Positive predictive values for self-reported fractures in an adult Japanese population

doi:10.1007/s12199-010-0166-x

. 2011 Mar;16(2):129-32.

doi: 10.1007/s12199-010-0166-x. Epub 2010 Aug 10.

Positive predictive values for self-reported fractures in an adult Japanese population

Kazutoshi Nakamura¹, Manami Inoue, Yoshikazu Kaneko, Shoichiro Tsugane

Affiliations

Affiliation

¹ Department of Community Preventive Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan. [email protected]

PMID: 21432228
PMCID: PMC3047665
DOI: 10.1007/s12199-010-0166-x

Positive predictive values for self-reported fractures in an adult Japanese population

Kazutoshi Nakamura et al. Environ Health Prev Med. 2011 Mar.

. 2011 Mar;16(2):129-32.

doi: 10.1007/s12199-010-0166-x. Epub 2010 Aug 10.

Authors

Kazutoshi Nakamura¹, Manami Inoue, Yoshikazu Kaneko, Shoichiro Tsugane

Affiliation

¹ Department of Community Preventive Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan. [email protected]

PMID: 21432228
PMCID: PMC3047665
DOI: 10.1007/s12199-010-0166-x

Abstract

Objectives: Self-reporting provides useful information for assessing the risk factors of osteoporotic fractures in large cohort studies. However, to data, no studies in Japan have confirmed the accuracy of this approach in this context. The aim of the study reported here was to determine the positive predictive value (PPV) for the self-reporting of fractures.

Methods: A total of 133 participants of the Oguni cohort in the Japan Public Health Center-based Prospective Study who reported a vertebral, upper limb, or hip fracture on the 15-year follow-up questionnaire survey were evaluated. The accuracy of fractures was confirmed by cross-referencing medical records.

Results: The average age of the participants was 72.4 (standard deviation 7.9) years. The PPV for vertebral fracture in the last 15 years was 17/20 (85.0%) for women and 2/9 (22.2%) for men, for a total of 19/29 (65.5%). PPVs for upper limb and hip fractures were as low as 30/68 (44.1%) and 12/22 (54.5%), respectively.

Conclusion: Female self-reporting provided PPVs suitable for symptomatic vertebral fracture over 15 years and can be used as an outcome measure in large cohort studies in Japan.

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References

1. Morita Y, Endo N, Iga T, Tokunaga K, Ohkawa Y. The incidence of cervical and trochanteric fractures of the proximal femur in 1999 in Niigata Prefecture, Japan. J Bone Miner Metab. 2002;20:311–318. doi: 10.1007/s007740200045. - DOI - PubMed
1. Tsugane S, Sobue T. Baseline survey of JPHC study: design and participation rate. J Epidemiol. 2001;11(Suppl 6):S24–S29. - PubMed
1. Orimo H, Sugioka Y, Fukunaga M, Muto Y, Hotokebuchi T, Gorai I, Nakamura T, Kushida K, Tanaka H, Ikai T, Oh-hashi Y. Diagnostic criteria of primary osteoporosis. J Bone Mineral Metab. 1998;16:139–150. doi: 10.1007/s007740050038. - DOI
1. Nevitt MC, Cummings SR, Browner WS, Seeley DG, Cauley JA, Vogt TM, Black DM. The accuracy of self-report of fractures in elderly women: evidence from a prospective study. Am J Epidemiol. 1992;135:490–499. - PubMed
1. Honkanen K, Honkanen R, Heikkinen L, Kröger H, Saarikoski S. Validity of self-reports of fractures in perimenopausal women. Am J Epidemiol. 1999;150:511–516. - PubMed

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[1] Morita Y, Endo N, Iga T, Tokunaga K, Ohkawa Y. The incidence of cervical and trochanteric fractures of the proximal femur in 1999 in Niigata Prefecture, Japan. J Bone Miner Metab. 2002;20:311–318. doi: 10.1007/s007740200045. - DOI - PubMed

[2] Morita Y, Endo N, Iga T, Tokunaga K, Ohkawa Y. The incidence of cervical and trochanteric fractures of the proximal femur in 1999 in Niigata Prefecture, Japan. J Bone Miner Metab. 2002;20:311–318. doi: 10.1007/s007740200045. - DOI - PubMed

[3] Tsugane S, Sobue T. Baseline survey of JPHC study: design and participation rate. J Epidemiol. 2001;11(Suppl 6):S24–S29. - PubMed

[4] Tsugane S, Sobue T. Baseline survey of JPHC study: design and participation rate. J Epidemiol. 2001;11(Suppl 6):S24–S29. - PubMed

[5] Orimo H, Sugioka Y, Fukunaga M, Muto Y, Hotokebuchi T, Gorai I, Nakamura T, Kushida K, Tanaka H, Ikai T, Oh-hashi Y. Diagnostic criteria of primary osteoporosis. J Bone Mineral Metab. 1998;16:139–150. doi: 10.1007/s007740050038. - DOI

[6] Orimo H, Sugioka Y, Fukunaga M, Muto Y, Hotokebuchi T, Gorai I, Nakamura T, Kushida K, Tanaka H, Ikai T, Oh-hashi Y. Diagnostic criteria of primary osteoporosis. J Bone Mineral Metab. 1998;16:139–150. doi: 10.1007/s007740050038. - DOI

[7] Nevitt MC, Cummings SR, Browner WS, Seeley DG, Cauley JA, Vogt TM, Black DM. The accuracy of self-report of fractures in elderly women: evidence from a prospective study. Am J Epidemiol. 1992;135:490–499. - PubMed

[8] Nevitt MC, Cummings SR, Browner WS, Seeley DG, Cauley JA, Vogt TM, Black DM. The accuracy of self-report of fractures in elderly women: evidence from a prospective study. Am J Epidemiol. 1992;135:490–499. - PubMed

[9] Honkanen K, Honkanen R, Heikkinen L, Kröger H, Saarikoski S. Validity of self-reports of fractures in perimenopausal women. Am J Epidemiol. 1999;150:511–516. - PubMed

[10] Honkanen K, Honkanen R, Heikkinen L, Kröger H, Saarikoski S. Validity of self-reports of fractures in perimenopausal women. Am J Epidemiol. 1999;150:511–516. - PubMed

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Positive predictive values for self-reported fractures in an adult Japanese population

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Positive predictive values for self-reported fractures in an adult Japanese population

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