allergic airway diseases in females only.Journal of molecular medicine (Berlin, Germany) · 2014Article
- Validating childhood asthma in an epidemiological study using linked electronic patient records.BMJ open · 2014Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChildhood asthma prevalence is widely measured by parental proxy report of physician-diagnosed asthma in questionnaires. Our objective was to validate this measure in a North American population.
methodsThe 2884 study participants were a subsample of 5619 school children aged 5 to 9 years from 231 schools participating in the Toronto Child Health Evaluation Questionnaire study in 2006. We compared agreement between "questionnaire diagnosis" and a previously validated "health claims data diagnosis". Sensitivity, specificity and kappa were calculated for the questionnaire diagnosis using the health claims diagnosis as the reference standard.
resultsPrevalence of asthma was 15.7% by questionnaire and 21.4% by health claims data. Questionnaire diagnosis was insensitive (59.0%) but specific (95.9%) for asthma. When children with asthma-related symptoms were excluded, the sensitivity increased (83.6%), and specificity remained high (93.6%).
conclusionsOur results show that parental report of asthma by questionnaire has low sensitivity but high specificity as an asthma prevalence measure. In addition, children with "asthma-related symptoms" may represent a large fraction of under-diagnosed asthma and they should be excluded from the inception cohort for risk factor studies.
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