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Evidence for the low recording of weight status and lifestyle risk factors in the Danish National Registry of Patients, 1999–2012

BACKGROUND: To examine the prevalence of lifestyle diagnosis codes recorded in the Danish National Registry of Patients (DNRP). METHODS: We identified all hospital contacts in Denmark 1999–2012 with a diagnosis of overweight, obesity, physical inactivity, current tobacco smoking, and/or excessive al...

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Autores principales: Søgaard, Mette, Heide-Jørgensen, Uffe, Nørgaard, Mette, Johnsen, Søren P., Thomsen, Reimar W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4696325/
https://www.ncbi.nlm.nih.gov/pubmed/26715157
http://dx.doi.org/10.1186/s12889-015-2670-9
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author Søgaard, Mette
Heide-Jørgensen, Uffe
Nørgaard, Mette
Johnsen, Søren P.
Thomsen, Reimar W.
author_facet Søgaard, Mette
Heide-Jørgensen, Uffe
Nørgaard, Mette
Johnsen, Søren P.
Thomsen, Reimar W.
author_sort Søgaard, Mette
collection PubMed
description BACKGROUND: To examine the prevalence of lifestyle diagnosis codes recorded in the Danish National Registry of Patients (DNRP). METHODS: We identified all hospital contacts in Denmark 1999–2012 with a diagnosis of overweight, obesity, physical inactivity, current tobacco smoking, and/or excessive alcohol consumption. We computed the annual prevalence per 1000 hospital contacts of these diagnoses overall and by baseline characteristics. RESULTS: Among 56,665,048 hospital contacts, the overall prevalence of recording per 1000 hospital contacts was 4.87 for a diagnosis of obesity, 2.36 for overweight, 2.90 for smoking, 0.39 for excessive alcohol consumption, and 0.47 for physical inactivity. Between 1999 and 2012, marked increases were noted for the prevalence of recorded obesity (30-fold, from 0.26 to 8.02), smoking (26-fold, from 0.18 to 4.88), and overweight (14-fold, from 0.23 to 3.52). Diagnosis coding of excessive alcohol consumption and physical inactivity remained at a very low level. The prevalence of recorded lifestyle risk factors varied substantially according to geographical regions, type of hospital contact, patient age, sex and underlying disease. In 2012, the prevalence of codes for obesity were highest among patients with diabetes (15.64 per 1000), COPD (12.95 per 1000), and congestive heart failure (11.24 per 1000). Codes for smoking were prevalent among patients with COPD (14.11 per 1000), liver disease (12.68 per 1000), and peripheral vascular disease (8.52 per 1000). CONCLUSION: Despite increasing prevalence of adverse lifestyle risk factors recorded in the DNRP, the much higher prevalence of similar lifestyle risk factors in health surveys suggests that the completeness of coding in the DNRP remains poor. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-015-2670-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-46963252015-12-31 Evidence for the low recording of weight status and lifestyle risk factors in the Danish National Registry of Patients, 1999–2012 Søgaard, Mette Heide-Jørgensen, Uffe Nørgaard, Mette Johnsen, Søren P. Thomsen, Reimar W. BMC Public Health Research Article BACKGROUND: To examine the prevalence of lifestyle diagnosis codes recorded in the Danish National Registry of Patients (DNRP). METHODS: We identified all hospital contacts in Denmark 1999–2012 with a diagnosis of overweight, obesity, physical inactivity, current tobacco smoking, and/or excessive alcohol consumption. We computed the annual prevalence per 1000 hospital contacts of these diagnoses overall and by baseline characteristics. RESULTS: Among 56,665,048 hospital contacts, the overall prevalence of recording per 1000 hospital contacts was 4.87 for a diagnosis of obesity, 2.36 for overweight, 2.90 for smoking, 0.39 for excessive alcohol consumption, and 0.47 for physical inactivity. Between 1999 and 2012, marked increases were noted for the prevalence of recorded obesity (30-fold, from 0.26 to 8.02), smoking (26-fold, from 0.18 to 4.88), and overweight (14-fold, from 0.23 to 3.52). Diagnosis coding of excessive alcohol consumption and physical inactivity remained at a very low level. The prevalence of recorded lifestyle risk factors varied substantially according to geographical regions, type of hospital contact, patient age, sex and underlying disease. In 2012, the prevalence of codes for obesity were highest among patients with diabetes (15.64 per 1000), COPD (12.95 per 1000), and congestive heart failure (11.24 per 1000). Codes for smoking were prevalent among patients with COPD (14.11 per 1000), liver disease (12.68 per 1000), and peripheral vascular disease (8.52 per 1000). CONCLUSION: Despite increasing prevalence of adverse lifestyle risk factors recorded in the DNRP, the much higher prevalence of similar lifestyle risk factors in health surveys suggests that the completeness of coding in the DNRP remains poor. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-015-2670-9) contains supplementary material, which is available to authorized users. BioMed Central 2015-12-30 /pmc/articles/PMC4696325/ /pubmed/26715157 http://dx.doi.org/10.1186/s12889-015-2670-9 Text en © Søgaard et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Søgaard, Mette
Heide-Jørgensen, Uffe
Nørgaard, Mette
Johnsen, Søren P.
Thomsen, Reimar W.
Evidence for the low recording of weight status and lifestyle risk factors in the Danish National Registry of Patients, 1999–2012
title Evidence for the low recording of weight status and lifestyle risk factors in the Danish National Registry of Patients, 1999–2012
title_full Evidence for the low recording of weight status and lifestyle risk factors in the Danish National Registry of Patients, 1999–2012
title_fullStr Evidence for the low recording of weight status and lifestyle risk factors in the Danish National Registry of Patients, 1999–2012
title_full_unstemmed Evidence for the low recording of weight status and lifestyle risk factors in the Danish National Registry of Patients, 1999–2012
title_short Evidence for the low recording of weight status and lifestyle risk factors in the Danish National Registry of Patients, 1999–2012
title_sort evidence for the low recording of weight status and lifestyle risk factors in the danish national registry of patients, 1999–2012
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4696325/
https://www.ncbi.nlm.nih.gov/pubmed/26715157
http://dx.doi.org/10.1186/s12889-015-2670-9
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