ICD-10 Codes for the Study of Chronic Overlapping Pain Conditions in Administrative Databases.
ICD-10 Codes for the Study of Chronic Overlapping Pain Conditions in Administrative Databases.
复制标题
DOI：
10.1016/j.jpain.2019.05.007
复制
发表时间：
2020-01
期刊：
影响因子：
--
通讯作者：
Williams DA
中科院分区：
文献类型：
--
作者：
Schrepf A;Phan V;Clemens JQ;Maixner W;Hanauer D;Williams DA
慢性重叠疼痛条件(COPC)是一组痛苦的慢性条件，其特征是高水平的共生。人们假设，由于常见的神经生物学缺陷，COPC在许多情况下是共存的。在实践中，大多数关于COPC的研究都集中在单一的指数条件上，很少努力评估并存的痛苦条件。这可能意味着样本中重要的表型差异被掩盖了。国际疾病分类(ICD)编码系统包含许多可适用于单个COPC的诊断分类，但目前没有一套商定的代码用于识别和研究每个COPC。在这里，我们试图通过三个相关的项目来解决这个问题：a)我们首先从专家小组中为十个常见的COPC编译一组ICD-10代码，b)然后我们使用医疗记录的自然语言搜索来验证与建议的专家代码相关联的COPC的存在，c)最后，我们将得到的代码应用到一个大型管理医疗数据库中，作为一个示范项目，得出这十种情况之间的重叠估计。所提供的代码可以促进关于COPC的行政数据库研究。本文提出了一组ICD-10代码，研究人员可以使用它们来探索管理数据库中慢性重叠疼痛状况(COPC)的存在和重叠。这可以作为一种工具，用于估计研究样本，探索单个COPC的共病和治疗，并确定与它们重叠相关的机制。
Chronic Overlapping Pain Conditions (COPCs) are a set of painful chronic conditions characterized by high levels of co-occurrence. It has been hypothesized that COPCs co-occur in many cases because of common neurobiological vulnerabilities. In practice, most research on COPCs has focused upon a single index condition with little effort to assess comorbid painful conditions. This likely means that important phenotypic differences within a sample are obscured. The International Classification of Diseases (ICD) coding system contains many diagnostic classifications that may be applied to individual COPCs, but there is currently no agreed upon set of codes for identifying and studying each of the COPCs. Here we seek to address this issue through three related projects: a) we first compile a set of ICD-10 codes from expert panels for ten common COPCs, b) we then use natural language searches of medical records to validate the presence of COPCs in association with the proposed expert codes, c) finally, we apply the resulting codes to a large administrative medical database to derive estimates of overlap between the ten conditions as a demonstration project. The codes presented can facilitate administrative database research on COPCs. This article presents a set of ICD-10 codes that researchers can use to explore the presence and overlap of Chronic Overlapping Pain Conditions (COPCs) in administrative databases. This may serve as a tool for estimating samples for research,exploring comorbidities and treatments for individual COPCs, and identifying mechanisms associated with their overlap.
登录
查看更多内容
影响因子：
2.5
作者：
Schiffman E;Ohrbach R;Truelove E;Look J;Anderson G;Goulet JP;List T;Svensson P;Gonzalez Y;Lobbezoo F;Michelotti A;Brooks SL;Ceusters W;Drangsholt M;Ettlin D;Gaul C;Goldberg LJ;Haythornthwaite JA;Hollender L;Jensen R;John MT;De Laat A;de Leeuw R;Maixner W;van der Meulen M;Murray GM;Nixdorf DR;Palla S;Petersson A;Pionchon P;Smith B;Visscher CM;Zakrzewska J;Dworkin SF;International RDC/TMD Consortium Network, International association for Dental Research;Orofacial Pain Special Interest Group, International Association for the Study of Pain
通讯作者：
Orofacial Pain Special Interest Group, International Association for the Study of Pain
影响因子：
3
作者：
CHERKIN, DC;DEYO, RA;LOESER, JD
通讯作者：
LOESER, JD
影响因子：
4.7
作者：
Warren, John W.;Langenberg, Patricia;Clauw, Daniel J.
通讯作者：
Clauw, Daniel J.
影响因子：
3.5
作者：
Gardella, Barbara;Porru, Daniele;Spinillo, Arsenio
通讯作者：
Spinillo, Arsenio
影响因子：
7.4
作者：
Kutch, Jason J.;Ichesco, Eric;Harris, Richard E.
通讯作者：
Harris, Richard E.