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Related Concept Videos

Learning Disabilities01:25

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Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
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Development of the Children With Disabilities Algorithm.

Alyna T Chien1, Karen A Kuhlthau2, Sara L Toomey3

  • 1Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, Massachusetts; Departments of Pediatrics, and alyna.chien@childrens.harvard.edu.

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|September 30, 2015
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Summary
This summary is machine-generated.

A new algorithm (CWDA) uses ICD-9-CM codes to identify children with disabilities (CWD) in databases. This tool accurately identifies CWD, enabling better quality of care assessments.

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Area of Science:

  • Health Services Research
  • Pediatrics
  • Health Informatics

Background:

  • Identifying children with disabilities (CWD) in healthcare claims databases is challenging.
  • A reliable method is needed to assess the quality of care for CWD.

Purpose of the Study:

  • To develop and validate an algorithm (CWDA) using ICD-9-CM codes to identify CWD in claims data.
  • To enable the assessment of healthcare quality for CWD.

Main Methods:

  • A cross-sectional study classified 14,567 ICD-9-CM codes based on their likelihood of indicating CWD.
  • Pediatricians (general and subspecialists) classified codes.
  • The developed algorithm (CWDA) was triangulated against parent and physician assessments.

Main Results:

  • The CWDA includes 669 ICD-9-CM codes with a ≥75% likelihood of indicating CWD.
  • CWDA demonstrated high sensitivity (0.98) compared to physician assessment and good sensitivity (0.75) compared to parent report.
  • Specificity was 0.86 for physician assessment and 0.50 for parent report.

Conclusions:

  • ICD-9-CM codes can be effectively classified to identify CWD.
  • The CWDA shows strong agreement with parent and physician assessments of disability.
  • The CWDA is a valuable new tool for evaluating the quality of care provided to CWD.