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Validity of Diagnostic Algorithms for Inflammatory Bowel Disease in Japanese Hospital Claims Data
Inflammatory bowel disease (IBD) diagnoses are increasing in Japan. Some patients have symptoms that are difficult to control, and further research on IBD is needed. Claims databases, which have a large sample size, can be useful for IBD research. However, it is unclear whether the International Cla...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9266263/ https://www.ncbi.nlm.nih.gov/pubmed/35805591 http://dx.doi.org/10.3390/ijerph19137933 |
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author | Takahashi, Sayumi Obara, Taku Kakuta, Yoichi Shimoyama, Yusuke Naito, Takeo Moroi, Rintaro Kuroha, Masatake Shiga, Hisashi Kinouchi, Yoshitaka Masamune, Atsushi |
author_facet | Takahashi, Sayumi Obara, Taku Kakuta, Yoichi Shimoyama, Yusuke Naito, Takeo Moroi, Rintaro Kuroha, Masatake Shiga, Hisashi Kinouchi, Yoshitaka Masamune, Atsushi |
author_sort | Takahashi, Sayumi |
collection | PubMed |
description | Inflammatory bowel disease (IBD) diagnoses are increasing in Japan. Some patients have symptoms that are difficult to control, and further research on IBD is needed. Claims databases, which have a large sample size, can be useful for IBD research. However, it is unclear whether the International Classification of Diseases, Tenth Revision (ICD-10) codes alone can correctly identify IBD. We aimed to develop algorithms to identify IBD in claims databases. We used claims data from the Department of Gastroenterology, Tohoku University Hospital from 1 January 2016 to 31 December 2020. We developed 11 algorithms by combining the ICD-10 code, prescription drug, and workup information. We had access to the database which contains all the information for Crohn’s disease and ulcerative colitis patients who visited our department, and we used it as the gold standard. We calculated sensitivity, specificity, positive predictive value (PPV), and negative predictive value for each algorithm. We enrolled 19,384 patients, and among them, 1012 IBD patients were identified in the gold standard database. Among 11 algorithms, Algorithm 4 (ICD-10 code and ≥1 prescription drugs) showed a strong performance (PPV, 94.8%; sensitivity, 75.6%). The combination of an ICD-10 code and prescription drugs may be useful for identifying IBD among claims data. |
format | Online Article Text |
id | pubmed-9266263 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-92662632022-07-09 Validity of Diagnostic Algorithms for Inflammatory Bowel Disease in Japanese Hospital Claims Data Takahashi, Sayumi Obara, Taku Kakuta, Yoichi Shimoyama, Yusuke Naito, Takeo Moroi, Rintaro Kuroha, Masatake Shiga, Hisashi Kinouchi, Yoshitaka Masamune, Atsushi Int J Environ Res Public Health Article Inflammatory bowel disease (IBD) diagnoses are increasing in Japan. Some patients have symptoms that are difficult to control, and further research on IBD is needed. Claims databases, which have a large sample size, can be useful for IBD research. However, it is unclear whether the International Classification of Diseases, Tenth Revision (ICD-10) codes alone can correctly identify IBD. We aimed to develop algorithms to identify IBD in claims databases. We used claims data from the Department of Gastroenterology, Tohoku University Hospital from 1 January 2016 to 31 December 2020. We developed 11 algorithms by combining the ICD-10 code, prescription drug, and workup information. We had access to the database which contains all the information for Crohn’s disease and ulcerative colitis patients who visited our department, and we used it as the gold standard. We calculated sensitivity, specificity, positive predictive value (PPV), and negative predictive value for each algorithm. We enrolled 19,384 patients, and among them, 1012 IBD patients were identified in the gold standard database. Among 11 algorithms, Algorithm 4 (ICD-10 code and ≥1 prescription drugs) showed a strong performance (PPV, 94.8%; sensitivity, 75.6%). The combination of an ICD-10 code and prescription drugs may be useful for identifying IBD among claims data. MDPI 2022-06-28 /pmc/articles/PMC9266263/ /pubmed/35805591 http://dx.doi.org/10.3390/ijerph19137933 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Takahashi, Sayumi Obara, Taku Kakuta, Yoichi Shimoyama, Yusuke Naito, Takeo Moroi, Rintaro Kuroha, Masatake Shiga, Hisashi Kinouchi, Yoshitaka Masamune, Atsushi Validity of Diagnostic Algorithms for Inflammatory Bowel Disease in Japanese Hospital Claims Data |
title | Validity of Diagnostic Algorithms for Inflammatory Bowel Disease in Japanese Hospital Claims Data |
title_full | Validity of Diagnostic Algorithms for Inflammatory Bowel Disease in Japanese Hospital Claims Data |
title_fullStr | Validity of Diagnostic Algorithms for Inflammatory Bowel Disease in Japanese Hospital Claims Data |
title_full_unstemmed | Validity of Diagnostic Algorithms for Inflammatory Bowel Disease in Japanese Hospital Claims Data |
title_short | Validity of Diagnostic Algorithms for Inflammatory Bowel Disease in Japanese Hospital Claims Data |
title_sort | validity of diagnostic algorithms for inflammatory bowel disease in japanese hospital claims data |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9266263/ https://www.ncbi.nlm.nih.gov/pubmed/35805591 http://dx.doi.org/10.3390/ijerph19137933 |
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