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Positive Predictive Value of ICD-10 Codes for Cerebral Venous Sinus Thrombosis in Taiwan’s National Health Insurance Claims Database

OBJECTIVE: This study aims to determine the positive predictive value (PPV) of case definitions for cerebral venous sinus thrombosis (CVST) in Taiwan’s National Health Insurance claims database based on the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) di...

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Autores principales: Liao, Shu-Chen, Shao, Shih-Chieh, Lai, Edward Chia-Cheng, Lin, Swu-Jane, Huang, Wei-I, Hsieh, Cheng-Yang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8740620/
https://www.ncbi.nlm.nih.gov/pubmed/35018122
http://dx.doi.org/10.2147/CLEP.S335517
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author Liao, Shu-Chen
Shao, Shih-Chieh
Lai, Edward Chia-Cheng
Lin, Swu-Jane
Huang, Wei-I
Hsieh, Cheng-Yang
author_facet Liao, Shu-Chen
Shao, Shih-Chieh
Lai, Edward Chia-Cheng
Lin, Swu-Jane
Huang, Wei-I
Hsieh, Cheng-Yang
author_sort Liao, Shu-Chen
collection PubMed
description OBJECTIVE: This study aims to determine the positive predictive value (PPV) of case definitions for cerebral venous sinus thrombosis (CVST) in Taiwan’s National Health Insurance claims database based on the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) diagnostic codes. STUDY DESIGN AND SETTING: Inpatient records with ICD-10-CM codes of G08, I629, I636, or I676 were retrieved from the claims data of all hospital branches of Chang Gung Medical Foundation. Manual review of the medical records and images was performed in order to ascertain the diagnosis. The PPV of various case definitions for CVST was estimated. RESULTS: Of the 380 hospitalizations, 166 and 214 were determined to be true-positive and false-positive episodes of acute CVST, respectively. The PPV of the ICD-10-CM codes of G08, I629, I636, and I676 was 88.2%, 2.0%, 100.0%, and 91.3%, respectively. The PPV generally increased when acute CVST was defined as a primary diagnosis or as ICD-10-CM codes plus anticoagulant use. Miscoding in other conditions, tentative diagnosis, and remote episode of CVST were determined as the main reasons for false-positive diagnosis of acute CVST. CONCLUSION: This study determined the PPV of ICD-10-CM codes for identifying CVST, which may offer a reference for future claims-based research.
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spelling pubmed-87406202022-01-10 Positive Predictive Value of ICD-10 Codes for Cerebral Venous Sinus Thrombosis in Taiwan’s National Health Insurance Claims Database Liao, Shu-Chen Shao, Shih-Chieh Lai, Edward Chia-Cheng Lin, Swu-Jane Huang, Wei-I Hsieh, Cheng-Yang Clin Epidemiol Original Research OBJECTIVE: This study aims to determine the positive predictive value (PPV) of case definitions for cerebral venous sinus thrombosis (CVST) in Taiwan’s National Health Insurance claims database based on the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) diagnostic codes. STUDY DESIGN AND SETTING: Inpatient records with ICD-10-CM codes of G08, I629, I636, or I676 were retrieved from the claims data of all hospital branches of Chang Gung Medical Foundation. Manual review of the medical records and images was performed in order to ascertain the diagnosis. The PPV of various case definitions for CVST was estimated. RESULTS: Of the 380 hospitalizations, 166 and 214 were determined to be true-positive and false-positive episodes of acute CVST, respectively. The PPV of the ICD-10-CM codes of G08, I629, I636, and I676 was 88.2%, 2.0%, 100.0%, and 91.3%, respectively. The PPV generally increased when acute CVST was defined as a primary diagnosis or as ICD-10-CM codes plus anticoagulant use. Miscoding in other conditions, tentative diagnosis, and remote episode of CVST were determined as the main reasons for false-positive diagnosis of acute CVST. CONCLUSION: This study determined the PPV of ICD-10-CM codes for identifying CVST, which may offer a reference for future claims-based research. Dove 2022-01-03 /pmc/articles/PMC8740620/ /pubmed/35018122 http://dx.doi.org/10.2147/CLEP.S335517 Text en © 2022 Liao et al. https://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/ (https://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
Liao, Shu-Chen
Shao, Shih-Chieh
Lai, Edward Chia-Cheng
Lin, Swu-Jane
Huang, Wei-I
Hsieh, Cheng-Yang
Positive Predictive Value of ICD-10 Codes for Cerebral Venous Sinus Thrombosis in Taiwan’s National Health Insurance Claims Database
title Positive Predictive Value of ICD-10 Codes for Cerebral Venous Sinus Thrombosis in Taiwan’s National Health Insurance Claims Database
title_full Positive Predictive Value of ICD-10 Codes for Cerebral Venous Sinus Thrombosis in Taiwan’s National Health Insurance Claims Database
title_fullStr Positive Predictive Value of ICD-10 Codes for Cerebral Venous Sinus Thrombosis in Taiwan’s National Health Insurance Claims Database
title_full_unstemmed Positive Predictive Value of ICD-10 Codes for Cerebral Venous Sinus Thrombosis in Taiwan’s National Health Insurance Claims Database
title_short Positive Predictive Value of ICD-10 Codes for Cerebral Venous Sinus Thrombosis in Taiwan’s National Health Insurance Claims Database
title_sort positive predictive value of icd-10 codes for cerebral venous sinus thrombosis in taiwan’s national health insurance claims database
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8740620/
https://www.ncbi.nlm.nih.gov/pubmed/35018122
http://dx.doi.org/10.2147/CLEP.S335517
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