The Predictive Value of International Classification of Disease Codes for Chronic Hepatitis C Virus Infection Surveillance: The Utility and Limitations of Electronic Health Records
| Autor: | Winston E. Abara, Anne C. Moorman, Yuna Zhong, Melissa G. Collier, Lora B. Rupp, Stuart C. Gordon, Joseph A. Boscarino, Mark A. Schmidt, Connie Mah Trinacty, Scott D. Holmberg, null for the CHeCS Investigators |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Leadership and Management business.industry Health Policy Public Health Environmental and Occupational Health Gold standard (test) Hepatitis C Disease medicine.disease Virology Predictive value Virus 03 medical and health sciences 0302 clinical medicine Public health surveillance Chart Abstraction Internal medicine Health care Medicine 030211 gastroenterology & hepatology 030212 general & internal medicine business |
| Zdroj: | Population Health Management. 21:110-115 |
| ISSN: | 1942-7905 1942-7891 |
| DOI: | 10.1089/pop.2017.0004 |
| Popis: | Surveillance of chronic hepatitis C virus (HCV) cases faces limitations that result in delays and underreporting. With increasing use of electronic health records (EHRs), the authors evaluated the predictive value of using International Classification of Diseases, Ninth Revision (ICD-9) codes to identify chronic HCV cases from EHR data. Longitudinal EHR data from 4 health care systems during 2006–2012 were evaluated. Using chart abstraction and review to confirm chronic HCV cases (“gold standard” definition), the authors calculated the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of 2 case definitions: (1) ≥2 ICD-9 codes separated by ≥6 months and (2) ≥1 positive HCV RNA (ribonucleic acid) test. Among 2,718,995 patients, 20,779 (0.8%) with ICD-9 codes indicating a likely diagnosis of chronic HCV infection were identified; 13,595 (65.4%) of these were randomly selected for review. Case definition 1 (≥2 ICD-9 codes separated by ≥6 months) had 70.3% ... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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