Positive Predictive Value of Benign Prostatic Hyperplasia and Acute Urinary Retention in the Danish National Patient Registry: A Validation Study

BACKGROUND AND AIM: Benign prostatic hyperplasia comprises a significant burden to ageing men due to frequently associated lower urinary tract symptoms and the risk of developing serious complications, such as acute urinary retention. Healthcare databases are a valuable source of epidemiological res...

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Autores principales: Bengtsen, Maria Bisgaard, Heide-Jørgensen, Uffe, Blichert-Refsgaard, Linea Sandfeld, Hjelholt, Thomas Johannesson, Borre, Michael, Nørgaard, Mette
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678697/
https://www.ncbi.nlm.nih.gov/pubmed/33235508
http://dx.doi.org/10.2147/CLEP.S278554
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author Bengtsen, Maria Bisgaard
Heide-Jørgensen, Uffe
Blichert-Refsgaard, Linea Sandfeld
Hjelholt, Thomas Johannesson
Borre, Michael
Nørgaard, Mette
author_facet Bengtsen, Maria Bisgaard
Heide-Jørgensen, Uffe
Blichert-Refsgaard, Linea Sandfeld
Hjelholt, Thomas Johannesson
Borre, Michael
Nørgaard, Mette
author_sort Bengtsen, Maria Bisgaard
collection PubMed
description BACKGROUND AND AIM: Benign prostatic hyperplasia comprises a significant burden to ageing men due to frequently associated lower urinary tract symptoms and the risk of developing serious complications, such as acute urinary retention. Healthcare databases are a valuable source of epidemiological research; however, continuous validation of definitions is imperative. We examined the positive predictive values of International Classification of Diseases, 10th Revision (ICD-10), diagnostic coding for benign prostatic hyperplasia and acute urinary retention in men in the Danish National Patient Registry. METHODS: We investigated a random sample of 100 men diagnosed with benign prostatic hyperplasia and 100 men diagnosed with acute urinary retention between 2011 and 2017 in the Central Denmark Region. Using medical record review as reference standard, we estimated the positive predictive value with corresponding 95% confidence intervals (CI) overall and stratified by age, type of hospital (university hospital vs regional hospital), type of hospital contact (inpatient, outpatient or emergency room), calendar year group (2011–2013, 2014–2017), and department (department of urology, geriatrics, endocrinology or emergency room). RESULTS: Medical records were available for all 200 sampled patients. We found an overall positive predictive value (PPV) of 95% (95% CI: 89–98%) for benign prostatic hyperplasia and 98% (95% CI: 93–99%) for acute urinary retention. The PPVs were consistent across age, type of hospital, type of hospital contact, calendar year group, and department. CONCLUSION: The PPVs of ICD-10 codes for benign prostatic hyperplasia and acute urinary retention recorded in the Danish National Patient Registry are high.
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spelling pubmed-76786972020-11-23 Positive Predictive Value of Benign Prostatic Hyperplasia and Acute Urinary Retention in the Danish National Patient Registry: A Validation Study Bengtsen, Maria Bisgaard Heide-Jørgensen, Uffe Blichert-Refsgaard, Linea Sandfeld Hjelholt, Thomas Johannesson Borre, Michael Nørgaard, Mette Clin Epidemiol Original Research BACKGROUND AND AIM: Benign prostatic hyperplasia comprises a significant burden to ageing men due to frequently associated lower urinary tract symptoms and the risk of developing serious complications, such as acute urinary retention. Healthcare databases are a valuable source of epidemiological research; however, continuous validation of definitions is imperative. We examined the positive predictive values of International Classification of Diseases, 10th Revision (ICD-10), diagnostic coding for benign prostatic hyperplasia and acute urinary retention in men in the Danish National Patient Registry. METHODS: We investigated a random sample of 100 men diagnosed with benign prostatic hyperplasia and 100 men diagnosed with acute urinary retention between 2011 and 2017 in the Central Denmark Region. Using medical record review as reference standard, we estimated the positive predictive value with corresponding 95% confidence intervals (CI) overall and stratified by age, type of hospital (university hospital vs regional hospital), type of hospital contact (inpatient, outpatient or emergency room), calendar year group (2011–2013, 2014–2017), and department (department of urology, geriatrics, endocrinology or emergency room). RESULTS: Medical records were available for all 200 sampled patients. We found an overall positive predictive value (PPV) of 95% (95% CI: 89–98%) for benign prostatic hyperplasia and 98% (95% CI: 93–99%) for acute urinary retention. The PPVs were consistent across age, type of hospital, type of hospital contact, calendar year group, and department. CONCLUSION: The PPVs of ICD-10 codes for benign prostatic hyperplasia and acute urinary retention recorded in the Danish National Patient Registry are high. Dove 2020-11-16 /pmc/articles/PMC7678697/ /pubmed/33235508 http://dx.doi.org/10.2147/CLEP.S278554 Text en © 2020 Bengtsen et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Bengtsen, Maria Bisgaard
Heide-Jørgensen, Uffe
Blichert-Refsgaard, Linea Sandfeld
Hjelholt, Thomas Johannesson
Borre, Michael
Nørgaard, Mette
Positive Predictive Value of Benign Prostatic Hyperplasia and Acute Urinary Retention in the Danish National Patient Registry: A Validation Study
title Positive Predictive Value of Benign Prostatic Hyperplasia and Acute Urinary Retention in the Danish National Patient Registry: A Validation Study
title_full Positive Predictive Value of Benign Prostatic Hyperplasia and Acute Urinary Retention in the Danish National Patient Registry: A Validation Study
title_fullStr Positive Predictive Value of Benign Prostatic Hyperplasia and Acute Urinary Retention in the Danish National Patient Registry: A Validation Study
title_full_unstemmed Positive Predictive Value of Benign Prostatic Hyperplasia and Acute Urinary Retention in the Danish National Patient Registry: A Validation Study
title_short Positive Predictive Value of Benign Prostatic Hyperplasia and Acute Urinary Retention in the Danish National Patient Registry: A Validation Study
title_sort positive predictive value of benign prostatic hyperplasia and acute urinary retention in the danish national patient registry: a validation study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678697/
https://www.ncbi.nlm.nih.gov/pubmed/33235508
http://dx.doi.org/10.2147/CLEP.S278554
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