THE EFFECT OF PHYSICIAN TERMINOLOGY PREFERENCE ON CORONARY HEART-DISEASE MORTALITY - AN ARTIFACT UNCOVERED BY THE 9TH REVISION ICD
THE EFFECT OF PHYSICIAN TERMINOLOGY PREFERENCE ON CORONARY HEART-DISEASE MORTALITY - AN ARTIFACT UNCOVERED BY THE 9TH REVISION ICD
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DOI：
10.2105/ajph.77.2.148
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发表时间：
1987-02-01
影响因子：
12.7
通讯作者：
GOLD, EB
中科院分区：
文献类型：
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作者：
SORLIE, PD;GOLD, EB
我们使用国际疾病分类第 8 版和第 9 版（ICDA-8，适用于美国和 ICD-9）对马里兰州发生的 2,268 例心脏病死亡病例进行了双重编码。验证者偏爱广义心血管术语，而不是特定于心脏的术语，导致 1978 年至 1979 年间马里兰州慢性缺血性心脏病死亡率 (IHD) 发生人为变化，因为第 8 次和第 9 次 ICD 修订版对这些术语进行了不同的分类。体检人员更有可能使用这些广义的心血管术语，就像就读于该州某些医学院的医生一样。医生的术语偏好与死者的性别和种族有关，并且与患者的医疗护理的各个方面有关。 ICD 应在第十次修订中进行修改，以允许对缺血性心脏病类别内的广义心血管术语进行单独分类。
We dual coded 2,268 deaths due to heart disease occurring in Maryland, using the 8th and 9th revisions of the International Classification of Diseases (ICDA-8, Adapted for Use in the United States, and ICD-9). Certifier preference was for generalized cardiovascular terms rather than terms specific to the heart, resulting in an artifactual change in chronic ischemic heart disease death (IHD) rates in Maryland between 1978 and 1979 because the 8th and 9th ICD revisions classified these terms differently. Medical examiners were more likely to use these generalized cardiovascular terms as were physicians who went to certain medical schools in the state. The physician''s terminology preference was associated with the sex and race of the decedent and was related to aspects of the patient''s medical care. The ICD should be modified in the 10th revision to allow for the separate classification of generalized cardiovascular terminology within the ischemic heart disease category.