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Self-reported Cardiovascular Disease (self-reported + cardiovascular_disease)
Selected AbstractsThe impact of health on individual retirement plans: self-reported versus diagnostic measuresHEALTH ECONOMICS, Issue 7 2010Nabanita Datta Gupta Abstract We reassess the impact of health on retirement plans of older workers using a unique survey-register match-up which allows comparing the retirement effects of potentially biased survey self-reports of health to those of unbiased register-based diagnostic measures. The aim is to investigate whether even for narrowly defined health measures a divergence exists in the impacts of health on retirement between self-reported health and objective physician-reported health. Our sample consists of older workers and retirees drawn from a Danish panel survey from 1997 and 2002, merged to longitudinal register data. Estimation of measurement error-reduced and selection-corrected pooled OLS and fixed effects models of retirement show that receiving a medical diagnosis is an important determinant of retirement planning for both men and women, in fact more important than economic factors. The type of diagnosis matters, however. For men, the largest reduction in planned retirement age occurs for a diagnosis of lung disease while for women it occurs for musculo-skeletal disease. Except for cardiovascular disease, diagnosed disease is more influential in men's retirement planning than in women's. Our study provides evidence that men's self-report of myalgia and back problems and women's self-report of osteoarthritis possibly yield biased estimates of the impact on planned retirement age, and that this bias ranges between 1.5 and 2 years, suggesting that users of survey data should be wary of applying self-reports of health conditions with diffuse symptoms to the study of labor market outcomes. On the other hand, self-reported cardiovascular disease such as high blood pressure does not appear to bias the estimated impact on planned retirement. Copyright © 2009 John Wiley & Sons, Ltd. [source] Validity of self-reported cardiovascular diseaseINTERNAL MEDICINE JOURNAL, Issue 1 2009R. Joshi No abstract is available for this article. [source] Validity of self-reported cardiovascular disease events in comparison to medical record adjudication and a statewide hospital morbidity database: the AusDiab studyINTERNAL MEDICINE JOURNAL, Issue 1 2009E. L. M. Barr Abstract Epidemiological studies often rely on self-reported cardiovascular disease (CVD) information, but this may be inaccurate. We investigated the accuracy of self-reported CVD (myocardial infarction, stroke, coronary artery bypass surgery and coronary artery angioplasty) during the follow up of the Australian Diabetes, Obesity and Lifestyle (AusDiab) study. Self-reported CVD events, including the date of the event and hospital admission details, were collected with an interviewer-administered questionnaire. Of the 276 self-reported CVD events, 188 (68.1%) were verified by adjudication of medical records. Furthermore, linkage to the statewide Western Australian Hospital Morbidity Database (WAHMD) showed that CVD events were unlikely to be missed, with only 0.2% of those denying any CVD event being recorded as having had an event on the WAHMD. The adjudication of medical records was as accurate as record linkage to the WAHMD for validation of self-reported CVD, but combining the results from both methods of ascertainment improved CVD event identification. [source] Carotid Stenosis as Detected by Ultrasound in a General Population is a Strong Predictor of DeathACTA NEUROLOGICA SCANDINAVICA, Issue 5 2001Oddmund Joakimsen Background and Purpose: In the last two decades, ultrasound examinations have increasingly been used as a noninvasive method to screen for carotid stenosis. Several clinical studies have shown that carotid stenosis is a risk factor for ischemic stroke and coronary heart disease and death. However, there is scarce information about stenosis as detected in a general population and the relation with mortality. The purpose of this population-based study was to assess whether carotid stenosis is a predictor of death. Methods: In 1994 to 1995, 248 subjects with suspected carotid stenosis were identified among 6727 men and women 25 to 84 years of age who were examined with ultrasound as part of the population-based Tromsų Study. These subjects and 496 age- and sex-matched control subjects were followed for 4.2 years, and the number and causes of deaths were identified. Results: The unadjusted relative risk for death was 2.72 (95% CI, 1.57 to 4.75) for subjects with stenosis compared with control subjects. Adjusting for cardiovascular risk factors increased the relative risk to 3.47 (95% CI, 1.47 to 8.19). The adjusted relative risk in persons with stenosis and no cardiovascular disease or diabetes was 5.66 (95% CI, 1.53 to 20.90), which was higher than in subjects with stenosis and self-reported disease (1.79; 95% CI, 0.75 to 4.27). There was a dose-response relationship between degree of stenosis and risk of death (P=0.002 for linear trend). Conclusion: Carotid stenosis as detected in a general population is a strong and independent predictor of death. Carotid stenosis was a stronger predictor of death than self-reported cardiovascular disease or diabetes. [source] |