Validation of diagnoses of peptic ulcers and bleeding from administrative databases: A multi-health maintenance organization study
Validation of diagnoses of peptic ulcers and bleeding from administrative databases: A multi-health maintenance organization study
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DOI：
10.1016/s0895-4356(01)00480-2
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发表时间：
2002-03-01
影响因子：
7.2
通讯作者：
Platt, R
中科院分区：
文献类型：
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作者：
Andrade, SE;Gurwitz, JH;Platt, R
使用8家大型健康维护组织的自动健康计划数据和病历摘要数据，评估国际疾病分类第9次修订版（ICD-9）编码对消化性溃疡和上消化道出血病例的阳性预测值（PPV）。总的来说，884例消化性溃疡和上消化道出血中有207例（23%）经手术、内窥镜检查、X线检查或尸检证实。住院治疗代码为十二指肠溃疡（ICD-9-CM 532）的PPV为66%，胃/胃空肠溃疡（ICD-9-CM 531，534）的PPV为61%。消化性溃疡1%（ICD-9-CM 533），胃肠道出血9%（ICD-9-CM 578）。各种HMO的总体和诊断类别特异性PPV通常相似。这项研究使用了来自不同地理区域的大量健康计划的数据，强调了评估自动健康计划数据库诊断准确性的重要性。(C)2002年爱思唯尔科学公司All rights reserved.
The automated health plan data and data from medical chart abstractions from eight large health maintenance organizations were used to evaluate the positive predictive values (PPVs) of the International Classification of Diseases, 9(th) revision (ICD-9) codes for cases of peptic ulcers and upper gastrointestinal bleeding. Overall, 207 of 884 cases of peptic ulcers and upper gastrointestinal bleeding (23%) were confirmed by surgery, endoscopy, X-ray, or autopsy. The PPVs were 66% for hospitalizations with codes for duodenal ulcer (ICD-9-CM 532), 61% for gastric/gastrojejunal ulcer (ICD-9-CM 531, 534). 1% for peptic ulcer (ICD-9-CM 533), and 9% for gastrointestinal hemorrhage (ICD-9-CM578). The overall and diagnostic category-specific PPVs were generally similar for the various HMOs. This study, using data from a large number of health plans located in different geographical regions, underscores the importance of evaluating the accuracy of the diagnoses from automated health plan databases. (C) 2002 Elsevier Science Inc. All rights reserved.