BACKGROUND: Information on @entity1 symptoms can be obtained by @entity1 self-report or medical records review. Both methods have limitations. AIMS: To assess the agreement between self-report and documentation in the medical records of signs/symptoms of @entity1576 ( @entity221 , cough, runny nose, sore throat, @entity10 , sinus problems, muscle aches, @entity1295 , @entity7867 , and chills). METHODS: Respondents were 176 research @entity1 in the Hutterite Influenza Prevention Study during the 2008-2009 @entity683 season with information about the presence or absence of signs/symptoms from both self-report and primary care medical records. RESULTS: Compared with medical records, lower proportions of self-reported @entity221 , sore throat, @entity7867 , cough, and sinus problems were found. Total agreements between self-report and medical report of symptoms ranged from 61% (for sore throat) to 88% (for muscle aches and @entity7867 ), with kappa estimates varying from 0.05 (for chills) to 0.41 (for cough) and 0.51 (for @entity7867 ). Negative agreement was considerably higher (from 68% for sore throat to 93% for muscle aches and @entity7867 ) than positive agreement (from 13% for chills to 58% for @entity7867 ) for each symptom except cough where positive agreement (77%) was higher than negative agreement (64%). Agreements varied by age group. We found better agreement for @entity7867 (kappa = 0.62) and lower agreements for @entity10 , sinus problems, muscle aches, @entity1295 , and chills in older @entity1 (aged >5 years) and adults. CONCLUSIONS: Agreements were variable depending on the specific symptom. Contrary to research in other @entity1 populations which suggests that clinicians report fewer symptoms than @entity1 , we found that the medical record captured more symptoms than selfreport. Symptom agreement and disagreement may be affected by the perspectives of the @entity1 experiencing them, the observer, the symptoms themselves, measurement error, the setting in which the symptoms were observed and recorded, and the broader community and cultural context of @entity1 .

Agreement between self-report and medical records on signs and symptoms of XXXX .

@entity1 :: ('9606', 'Species') :: ['participants', 'children', 'patients', 'patient', 'person'] @entity1295 :: ('MESH:D005221', 'Disease') :: ['fatigue'] @entity683 :: ('MESH:D007251', 'Disease') :: ['influenza'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory illness'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity7867 :: ('MESH:D004433', 'Disease') :: ['earache'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever']
@entity1576 :: (MESH:D012131,Disease) :: ['respiratory illness']
