Development and Assessment of a Crosswalk Between ICD-9-CM and ICD-10-CM to Identify Patients with Common Pain Conditions
Development and Assessment of a Crosswalk Between ICD-9-CM and ICD-10-CM to Identify Patients with Common Pain Conditions
复制标题
DOI：
10.1016/j.jpain.2019.05.006
复制
发表时间：
2019-12-01
期刊：
影响因子：
4
通讯作者：
Von Korff, Michael
中科院分区：
文献类型：
--
作者：
Mayhew, Meghan;DeBar, Lynn L.;Von Korff, Michael
疼痛患者的有效管理需要关于常见疼痛状况的患病率、结局和共发的准确信息。然而，2015年从ICD-9-CM到ICD-10-CM诊断编码的过渡使研究人员无法比较过渡前后疼痛状况的患病率。在这项研究中，我们开发并评估了一个诊断框架，作为ICD-9-CM和ICD-10-CM诊断代码之间的交叉通道，用于常见的疼痛相关健康状况。我们改进了现有的ICD-9-CM定义，以符合美国国家疼痛战略的常见疼痛状况的诊断簇，并制定了相应的ICD-10-CM定义。然后，我们使用电子健康记录数据，在3个美国医疗保健系统中评估了在过渡到ICD-10-CM之前和之后的1年期间，每个诊断集群的患病率估计值和相关患者社会人口统计学特征的稳定性。转型前后的患病率估计和社会人口特征相似。疼痛状况ICD-9-CM至ICD-10-CM Crosswalk包括常见疼痛状况的全谱，以实现多种和慢性重叠疼痛状况的患病率估计。这使得该工具可以作为一个基础，广泛的阵列疼痛相关的卫生服务研究利用电子databases.Perspective：本文详细介绍了发展和评估的疼痛条件ICD-9-CM到ICD-10-CM Crosswalk，诊断框架，用于评估整个ICD-9-CM到ICD-10-CM过渡疼痛条件的患病率。该框架可以作为疼痛状况研究的标准化工具，包括卫生服务和流行病学研究。(C)2019年美国疼痛协会American Pain Society
Effective management of patients with pain requires accurate information about the prevalence, outcomes, and co-occurrence of common pain conditions. However, the transition from ICD-9-CM to ICD-10-CM diagnostic coding in 2015 left researchers without methods for comparing the prevalence of pain conditions before and after the transition. In this study, we developed and assessed a diagnostic framework to serve as a crosswalk between ICD-9-CM and ICD-10-CM diagnosis codes for common pain-related health conditions. We refined existing ICD-9-CM definitions for diagnostic clusters of common pain conditions consistent with the US National Pain Strategy and developed corresponding ICD-10-CM definitions. We then assessed the stability of prevalence estimates and associated patient socio-demographic features of each diagnostic cluster during 1-year periods before and after the transition to ICD-10-CM in 3 US health care systems using electronic health records data for in-person encounters. Prevalence estimates and socio-demographic characteristics were similar before and after the transition. The Pain Condition ICD-9-CM to ICD-10-CM Crosswalk includes a full spectrum of common pain conditions to enable prevalence estimates of multiple and chronic overlapping pain conditions. This allows the tool to serve as a foundation for a broad array of pain-related health services research utilizing electronic databases.Perspective: This article details the development and assessment of the Pain Condition ICD-9-CM to ICD-10-CM Crosswalk, a diagnostic framework for assessing pain condition prevalence across the ICD-9-CM to ICD-10-CM transition. This framework can serve as a standardized tool for research on pain conditions, including health services and epidemiologic research. (C) 2019 by the American Pain Society