临床诊断代码识别患者不太可能接受便免疫化学测试的订单
Andrew Tong Li1, Shohei Burns2, Dalia Martinez3
1School of Medicine, University of California, San Francisco, San Francisco, CA, United States.
medRxiv : the preprint server for health sciences
|June 30, 2025
概括
供应商可以推迟便免疫化学测试 (FIT) 对于某些国际疾病分类第10版 (ICD-10) 代码的患者,包括消化系统疾病和并发性疾病. 这些代码可以帮助个性化FIT外展,以更好地与患者和提供者的偏好保持一致.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 胃肠病学 胃肠病学
背景情况:
- 有组织的查计划使用时间表年龄进行便免疫化学测试 (FIT) 宣传.
- 提供者和患者可能会推迟FIT查,因为共存的条件,经常由国际疾病分类,第10修订 (ICD-10) 代码记录.
- 识别与FIT推迟相关的ICD-10代码可以完善查策略.
研究的目的:
- 为了确定国际疾病分类第10版 (ICD-10) 与未接受便免疫化学测试 (FIT) 的患者相关的代码.
- 分析特定的ICD-10代码与FIT查推迟之间的关联.
- 探索ICD-10代码的潜力,以个性化FIT外展.
主要方法:
- 包括在2022年6月至2023年6月期间进行初级保健访问的可接受查的患者.
- 列举并比较了具有和没有FIT顺序的患者中ICD-10代码的频率.
- 对查尔森并发症指数 (CCI) <5.5的患者进行了子组分析.
主要成果:
- 在15020名患者中,32.3%没有FIT订单.
- 在1215个检查的ICD-10代码中,有96个与没有FIT命令有显著的关联.
- 消化系统疾病 (例如,结肠瘤),并发病 (例如,脆弱) 和急性疾病 (例如,宫骨折) 的代码与较低的FIT订单率有关. 心力衰竭和慢性病在CCI<5小组中显著.
结论:
- 推迟FIT查的患者更有可能具有与消化系统疾病,并发症和急性疾病相关的ICD-10代码.
- 即使在具有较少并发症的患者中,特定的健康状况也与查推迟有关.
- 将ICD-10代码纳入查计划可以使FIT外展与提供者和患者偏好保持一致.
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