Maternal Recall Versus Medical Records of Metabolic Conditions from the Prenatal Period: A Validation Study

Paula Krakowiak, Cheryl K. Walker, Daniel J Tancredi, Irva Hertz-Picciotto

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

To assess validity of maternally-reported diabetes and hypertensive disorders, and reliability of BMI measurements during periconception and pregnancy compared with medical records when mothers are interviewed 2–5 years after delivery. To investigate whether reporting accuracy differed by child’s case status (autism, delays, typical development). Participants were mothers of 2–5 year old children with and without neurodevelopmental disorders from the CHARGE (CHildhood Autism Risks from Genetics and the Environment) Study who had both prenatal/delivery records and telephone interviews. Sensitivity and specificity of self-report in telephone interview was assessed by comparison with medical records; agreement was evaluated by kappa statistics. Deviations in reported BMI were evaluated with Bland–Altman plots and concordance correlation coefficient (CCC). Mothers of children with neurodevelopmental disorders (autism or developmental delay) reported metabolic conditions slightly more accurately than control mothers. For diabetes, sensitivity ranged from 73 to 87 % and specificity was ≥98 % across groups. For hypertensive disorders, sensitivity ranged from 57 to 77 % and specificity from 93 to 98 %. Reliability of BMI was high (CCC = 0.930); when grouped into BMI categories, a higher proportion of mothers of delayed children were correctly classified (κ<inf>wt</inf> = 0.93) compared with the autism group and controls (κ<inf>wt</inf> = 0.85 and κ<inf>wt</inf> = 0.84, respectively; P = 0.05). Multiparity was associated with higher discrepancies in BMI and misreporting of hypertensive disorders. For purposes of etiologic studies, self-reported diabetes and hypertensive disorders during periconception and pregnancy show high validity among mothers irrespective of child’s case status. Recall of pre-pregnancy BMI is reliable compared with self-reported values in medical records.

Original languageEnglish (US)
Pages (from-to)1925-1935
Number of pages11
JournalMaternal and Child Health Journal
Volume19
Issue number9
DOIs
StatePublished - Sep 1 2015

Fingerprint

Validation Studies
Medical Records
Mothers
Autistic Disorder
Pregnancy
Interviews
Parity
Self Report
Sensitivity and Specificity
Control Groups

Keywords

  • Body mass index
  • Diabetes
  • Hypertension
  • Neurodevelopmental disorders
  • Preeclampsia
  • Pregnancy
  • Validation study

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Maternal Recall Versus Medical Records of Metabolic Conditions from the Prenatal Period : A Validation Study. / Krakowiak, Paula; Walker, Cheryl K.; Tancredi, Daniel J; Hertz-Picciotto, Irva.

In: Maternal and Child Health Journal, Vol. 19, No. 9, 01.09.2015, p. 1925-1935.

Research output: Contribution to journalArticle

@article{2b2fd75835764aa4b97f17ac132728b0,
title = "Maternal Recall Versus Medical Records of Metabolic Conditions from the Prenatal Period: A Validation Study",
abstract = "To assess validity of maternally-reported diabetes and hypertensive disorders, and reliability of BMI measurements during periconception and pregnancy compared with medical records when mothers are interviewed 2–5 years after delivery. To investigate whether reporting accuracy differed by child’s case status (autism, delays, typical development). Participants were mothers of 2–5 year old children with and without neurodevelopmental disorders from the CHARGE (CHildhood Autism Risks from Genetics and the Environment) Study who had both prenatal/delivery records and telephone interviews. Sensitivity and specificity of self-report in telephone interview was assessed by comparison with medical records; agreement was evaluated by kappa statistics. Deviations in reported BMI were evaluated with Bland–Altman plots and concordance correlation coefficient (CCC). Mothers of children with neurodevelopmental disorders (autism or developmental delay) reported metabolic conditions slightly more accurately than control mothers. For diabetes, sensitivity ranged from 73 to 87 {\%} and specificity was ≥98 {\%} across groups. For hypertensive disorders, sensitivity ranged from 57 to 77 {\%} and specificity from 93 to 98 {\%}. Reliability of BMI was high (CCC = 0.930); when grouped into BMI categories, a higher proportion of mothers of delayed children were correctly classified (κwt = 0.93) compared with the autism group and controls (κwt = 0.85 and κwt = 0.84, respectively; P = 0.05). Multiparity was associated with higher discrepancies in BMI and misreporting of hypertensive disorders. For purposes of etiologic studies, self-reported diabetes and hypertensive disorders during periconception and pregnancy show high validity among mothers irrespective of child’s case status. Recall of pre-pregnancy BMI is reliable compared with self-reported values in medical records.",
keywords = "Body mass index, Diabetes, Hypertension, Neurodevelopmental disorders, Preeclampsia, Pregnancy, Validation study",
author = "Paula Krakowiak and Walker, {Cheryl K.} and Tancredi, {Daniel J} and Irva Hertz-Picciotto",
year = "2015",
month = "9",
day = "1",
doi = "10.1007/s10995-015-1723-0",
language = "English (US)",
volume = "19",
pages = "1925--1935",
journal = "Maternal and Child Health Journal",
issn = "1092-7875",
publisher = "Springer GmbH & Co, Auslieferungs-Gesellschaf",
number = "9",

}

TY - JOUR

T1 - Maternal Recall Versus Medical Records of Metabolic Conditions from the Prenatal Period

T2 - A Validation Study

AU - Krakowiak, Paula

AU - Walker, Cheryl K.

AU - Tancredi, Daniel J

AU - Hertz-Picciotto, Irva

PY - 2015/9/1

Y1 - 2015/9/1

N2 - To assess validity of maternally-reported diabetes and hypertensive disorders, and reliability of BMI measurements during periconception and pregnancy compared with medical records when mothers are interviewed 2–5 years after delivery. To investigate whether reporting accuracy differed by child’s case status (autism, delays, typical development). Participants were mothers of 2–5 year old children with and without neurodevelopmental disorders from the CHARGE (CHildhood Autism Risks from Genetics and the Environment) Study who had both prenatal/delivery records and telephone interviews. Sensitivity and specificity of self-report in telephone interview was assessed by comparison with medical records; agreement was evaluated by kappa statistics. Deviations in reported BMI were evaluated with Bland–Altman plots and concordance correlation coefficient (CCC). Mothers of children with neurodevelopmental disorders (autism or developmental delay) reported metabolic conditions slightly more accurately than control mothers. For diabetes, sensitivity ranged from 73 to 87 % and specificity was ≥98 % across groups. For hypertensive disorders, sensitivity ranged from 57 to 77 % and specificity from 93 to 98 %. Reliability of BMI was high (CCC = 0.930); when grouped into BMI categories, a higher proportion of mothers of delayed children were correctly classified (κwt = 0.93) compared with the autism group and controls (κwt = 0.85 and κwt = 0.84, respectively; P = 0.05). Multiparity was associated with higher discrepancies in BMI and misreporting of hypertensive disorders. For purposes of etiologic studies, self-reported diabetes and hypertensive disorders during periconception and pregnancy show high validity among mothers irrespective of child’s case status. Recall of pre-pregnancy BMI is reliable compared with self-reported values in medical records.

AB - To assess validity of maternally-reported diabetes and hypertensive disorders, and reliability of BMI measurements during periconception and pregnancy compared with medical records when mothers are interviewed 2–5 years after delivery. To investigate whether reporting accuracy differed by child’s case status (autism, delays, typical development). Participants were mothers of 2–5 year old children with and without neurodevelopmental disorders from the CHARGE (CHildhood Autism Risks from Genetics and the Environment) Study who had both prenatal/delivery records and telephone interviews. Sensitivity and specificity of self-report in telephone interview was assessed by comparison with medical records; agreement was evaluated by kappa statistics. Deviations in reported BMI were evaluated with Bland–Altman plots and concordance correlation coefficient (CCC). Mothers of children with neurodevelopmental disorders (autism or developmental delay) reported metabolic conditions slightly more accurately than control mothers. For diabetes, sensitivity ranged from 73 to 87 % and specificity was ≥98 % across groups. For hypertensive disorders, sensitivity ranged from 57 to 77 % and specificity from 93 to 98 %. Reliability of BMI was high (CCC = 0.930); when grouped into BMI categories, a higher proportion of mothers of delayed children were correctly classified (κwt = 0.93) compared with the autism group and controls (κwt = 0.85 and κwt = 0.84, respectively; P = 0.05). Multiparity was associated with higher discrepancies in BMI and misreporting of hypertensive disorders. For purposes of etiologic studies, self-reported diabetes and hypertensive disorders during periconception and pregnancy show high validity among mothers irrespective of child’s case status. Recall of pre-pregnancy BMI is reliable compared with self-reported values in medical records.

KW - Body mass index

KW - Diabetes

KW - Hypertension

KW - Neurodevelopmental disorders

KW - Preeclampsia

KW - Pregnancy

KW - Validation study

UR - http://www.scopus.com/inward/record.url?scp=84938416474&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84938416474&partnerID=8YFLogxK

U2 - 10.1007/s10995-015-1723-0

DO - 10.1007/s10995-015-1723-0

M3 - Article

C2 - 25656730

AN - SCOPUS:84938416474

VL - 19

SP - 1925

EP - 1935

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

SN - 1092-7875

IS - 9

ER -