ICPC-3 International Classification of Primary Care

Boven, Kees van; Napel, Huib Ten

doi:10.1201/9781003197157

Cited by 6 publications

(7 citation statements)

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“…We analyzed 285,342 patients with hypothyroidism among a total of 3,135,948 people aged over 18 with multimorbidity (two or more coexistent chronic conditions at any time within the study period) included in the MorbiNet study (11). We used the International Classification of Primary Care, 2nd edition (ICPC-2) system (12), and followed an adaptation of chronic conditions described by O'Halloran et al (13). Patients were included according to their diagnostic codes in the SIDIAP database.…”

Section: Methodsmentioning

confidence: 99%

MorbiNet Study: Hypothyroidism Comorbidity Networks in the Adult General Population

Moratalla-Navarro

López‐Simarro²,

Aguado

2020

The Journal of Clinical Endocrinology &Amp; Metabolism

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Purpose Multimorbidity impacts quality of life. We constructed hypothyroidism comorbidity networks to identify positive and negative associations with other prevalent diseases. Methods We analyzed data of 285,342 patients with hypothyroidism from 3,135,948 adults with multimorbidity in a population-based study in Catalonia, Spain, (period: 2006-2017). We constructed hypothyroidism comorbidity networks using logistic regression models, adjusted by age and sex, and for men and women separately. We considered relevant associations those with odds ratios (OR) >1.2 or <0.8 and p-value <1e-5 to identify coexistence greater (or smaller) than the expected by the prevalence of diseases. Multivariate models considering comorbidities were used to further adjust OR values. Results The conditions associated included larynx cancer (adjusted OR: 2.48); congenital anomalies (2.26); thyroid cancer (2.13); hyperthyroidism (1.66), vitamin B12/folate deficiency anemia (1.57), and goiter (1.56). The network restricted to men had more connections (mental, cardiovascular, and neurological) and stronger associations with thyroid cancer (7.26 vs 2.55), congenital anomalies (5.11 vs 2.13), hyperthyroidism (4.46 vs 1.69), larynx cancer (3.55 vs 1.67), and goiter (3.94 vs 1.64). After adjustment for comorbidities, OR values were more similar in men and women. The strongest negative associations after adjusting for comorbidities were with HIV/AIDS (OR:0.71), and tobacco abuse (0.77). Conclusions Networks show direct and indirect hypothyroidism multimorbidity associations. The strongest connections were thyroid and larynx cancer, congenital anomalies, hyperthyroidism, anemia, and goiter. Negative associations included HIV infection-AIDS and tobacco abuse. The network restricted to men had more and stronger associations, but not after adjusting for comorbidities suggesting important indirect interactions.

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Section: Methodsmentioning

confidence: 99%

MorbiNet Study: Hypothyroidism Comorbidity Networks in the Adult General Population

Moratalla-Navarro

López‐Simarro²,

Aguado

2020

The Journal of Clinical Endocrinology &Amp; Metabolism

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“…Primary care practitioners have always found ICD inadequate for their needs ( Armstrong 2011 ; van Boven and Ten Napel 2021 ). Dissatisfaction with the ICD in the 1970s led the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA) to create what is now the International Classification of Primary Care (ICPC), recently released in its third edition version (International Classification of Primary Care – 3rd Revision [ICPC-3]) ( van Boven and Ten Napel 2021 ). ICPC has been adopted in primary care settings in parts of Europe and elsewhere.…”

Section: Options For Primary Carementioning

confidence: 99%

“…Thanks to collaboration between the WHO and WONCA, the editors of ICPC-3 assert that “the ICPC and the ICD are complementary rather than in competition” ( van Boven and Ten Napel 2021 : 5). This may be even truer with ICD-11.…”

Section: Options For Primary Carementioning

confidence: 99%

“…Primary care practitioners have always found the ICD inadequate for their needs. This may change with ICD-11, with which the International Classification of Primary Care (ICPC) ( van Boven and Ten Napel 2021 ) is more closely aligned. ICD-11, ICPC and the Systematized Nomenclature of Medicine Clinical Terms present evolving options for capturing diagnoses in physician data.…”

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confidence: 99%

“…Les fournisseurs de soins primaires ont toujours trouvé la CIM-9 inadéquate pour leurs besoins. Cela pourrait changer avec la CIM-11, qui est plus étroitement alignée avec la Classification internationale des soins primaires (CISP) ( van Boven et Ten Napel 2021 ). Ainsi, la CIM-11, la CISP et la Systematized Nomenclature of Medicine Clinical Terms présentent des options évolutives pour saisir les diagnostics dans les données des médecins.…”

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Commentary – From Mixtapes to Playlists: Evolving Options for Capturing Diagnoses in Canadian Physicians’ Data

Denny

2022

hcpol

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Physician billing claims are rich sources of administrative health data. However, diagnostic codes in billing claims are drawn from the International Classification of Diseases, Ninth Revision ( WHO & International Conference for the Ninth Revision of the International Classification of Diseases 1977 ), which has not been updated by the World Health Organization in three decades. With its updated and expanded content and its digital tooling, the International Classification of Diseases 11th Revision (ICD-11) (WHO n.d.a.) could be considered for this purpose. Primary care practitioners have always found the ICD inadequate for their needs. This may change with ICD-11, with which the International Classification of Primary Care (ICPC) ( van Boven and Ten Napel 2021 ) is more closely aligned. ICD-11, ICPC and the Systematized Nomenclature of Medicine Clinical Terms present evolving options for capturing diagnoses in physician data.

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The yield of routine laboratory examination in osteoporosis evaluation in primary care

Merlijn,

Swart,

Niemeijer

et al. 2024

Osteoporos Int

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Summary This study evaluated the yield of routine laboratory examination in a large population of older women in primary care. The prevalence of laboratory abnormalities was low and the clinical consequences in follow-up were limited. There was a weak association of laboratory abnormalities with osteoporosis but no association with vertebral fractures and recent fractures. Purpose Most osteoporosis guidelines advice routine laboratory examination. We have investigated the yield of laboratory examinations in facture risk evaluation of elderly women in primary care. Methods We assessed the prevalence of laboratory abnormalities and their association with risk factors for fractures, recent fractures, low bone mineral density (BMD), and prevalent vertebral fracture in 8996 women ≥ 65 years of age participating in a primary care fracture risk screening study. In a sample of 2208 of these participants, we also evaluated the medical consequences in the medical records during a follow-up period of ≥ 1 year. Results Vitamin D deficiency (< 30 nmol/L) was present in 13% and insufficiency (< 50 nmol/L) in 43% of the study sample. The prevalence of other laboratory abnormalities (ESR, calcium, creatinine, FT4) was 4.6% in women with risk factors for fractures, 6.1% in women with low BMD (T-score ≤ − 2.5), 6.0% after a prevalent vertebral fracture, 5.2% after a recent fracture and 2.6% in the absence of important risk factors for fractures. Laboratory abnormalities other than vitamin D were associated with low BMD (OR 1.4, 95%CI 1.1–1.8) but not with prevalent vertebral fractures nor recent fractures. Low BMD was associated with renal failure (OR 2.0, 95%CI 1.3–3.4), vitamin D insufficiency (OR 1.2, 95%CI 1.0–1.3) and deficiency (OR 1.3, 95%CI 1.1–.5). In the follow-up period, 82% of the laboratory abnormalities did not result in a new diagnosis or treatment reported in the medical records. Conclusions We identified a low prevalence of laboratory abnormalities in a primary care population of older women and the majority of these findings had no medical consequences. Supplementary Information The online version contains supplementary material available at 10.1007/s00198-024-07042-3.

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ICPC-3 International Classification of Primary Care

Cited by 6 publications

References 0 publications

MorbiNet Study: Hypothyroidism Comorbidity Networks in the Adult General Population

MorbiNet Study: Hypothyroidism Comorbidity Networks in the Adult General Population

Commentary – From Mixtapes to Playlists: Evolving Options for Capturing Diagnoses in Canadian Physicians’ Data

The yield of routine laboratory examination in osteoporosis evaluation in primary care

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