Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai
examine agreement selfreport chronic disease medical record data innercity seniors sensitivity specificity association patient characteristics accuracy selfreportscrosssectional analysistwo hospitalbased primary care practices serving lowincome innercity populationadults aged 65 older n323data selfreported asthma depression diabetes mellitus hypertension collected intervieweradministered surveys english spanish chart abstraction chartbased disease defined two ways physician documentation physician documentation plus use medication treat condition sensitivity specificity agreement calculated univariate multivariable regression analyses used determine associations patient characteristics patientchart agreementagreement selfreport chart data high diabetes mellitus kappa094 intermediate asthma kappa066 hypertension kappa054 low depression kappa04 sensitivity specificity high diabetes mellitus 099 096 respectively low depression 074 072 respectively specificity hypertension lowest 067 age education health literacy patient characteristics clear associations across conditionsselfreports may reliable diabetes mellitus least reliable depression surveys involving older innercity adults survey research older adults include confirmatory data assessing presence depression hypertension asthma