Positive predictive value of a case definition for diabetes mellitus using automated administrative health data in children and youth exposed to antipsychotic drugs or control medications: a Tennessee Medicaid study.
Positive predictive value of a case definition for diabetes mellitus using automated administrative health data in children and youth exposed to antipsychotic drugs or control medications: a Tennessee Medicaid study.
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DOI：
10.1186/1471-2288-12-128
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发表时间：
2012-08-24
影响因子：
4
通讯作者：
Ray WA
中科院分区：
文献类型：
--
作者：
Bobo WV;Cooper WO;Stein CM;Olfson M;Mounsey J;Daugherty J;Ray WA
We developed and validated an automated database case definition for diabetes in children and youth to facilitate pharmacoepidemiologic investigations of medications and the risk of diabetes. The present study was part of an in-progress retrospective cohort study of antipsychotics and diabetes in Tennessee Medicaid enrollees aged 6–24 years. Diabetes was identified from diabetes-related medical care encounters: hospitalizations, outpatient visits, and filled prescriptions. The definition required either a primary inpatient diagnosis or at least two other encounters of different types, most commonly an outpatient diagnosis with a prescription. Type 1 diabetes was defined by insulin prescriptions with at most one oral hypoglycemic prescription; other cases were considered type 2 diabetes. The definition was validated for cohort members in the 15 county region geographically proximate to the investigators. Medical records were reviewed and adjudicated for cases that met the automated database definition as well as for a sample of persons with other diabetes-related medical care encounters. The study included 64 cases that met the automated database definition. Records were adjudicated for 46 (71.9%), of which 41 (89.1%) met clinical criteria for newly diagnosed diabetes. The positive predictive value for type 1 diabetes was 80.0%. For type 2 and unspecified diabetes combined, the positive predictive value was 83.9%. The estimated sensitivity of the definition, based on adjudication for a sample of 30 cases not meeting the automated database definition, was 64.8%. These results suggest that the automated database case definition for diabetes may be useful for pharmacoepidemiologic studies of medications and diabetes.
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影响因子：
16.2
作者：
Nettleton JA;McKeown NM;Kanoni S;Lemaitre RN;Hivert MF;Ngwa J;van Rooij FJ;Sonestedt E;Wojczynski MK;Ye Z;Tanaka T;Garcia M;Anderson JS;Follis JL;Djousse L;Mukamal K;Papoutsakis C;Mozaffarian D;Zillikens MC;Bandinelli S;Bennett AJ;Borecki IB;Feitosa MF;Ferrucci L;Forouhi NG;Groves CJ;Hallmans G;Harris T;Hofman A;Houston DK;Hu FB;Johansson I;Kritchevsky SB;Langenberg C;Launer L;Liu Y;Loos RJ;Nalls M;Orho-Melander M;Renstrom F;Rice K;Riserus U;Rolandsson O;Rotter JI;Saylor G;Sijbrands EJ;Sjogren P;Smith A;Steingrímsdóttir L;Uitterlinden AG;Wareham NJ;Prokopenko I;Pankow JS;van Duijn CM;Florez JC;Witteman JC;MAGIC Investigators;Dupuis J;Dedoussis GV;Ordovas JM;Ingelsson E;Cupples L;Siscovick DS;Franks PW;Meigs JB
通讯作者：
Meigs JB
影响因子：
16.2
作者：
Bruno, G;Runzo, C;Pagano, G
通讯作者：
Pagano, G
影响因子：
158.5
作者：
Hu, FB;Manson, JE;Willett, WC
通讯作者：
Willett, WC
影响因子：
3.4
作者：
Hsia, Yingfen;Neubert, Antje C.;Wong, Ian C. K.
通讯作者：
Wong, Ian C. K.
影响因子：
5
作者：
RAY, WA;GRIFFIN, MR
通讯作者：
GRIFFIN, MR