title: Validation of self-reported history of hysterectomy and oophorectomy among women in an integrated group practice setting.
abstract: OBJECTIVE
  Classification of menopause status often relies on self-report and is centrally important to research and clinical practice. This study was designed to assess the validity of self-reported hysterectomy and oophorectomy.
  
  
  METHODS
  A validation study of self-reported surgical menopause was conducted using survey data and electronic medical records from women enrolled in the Breast Cancer Screening Program within an integrated group practice in Washington State. Sensitivity of self-reported surgical history was estimated from questionnaire data among women with a history of hysterectomy (n = 1,935) and/or oophorectomy (n = 1,010) per medical records. Positive predictive values were quantified by reviewing medical records for a subset of women who self-reported a hysterectomy and/or oophorectomy (n = 122).
  
  
  RESULTS
  Women self-reported hysterectomy history with great accuracy (sensitivity, 91%; positive predictive value, 97%) but were less accurate in reporting oophorectomy history (sensitivity of bilateral oophorectomy, 64%; positive predictive value, 100% and 73% for bilateral and unilateral oophorectomy, respectively). Among women self-reporting a unilateral oophorectomy, 19% had had both ovaries removed.
  
  
  CONCLUSIONS
  Self-report is a valid data collection tool for hysterectomy history, but care should be taken in querying for and interpreting self-reported oophorectomy history for determining menopause status.
authors.affiliation: Department of Epidemiology, School of Public Health and Community Medicine, University of Washington, Seattle, WA 98195, USA. aiphipps@u.washington.edu
authors.forename: Amanda I
authors.initials: AI
authors.lastname: Phipps
authors.forename: Diana S M
authors.initials: DS
authors.lastname: Buist
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007044:Hysterectomy; D008499:Medical Records; D008594:Menopause, Premature; D008875:Middle Aged; D010052:Ovariectomy; D011237:Predictive Value of Tests; D011795:Surveys and Questionnaires