TitleReceipt of diagnostic tests for breast cancer: validity of self-reports among low-income, mostly latina, indigent women.
Publication TypeJournal Article
Year of Publication2010
AuthorsMojica, CM, Bastani, R
JournalEval Health Prof
Volume33
Issue4
Pagination437-51
Date Published12/2010
ISSN1552-3918
KeywordsBreast Neoplasms, Diagnostic Tests, Routine, Early Detection of Cancer, Emigrants and Immigrants, Female, Hispanic Americans, Humans, Los Angeles, Medically Uninsured, Middle Aged, Poverty, Reproducibility of Results, Self Report
Abstract
 

Little is known about the validity of self-reported completion of diagnostic testing after an abnormal breast cancer screening test. This study assesses the validity of self-reported diagnostic follow-up among 819 low-income, mostly Latina, indigent women with a breast abnormality at two public hospitals in Los Angeles County. Survey responses on receipt of a mammogram, ultrasound, fine needle aspiration, surgical biopsy, or clinical breast exam for diagnostic evaluation of the breast abnormality were compared to medical record data. The authors calculated concordance, Cohen's κ statistic, and sensitivity and specificity. Kappa values indicated slight agreement for mammogram, ultrasound, and clinical breast exam, and moderate agreement for fine needle aspiration and surgical biopsy. Sensitivity of self-reports was high for all tests; specificity was poor for all tests except surgical biopsy. Self-reports of receipt of diagnostic testing for a breast abnormality among low-income, mostly Latina, indigent women are not accurate when compared to medical records.

DOI10.1177/0163278710367802
Alternate JournalEval Health Prof
PubMed ID20457716
Grant List5F31CA90204 / CA / NCI NIH HHS / United States
R01 CA68474 / CA / NCI NIH HHS / United States