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Validity of self‐reported hysterectomy and oophorectomy in a population‐based cohort: The HUNT study
BJOG: An International Journal of Obstetrics & Gynaecology ( IF 4.7 ) Pub Date : 2024-05-27 , DOI: 10.1111/1471-0528.17859
Tina E. Rosland 1, 2 , Nora Johansen 1 , Bjørn O. Åsvold 3, 4 , Are H. Pripp 5, 6 , Astrid H. Liavaag 1 , Trond M. Michelsen 1, 7
Affiliation  

ObjectiveTo validate self‐reported hysterectomy and bilateral oophorectomy.DesignValidation study.SettingLarge population‐based cohort study in Norway: The Trøndelag Health Study (HUNT).PopulationThe Trøndelag Health Study 2 and 3 (HUNT2 and HUNT3) included questions on gynaecological history. Women who answered questions regarding hysterectomy and/or oophorectomy were included. In total, 30 263 women were included from HUNT2 (1995–1997) and 23 138 from HUNT3 (2006–2008), of which 16 261 attended both HUNT2 and HUNT3.MethodsWe compared self‐reported hysterectomy and bilateral oophorectomy with electronic hospital procedure codes.Main outcome measuresSensitivity, specificity, positive predictive value and negative predictive value of self‐reported hysterectomy and bilateral oophorectomy, by comparing with hospital procedure codes.ResultsSelf‐reported hysterectomy and bilateral oophorectomy in HUNT2 and/or HUNT3 both had specificity and negative predictive value above 99%. Self‐reported hysterectomy had a sensitivity of 95.9%, and for bilateral oophorectomy sensitivity was 91.2%. Positive predictive value of self‐reported hysterectomy was 85.8%, but for self‐reported bilateral oophorectomy it was 65.4%.ConclusionsSelf‐reported hysterectomy corresponded quite well with hospital data and can be used in epidemiological studies. Self‐reported bilateral oophorectomy, on the other hand, had low positive predictive value, and results based on such data should be interpreted with caution. Women who report no previous hysterectomy or bilateral oophorectomy can safely be classified as unexposed to these surgeries.

中文翻译:


基于人群的队列中自我报告的子宫切除术和卵巢切除术的有效性:HUNT 研究



目的验证自我报告的子宫切除术和双侧卵巢切除术。设计验证研究。设置挪威基于大规模人群的队列研究:特伦德拉格健康研究 (HUNT)。人群特伦德拉格健康研究 2 和 3(HUNT2 和 HUNT3)包括有关妇科病史的问题。回答有关子宫切除术和/或卵巢切除术问题的女性也被包括在内。总共有 30 263 名女性被纳入 HUNT2(1995-1997 年),23 138 名女性被纳入 HUNT3(2006-2008 年),其中 16 261 名女性同时参加了 HUNT2 和 HUNT3。 方法我们将自我报告的子宫切除术和双侧卵巢切除术与医院电子程序代码进行比较主要结局指标通过与医院手术代码进行比较,自我报告的子宫切除术和双侧卵巢切除术的敏感性、特异性、阳性预测值和阴性预测值。结果 HUNT2 和/或 HUNT3 中自我报告的子宫切除术和双侧卵巢切除术均具有特异性和阴性预测值99%以上。自我报告的子宫切除术的敏感性为 95.9%,双侧卵巢切除术的敏感性为 91.2%。自我报告的子宫切除术的阳性预测值为85.8%,而自我报告的双侧卵巢切除术的阳性预测值为65.4%。结论自我报告的子宫切除术与医院数据吻合较好,可用于流行病学研究。另一方面,自我报告的双侧卵巢切除术的阳性预测价值较低,基于此类数据的结果应谨慎解释。报告以前没有进行过子宫切除术或双侧卵巢切除术的女性可以安全地归类为未接受过这些手术。
更新日期:2024-05-27
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