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Validating abortion procedure coding in Canadian administrative databases.

Saied Samiedaluie1, Sandra Peterson2, Rollin Brant3

  • 1Department of Family Practice, University of British Columbia, Vancouver, Canada. samiedal@mail.ubc.ca.

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Keywords:
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Area of Science:

  • Reproductive Health
  • Health Informatics
  • Public Health Surveillance

Background:

  • The British Columbia (BC) Ministry of Health utilizes two primary databases for abortion procedure data: the Medical Services Plan (MSP) and the Discharge Abstracts Database (DAD).
  • Accurate coding of abortion procedures in these administrative databases is crucial for public health monitoring and resource allocation.

Purpose of the Study:

  • This study aimed to validate the accuracy of abortion procedure coding within BC's health administrative databases.
  • To assess the reliability of the MSP and DAD for capturing abortion events.

Main Methods:

  • A cohort of 1031 women from two randomized controlled trials undergoing abortion was linked to MSP and DAD data.
  • Clinical chart data on abortion procedures were compared against administrative data, defining a match as an abortion-related code within 30 days of the clinical event.
  • Sensitivity analyses were performed for both the MSP and DAD databases using clinical chart data as the gold standard.

Main Results:

  • A high proportion (99.1%) of 1158 abortion events were identified in at least one administrative database.
  • The MSP database demonstrated a sensitivity of 97.7% (95% CI: 96.6-98.5) for capturing abortion events.
  • The DAD database showed a sensitivity of 91.9% (95% CI: 90.0-93.4).

Conclusions:

  • Abortion event coding in BC's health administrative databases is highly accurate.
  • Provincial single-payer health administrative databases in Canada offer a valid data source for reflecting abortion events.