异常便免疫化学测试的电子编码与结肠镜完成率的增加有关
Shohei Burns1, Madeline Griffith1, Shreya Patel1,2
1Department of Medicine, University of California, San Francisco, California, USA.
The American journal of gastroenterology
|March 15, 2024
概括
国际疾病分类第十次修订 (ICD-10) 代码R19.5有助于跟踪具有阳性便免疫化学测试 (FIT) 患者. 及时编码异常FIT结果与更高的结肠镜完成率有关.
科学领域:
- 胃肠病学 胃肠病学
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 便免疫化学测试 (FIT) 对于结直肠癌查至关重要.
- 诊断结果的准确编码对于患者管理和卫生系统效率至关重要.
研究的目的:
- 评估ICD-10代码R19.5对积极的FIT结果的有用性.
- 为了确定及时ICD-10编码和结肠镜完成率之间的关联.
主要方法:
- 在2020年1月1日至2021年8月31日期间接受FIT的患者的回顾性队列研究.
- 提取了FIT结果,ICD-10代码R19.5指定和结肠镜完成的数据.
主要成果:
- 在FIT阳性后90天内具有R19.5代码的患者更有可能在6个月内完成结肠镜检查 (40.9%vs16.8%).
- 不到三分之二的患者在异常FIT后及时 (在30天内) 获得ICD-10代码指定.
结论:
- ICD-10代码R19.5可以作为积极FIT结果的有用指标.
- 及时编码异常FIT与更好的结肠镜随访有关,突出了高效的健康信息学实践的重要性.
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