Reliability of diagnoses coding with ICD-10

Stausberg, Jürgen; Lehmann, Nils; Kaczmarek, Dirk; Stein, Markus

doi:10.1016/j.ijmedinf.2006.11.005

Cited by 107 publications

(100 citation statements)

References 11 publications

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“…However, the ICD-10 is the international standard diagnostic classification system of diseases and recommended for epidemiologic studies, with high reliability at the category level. 72 The presented findings should be corroborated in a sufficiently large sample of higher-order pregnancies before generalizing them to multiples. As we did not have diagnostic information from general practitioners regarding child pathologies, we probably missed lesssevere offspring diseases and the relation with asthma during pregnancy may be lower in these cases.…”

Section: Figurementioning

confidence: 62%

Asthma During Pregnancy and Clinical Outcomes in Offspring: A National Cohort Study

Tegethoff¹,

Olsen

Schaffner

et al. 2013

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Asthma is a common medical complication during pregnancy that is associated with an increased risk of adverse obstetric outcomes. WHAT THIS STUDY ADDS:This study adds knowledge on potential long-term consequences of maternal asthma during pregnancy for offspring health, demonstrating that maternal asthma during pregnancy is linked to a wide spectrum of offspring diseases during childhood. abstract BACKGROUND AND OBJECTIVE: Maternal asthma is a common pregnancy complication, with adverse short-term effects for the offspring. The objective was to determine whether asthma during pregnancy is a risk factor of offspring diseases. METHODS:We studied pregnant women from the Danish National Birth Cohort (births: 1996Cohort (births: -2002; prospective data) giving birth to live singletons (n = 66 712 mother-child pairs), with 4145 (6.2%) women suffering from asthma during pregnancy. We estimated the associations between asthma during pregnancy and offspring diseases (International Classification of Diseases, 10th Revision diagnoses from national registries), controlling for potential confounders and validating findings by secondary analyses. RESULTS:Offspring median age at end of follow-up was 6.2 (3.6-8.9) years. Asthma was associated with an increased offspring risk of infectious and parasitic diseases (hazard ratio [HR] 1.34; 95% confidence interval [CI] 1.23-1.46), diseases of the nervous system (HR 1.43; CI 1.18-1.73), ear (HR 1.33; CI 1.19-1.48), respiratory system (HR 1.43; CI 1.34-1.52), and skin (HR 1.39; CI 1.20-1.60), and potentially (not confirmed in secondary analyses) of endocrine and metabolic disorders (HR 1.26; CI 1.02-1.55), diseases of the digestive system (HR 1.17; CI 1.04-1.32), and malformations (odds ratio 1.13; CI 1.01-1.26), but not of neoplasms, mental disorders, or diseases of the blood and immune system, circulatory system, musculoskeletal system, and genitourinary system. CONCLUSIONS:To the best of our knowledge, this is the first comprehensive study of the associations between asthma during pregnancy and a wide spectrum of offspring diseases. In line with previous data on selected outcomes, asthma during pregnancy may be a risk factor for numerous offspring diseases, suggesting that careful monitoring of women with asthma during pregnancy and their offspring is important. Dr Tegethoff conceptualized and designed the study, carried out the statistical analyses, interpreted data, drafted the initial manuscript, critically reviewed the manuscript, and obtained funding; Dr Olsen acquired data, interpreted data, critically reviewed the manuscript, and obtained funding; Mr Schaffner carried out the statistical analyses, interpreted data, and critically reviewed the manuscript; Dr Meinlschmidt conceptualized and designed the study, carried out the statistical analyses, interpreted data, critically reviewed the manuscript, and obtained funding; and all authors approved the final manuscript as submitted. Asthma is a frequently occurring medical condition in pregnancy, ...

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Section: Figurementioning

confidence: 62%

Asthma During Pregnancy and Clinical Outcomes in Offspring: A National Cohort Study

Tegethoff¹,

Olsen

Schaffner

et al. 2013

Pediatrics

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“…However, some critics have pointed out a number of ambiguities and inconsistencies in these rules 8,16,19,20 and concerns about the quality of the coding process persist 5,6 given the observed influence of factors such as the coder's skill level and the level and continuity of coder training. The literature also suggests that differences in interpretation of coding rules result in discrepancies in intercoder agreement 5,7,10 .…”

Section: Discussionmentioning

confidence: 99%

“…Some derive from ambiguities and inconsistencies of the ICD-10, but arguably most relate to differences in training and skills, and the interpretation of the ICD guidelines by coders 3,7,8,9 . Studies of intercoder agreement show varying levels of agreement in relation to code classification level, the number of causes of death recorded on the death certificate, and the age of the deceased 3,7,10 .…”

Section: Introductionmentioning

confidence: 99%

Reliability of cause of death coding: an international comparison

Antini

Rajs²,

Muñoz-Quezada

et al. 2015

Cad. Saúde Pública

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This study evaluates the agreement of nosologic coding of cardiovascular causes of death between a Chilean coder and one in the United States, in a stratified random sample of death certificates of persons aged ≥ 60, issued in 2008 in the Valparaíso and Metropolitan regions, Chile. All causes of death were converted to ICD-10 codes in parallel by both coders. Concordance was analyzed with inter-coder agreement and Cohen’s kappa coefficient by level of specification ICD-10 code for the underlying cause and the total causes of death coding. Inter-coder agreement was 76.4% for all causes of death and 80.6% for the underlying cause (agreement at the four-digit level), with differences by the level of specification of the ICD-10 code, by line of the death certificate, and by number of causes of death per certificate. Cohen's kappa coefficient was 0.76 (95%CI: 0.68-0.84) for the underlying cause and 0.75 (95%CI: 0.74-0.77) for the total causes of death. In conclusion, causes of death coding and inter-coder agreement for cardiovascular diseases in two regions of Chile are comparable to an external benchmark and with reports from other countries.

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“…The impact of possible quality errors in the diagnostic coding process that have been shown in previous studies is unknown. [7][8][9][10][11] Far from all concepts have attributes in SNOMED CT. Also, the SNOMED CT structure has not been checked by the authors, but has been accepted as is for the purpose of this study.…”

Section: Limitations Of the Methodsmentioning

confidence: 99%

“…5,6 Furthermore, both low reliability between coders and coding inaccuracy have been documented. 7,8 However, high reliability, correctness and completeness have also been reported. [9][10][11] ICD has become the standard international diagnostic classification for all general epidemiological purposes and many health management purposes.…”

Section: Introductionmentioning

confidence: 99%

Views of diagnosis distribution in primary care in 2.5 million encounters in Stockholm: a comparison between ICD-10 and SNOMED CT

Vikström¹,

Nyström²,

Åhlfeldt³

et al. 2010

Journal of Innovation in Health Informatics

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Background Primary care (PC) in Sweden provides ambulatory and home health care outside hospitals. Within the County Council of Stockholm, coding of diagnoses in PC is mandatory and is done by general practitioners (GPs) using a Swedish primary care version of the International Statistical Classification of Diseases, version 10 (ICD-10). ICD-10 has a mono-hierarchical structure. SNOMED CT is poly-hierarchical and belongs to a new generation of terminology systems with attributes (characteristics) that connect concepts in SNOMED CT and build relationships. Mapping terminologies and classifications has been pointed out as a way to attain additional advantages in describing and documenting healthcare data. A poly-hierarchical system supports the representation and aggregation of healthcare data on the basis of specific medical aspects and various levels of clinical detail. Objective To describe and compare diagnoses and health problems in KSH97-P/ICD-10 and SNOMED CT using primary care diagnostic data, and to explore and exemplify complementary aggregations of diagnoses and health problems generated from a mapping to SNOMED CT.

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Reliability of diagnoses coding with ICD-10

Cited by 107 publications

References 11 publications

Asthma During Pregnancy and Clinical Outcomes in Offspring: A National Cohort Study

Asthma During Pregnancy and Clinical Outcomes in Offspring: A National Cohort Study

Reliability of cause of death coding: an international comparison

Views of diagnosis distribution in primary care in 2.5 million encounters in Stockholm: a comparison between ICD-10 and SNOMED CT

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