Abstract:
:The objective of our study was to assess the applicability of using estimates of within-person variance (WPV) from reproducibility studies for a correction of blood pressure values in another study to improve the accuracy of the prevalence estimation of hypertension. Data were collected from two cross-sectional population-based studies on cardiovascular disease risk factors conducted from 1987 to 1995 among 55,026 subjects aged 20-59 years. Correction factors were calculated from a reproducibility study among 924 subjects who were examined in 1989 and 1990. All other studies with repeated measurements of blood pressure were searched in MEDLINE from 1966 onward. Six studies satisfied the inclusion criteria. The prevalence of hypertension, uncorrected and corrected with factors from other studies, were compared with the prevalence of hypertension corrected with the factor from our study. The uncorrected prevalence of hypertension was 17.3% [95%CI:17.0-17.7]. The prevalence of hypertension after correction for WPV with the factor from our study was 13.5% [95%CI:13.2-13.8]. Correction for WPV with factors from the appropriate studies (depending on factors such as number of measurements taken per visit, and time interval between visits) resulted in prevalences ranging from 13.9% to 14.7%. The bias that occurs when no correction for WPV is performed is much larger (29% overestimation) than the bias that occurs when correction factors are derived from other studies (3.1-8.4% overestimation). When repeated measurements of blood pressure are not available in a population study for a sample of that same study, it is advisable to use data from another study to correct for WPV.
journal_name
J Clin Epidemioljournal_title
Journal of clinical epidemiologyauthors
Klungel OH,de Boer A,Paes AH,Nagelkerke NJ,Seidell JC,Bakker Adoi
10.1016/s0895-4356(00)00228-6subject
Has Abstractpub_date
2000-11-01 00:00:00pages
1158-63issue
11eissn
0895-4356issn
1878-5921pii
S0895-4356(00)00228-6journal_volume
53pub_type
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更新日期:2018-11-01 00:00:00
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更新日期:1992-12-01 00:00:00
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journal_title:Journal of clinical epidemiology
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更新日期:2008-03-01 00:00:00
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更新日期:1988-01-01 00:00:00
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journal_title:Journal of clinical epidemiology
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更新日期:2017-10-01 00:00:00
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更新日期:1996-03-01 00:00:00
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更新日期:2019-11-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
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更新日期:2000-08-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章,评审
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更新日期:2016-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jclinepi.2016.11.003
更新日期:2017-02-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
doi:10.1016/j.jclinepi.2003.07.001
更新日期:2004-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jclinepi.2014.09.020
更新日期:2015-04-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
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更新日期:2010-06-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
doi:10.1016/s0895-4356(03)00048-9
更新日期:2003-06-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
doi:10.1016/j.jclinepi.2014.09.003
更新日期:2015-02-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
doi:10.1016/j.jclinepi.2015.06.003
更新日期:2015-10-01 00:00:00
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更新日期:2014-02-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2004-08-01 00:00:00
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更新日期:2002-09-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2015-06-01 00:00:00
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更新日期:2019-11-01 00:00:00
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更新日期:1997-10-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
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更新日期:1992-10-01 00:00:00
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更新日期:1993-11-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:1999-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-10-01 00:00:00
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pub_type: 杂志文章
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