Agreement between self-report and medical records on signs and symptoms of respiratory illness

Abstract

Background: Information on patient symptoms can be obtained by patient self-report or medical records review. Both methods have limitations.

Parent report and electronic medical record agreement on asthma education provided and children’s tobacco smoke exposure

“…Sikorskii et al cancer symptoms [28]; Barbara et al respiratory illness [29]), we did not find any reports on the concordance between patient (parent) report of Education or Tobacco and EMR documentation. Several studies have found EMR implementation to increase screening for smoking [30][31][32], but the extent to which Tobacco exposure is captured by EMR is not strongly reflected in the literature, as we only found one study addressing this relationship [18].…”

Basic Study on Automated Extraction of Symptom Related Words from Patient Complaints (Preprint)

“…Direct reporting from patients is helpful in understanding their detailed symptoms and the impacts on quality of life, which medical professionals tend to overlook [1][2][3]. As an example, content analysis of comments posted by patients' online communities revealed unknown long-term antidepressant withdrawal symptoms [4] In addition, attempts have been made to detect adverse drug reaction signals from patients' posts on social media [5][6].…”

Perceptions of risk may explain the discrepancy between patient and clinician-recorded symptoms

“…In this issue of the PCRJ, Barbara and colleagues 1 report the agreement between patient-recorded and clinician-recorded symptoms of respiratory illness. Contrary to other research, the study revealed that the patients recorded fewer symptoms than were captured by the clinicians following consultation.…”

“…There are two important implications of this study; 1 • Firstly, policy makers should be mindful of the impact that public health decisions (e.g. cutting costs) can have upon a patient's perceived risk of not receiving an appropriate level of treatment.…”

“…1 However, the modern concept of the upper and lower respiratory passages being a continuum and forming a single unified airway has been highlighted only over the last 10-15 years. 2 The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative focused on the co-morbidities of allergic rhinitis and included involvement of the eyes, the paranasal sinuses and the lower airways.…”