ICD-10-CM编码揭示了血清学和临床确定的腹腔疾病患病率之间的差距:基于人口的研究
Ivan Villar-Balboa1, Meritxell Regí-Bosque2, Jesús Almeda-Ortega3
1Centre d'Atenció Primària Florida Sud, Gerència Atenció Primària i a la Comunitat Delta, Institut Català de la Salut, L'Hospitalet de Llobregat, Barcelona, Spain; Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain; Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain.
European journal of internal medicine
|April 23, 2025
概括
国际疾病分类,第十次修订,临床修改 (ICD-10-CM) 代码K90.0准确地识别了临床诊断的腹腔疾病 (CD). 然而,诊断不足仍然很普遍,因此需要改进病监测的病例发现计划.
科学领域:
- 医疗信息学 医疗信息学
- 胃肠病学 胃肠病学
- 流行病学 流行病学
背景情况:
- 国际疾病分类,第十次修订,临床修改 (ICD-10-CM) 是一个重要的全球健康编码系统.
- 对于使用ICD-10-CM进行临床诊断的腹腔疾病 (CD) 的流行病学研究,现实世界数据有限.
研究的目的:
- 在初级保健中评估腹腔疾病 (CD) 的诊断充分性.
- 为了评估ICD-10-CM代码K90.0用于识别CD的准确性.
- 为了比较临床诊断的CD的患病率与已知的血清患病率.
主要方法:
- 一项以人口为基础的横截面研究,在加泰罗尼亚的L'Hospitalet de Llobregat进行 (2005-2020年).
- 使用代码K90.0的电子病历数据与实验室和病理学登记处进行了交叉检查.
- 个别验证CD诊断标准,并将其分类为已确认或错误诊断的CD.
主要成果:
- 在737名患者中,73%的人确诊患有CD,27%的人被误诊.
- 在ICD-10-CM代码K90.0中显示了高精度:91.63%的灵敏度,99.95%的特异性,63.85%的PPV和99.99%的NPV.
- 临床诊断的CD患病率为1.99‰,显示了与年龄相关的下降趋势.
结论:
- ICD-10-CM代码K90.0是确定临床诊断的CD的可靠工具,并有助于流行病学监测.
- 在CD血清流行率 (5‰) 和临床诊断流行率 (1.99‰) 之间存在显著差距,表明诊断不足.
- 推实施病例查找计划,以减少腹腔疾病的低诊断.
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