在瑞典医疗保健登记册中识别分歧性疾病:一个验证研究
Mahmood Wael Mahmood1, Peter T Schmidt2, Ola Olén3
1Department of Clinical Sciences, Division of Surgery, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Scandinavian journal of gastroenterology
|November 8, 2023
概括
瑞典国家患者登记册 (SNPR) 对结肠分泌管疾病 (DD) 的编码非常有效,总体积极预测值 (PPV) 为95%. 这证实了SNPR的存在.
科学领域:
- 胃肠病学 胃肠病学
- 医疗信息学 医疗信息学
- 流行病学 流行病学
背景情况:
- 瑞典国家患者登记册 (SNPR) 是有关结肠管疾病 (DD) 的流行病学研究的宝贵资源.
- 之前的研究没有证实SNPR中DD编码的准确性.
研究的目的:
- 评估在瑞典国家患者登记册 (SNPR) 中对结肠分歧性疾病 (DD) 的编码的有效性.
- 确定在SNPR中记录的DD诊断的积极预测值 (PPV).
主要方法:
- 从SNPR中确定了2002年和2010年的650个入院的随机样本,编码为ICD 10代码K572-K579.
- 审查了患者的病历,将记录的数据与国际公认的DD定义进行了比较.
- 排除标准适用于将被诊断为IBD,乳病,IBS,结肠直肠癌或癌的患者排除.
主要成果:
- 在SNPR中,结肠突性疾病编码的整体PPV为95% (95%CI:93-96).
- 2010年的PPV (98%) 比2002年的高 (91%),可能是由于计算机断层扫描 (CT) 的使用增加.
结论:
- 在瑞典国家患者登记册 (SNPR) 中,结肠分歧性疾病 (DD) 的编码显示出高的有效性.
- 该SNPR是一个可靠的数据来源,用于进行基于人口的结肠管疾病的研究.
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