Assessment of the diagnoses of Crohn's disease and ulcerative colitis in a Danish hospital information system
Assessment of the diagnoses of Crohn's disease and ulcerative colitis in a Danish hospital information system
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DOI：
10.3109/00365529609031980
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发表时间：
1996-02-01
影响因子：
1.9
通讯作者：
Vyberg, M
中科院分区：
文献类型：
--
作者：
Fonager, K;Sorensen, HT;Vyberg, M
背景：我们的目的是评估丹麦医院系统中克罗恩病和溃疡性结肠炎诊断的完整性--即是否所有患者都包括在该系统中--以及有效性--即注册患者的诊断标准是否得到满足。方法：将丹麦北日德兰县地区医院系统中的信息与医院记录和病理系统中的信息进行比较。结果：全部分析包括143例克罗恩病患者和285例溃疡性结肠炎患者。以病理系统为参考标准的区域医院系统对这两种疾病的完成率为94%。有效性分析包括281名登记为克罗恩病的患者和506名登记为溃疡性结肠炎的患者。两种诊断的准确率分别为97%和90%。结论：地区性医院系统对克罗恩病和溃疡性结肠炎的诊断错误很少。因此，全国性医院系统(以区域医院系统为基础)可能为未来的研究提供独特的研究基础。
Background: Our aim was to estimate the completeness-that is, whether all patients were included in the system-and the validity-that is, whether the diagnostic criteria were fulfilled for the patients registered-of the diagnoses of Crohn's disease and ulcerative colitis in a Danish hospital system. Methods: Information in a regional hospital system, in the County of North Jutland, Denmark, was compared with hospital records and information in a pathology system. Results: The analysis of the completeness included 143 patients with Crohn's disease and 285 patients with ulcerative colitis. The completeness of the regional hospital system using the pathology system as a reference standard was 94% for both diseases. The analysis of the validity included 281 patients registered as having Crohn's disease and 506 patients registered as having ulcerative colitis. The validity of the two diagnoses was 97% and 90%, respectively. Conclusions: The regional hospital system showed few misclassifications of the diagnoses of Crohn's disease and ulcerative colitis. Thus the nationwide hospital system (based on the regional hospital systems) may provide a unique study base for future research.