疾病国际分类的预测价值,第九次修订,用于识别眼科瘤诊断的代码
Kenny Y Wang1, Timothy T Xu2, Launia J White3
1Alix School of Medicine, Mayo Clinic, Rochester Minnesota, Scottsdale, AZ, USA.
Ocular oncology and pathology
|December 13, 2023
概括
国际疾病分类第九版 (ICD-9) 代码具有可变的预测价值,用于识别眼部瘤学诊断. 索赔数据本身可能会高估眼部瘤病例的真实数量.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
背景情况:
- 准确识别眼瘤诊断对于患者护理和研究至关重要.
- 国际疾病分类第九次修订 (ICD-9) 计费代码经常用于医疗保健数据分析.
- 这些代码对于眼部瘤等特定疾病的预测准确性尚未得到充分证实.
研究的目的:
- 确定ICD-9计费代码的预测价值,用于识别眼部瘤学诊断.
- 评估ICD-9代码在代表确诊的眼部瘤方面的准确性.
主要方法:
- 一项以人口为基础的回顾性队列研究在明尼苏达州奥姆斯特德县进行.
- 检查了与眼部瘤相关的ICD-9代码 (2006-2015年) 的住院居民的医疗记录,以确认诊断.
- 计算了ICD-9代码的正预测值 (PPV),负预测值 (NPV),灵敏度和特异性.
主要成果:
- 在3,932名患有眼部瘤ICD-9代码的受试者中,有21例诊断符合标准.
- 对眼部新生瘤的PPV范围广泛,从1.2%到73.8%.
- 在恶性瘤中,PPVs有显著的变化,眼基底细胞癌率为73.8%,眼表面状瘤率为0%.
结论:
- 眼部瘤学ICD-9代码的预测值存在很大差异.
- 仅仅依靠与眼部瘤学相关的索赔数据可能会导致诊断数量的高估.
- 当使用ICD-9代码用于眼部瘤学研究时,需要进一步验证.
关键词:
索赔数据 索赔数据 索赔数据在ICD-9中,它被列为ICD-9.国际疾病预防控制局-O疾病国际分类瘤学.疾病国际分类,第九次修订.负的预测值是一个负的预测值.眼睛瘤学 眼睛瘤学积极的预测值是积极的.敏感度 敏感度 敏感度具体性 具体性 具体性更多相关视频
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