在对外围动脉疾病的观察性研究中实现统一的病例识别标准:一个范围审查
Niels Keekstra1, Mathijs Biemond1, Jan van Schaik1
1Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
Annals of vascular surgery
|April 14, 2024
概括
关于外围动脉疾病 (PAD) 的行政数据库研究缺乏标准化的病例识别. 这次审查强调了国际疾病分类 (ICD) 代码的不一致使用,影响了研究的有效性和比较. 提出了一个共识框架,以改善PAD研究.
科学领域:
- 医疗信息学 医疗信息学
- 流行病学 流行病学
- 血管医学 血管医学
背景情况:
- 周围动脉疾病 (PAD) 的诊断和管理因阶段而异,从无症状疾病到关键四肢缺血.
- 行政数据库研究经常使用诊断代码来识别病例,但它们对PAD的准确性值得怀疑.
- PAD呈现的异质性需要在研究中明确的病例识别策略.
研究的目的:
- 在PAD的行政数据库研究中清单案例识别策略.
- 将国际疾病分类 (ICD) 代码用于PAD识别的优缺点映射出来.
- 提出PAD研究中标准化案例选择的基础框架.
主要方法:
- 2010年至2021年间发布的基于注册表的报告的系统PubMed搜索.
- 研究按重点分类:音,关键四肢缺血症或一般PAD.
- 用于病例识别的国际疾病分类 (ICD) 代码被映射出来.
主要成果:
- 审查了90项研究;40%没有指定PAD等级,54%确实做到了.
- 在用于PAD病例识别的ICD代码中发现了显著的异质性,重叠和不一致性.
- 在方法与分析中指定的PAD子组之间存在差异.
结论:
- 许多基于注册表的PAD研究缺乏明确的研究重点,并使用不一致的病例识别方法.
- 这些不一致性挑战了PAD研究的有效性和可比性.
- 需要为标准化案例选择制定共识框架,以提高PAD行政数据库研究的可靠性.
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