Electronic medical record data to identify variables associated with a fibromyalgia diagnosis: importance of health care resource utilization

Autor: Masters ET, Mardekian J, Emir B, Clair A, Kuhn M, Silverman SL
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Pain Research, Vol 2015, Iss default, Pp 131-138 (2015)
Druh dokumentu: article
ISSN: 1178-7090
Popis: Elizabeth T Masters,1 Jack Mardekian,1 Birol Emir,1 Andrew Clair,1 Max Kuhn,2 Stuart L Silverman,31Pfizer, Inc., New York, NY, 2Pfizer, Inc., Groton, CT, 3Cedars-Sinai Medical Center, Los Angeles, CA, USABackground: Diagnosis of fibromyalgia (FM) is often challenging. Identifying factors associated with an FM diagnosis may guide health care providers in implementing appropriate diagnostic and management strategies.Methods: This retrospective study used the de-identified Humedica electronic medical record (EMR) database to identify variables associated with an FM diagnosis. Cases (n=4,296) were subjects ≥18 years old with ≥2 International Classification of Diseases, Ninth Revision (ICD-9) codes for FM (729.1) ≥30 days apart during 2012, associated with an integrated delivery network, with ≥1 encounter with a health care provider in 2011 and 2012. Controls without FM (no-FM; n=583,665) did not have the ICD-9 codes for FM. Demographic, clinical, and health care resource utilization variables were extracted from structured EMR data. Univariate analysis identified variables showing significant differences between the cohorts based on odds ratios (ORs).Results: Consistent with FM epidemiology, FM subjects were predominantly female (78.7% vs 64.5%; P
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