Systematic review of discharge coding accuracy
Reads0
Chats0
TLDR
Current levels of reported accuracy suggest that routinely collected data are sufficiently robust to support their use for research and managerial decision-making.Abstract:
Introduction Routinely collected data sets are increasingly used for research, financial reimbursement and health service planning. High quality data are necessary for reliable analysis. This study aims to assess the published accuracy of routinely collected data sets in Great Britain. Methods Systematic searches of the EMBASE, PUBMED, OVID and Cochrane databases were performed from 1989 to present using defined search terms. Included studies were those that compared routinely collected data sets with case or operative note review and those that compared routinely collected data with clinical registries. Results Thirty-two studies were included. Twenty-five studies compared routinely collected data with case or operation notes. Seven studies compared routinely collected data with clinical registries. The overall median accuracy (routinely collected data sets versus case notes) was 83.2% (IQR: 67.3‐92.1%). The median diagnostic accuracy was 80.3% (IQR: 63.3‐94.1%) with a median procedure accuracy of 84.2% (IQR: 68.7‐88.7%). There was considerable variation in accuracy rates between studies (50.5‐97.8%). Since the 2002 introduction of Payment by Results, accuracy has improved in some respects, for example primary diagnoses accuracy has improved from 73.8% (IQR: 59.3‐92.1%) to 96.0% (IQR: 89.3‐96.3), P ¼ 0.020. Conclusion Accuracy rates are improving. Current levels of reported accuracy suggest that routinely collected data are sufficiently robust toread more
Citations
More filters
Journal ArticleDOI
Development and validation of a hospital frailty risk score focusing on older people in acute care settings using electronic hospital records; an observational study
Thomas Gilbert,Jenny Neuburger,Joshua Kraindler,Eilís Keeble,Paul V. Smith,Cono Ariti,Sandeepa Arora,Andrew Street,Stuart G Parker,Helen C. Roberts,Martin Bardsley,Simon Conroy +11 more
TL;DR: The Hospital Frailty Risk Score provides hospitals and health systems with a low-cost, systematic way to screen for frailty and identify a group of patients who are at greater risk of adverse outcomes and for whom a frailty-attuned approach might be useful.
Journal ArticleDOI
Data Resource Profile: Hospital Episode Statistics Admitted Patient Care (HES APC).
Annie Herbert,Linda Wijlaars,Ania Zylbersztejn,Ania Zylbersztejn,David A Cromwell,Pia Hardelid,Pia Hardelid +6 more
TL;DR: In this article, the authors identified 264 relevant publications where the primary analysis involved the use of HES APC data, and a further 130 papers where HES data had been linked to cohorts created in other datasets.
Journal ArticleDOI
Determinants of the decline in mortality from acute myocardial infarction in England between 2002 and 2010: Linked national database study
TL;DR: Just over half of the decline in deaths from acute myocardial infarction during the 2000s in England can be attributed to a decline in event rate and just less than half to improved survival at 30 days.
Journal ArticleDOI
Third- and fourth-degree perineal tears among primiparous women in England between 2000 and 2012: time trends and risk factors.
Ipek Gurol-Urganci,Ipek Gurol-Urganci,David A Cromwell,Leroy C. Edozien,Tahir Mahmood,EJ Adams,David H Richmond,A Templeton,J van der Meulen +8 more
TL;DR: To describe the trends of severe perineal tears in England and to investigate to what extent the changes in related risk factors could explain the observed trends.
Journal ArticleDOI
Insulin resistance and risk of incident cardiovascular events in adults without diabetes: meta-analysis.
TL;DR: The relative risk of cardiovascular disease was higher for an increase of one standard deviation in HOMA-IR compared to an increase in fasting glucose or fasting insulin concentration, and it may be useful to add HOMa-IR to a cardiovascular risk prediction model.
References
More filters
Journal ArticleDOI
Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews
Beverley Shea,Jeremy M. Grimshaw,George A. Wells,Maarten Boers,Neil Andersson,Candyce Hamel,Ashley C Porter,Peter Tugwell,David Moher,Lex M. Bouter +9 more
TL;DR: A measurement tool for the 'assessment of multiple systematic reviews' (AMSTAR) was developed that consists of 11 items and has good face and content validity for measuring the methodological quality of systematic reviews.
Journal ArticleDOI
Cancer survival in Australia, Canada, Denmark, Norway, Sweden, and the UK, 1995–2007 (the International Cancer Benchmarking Partnership): an analysis of population-based cancer registry data
Michel P Coleman,David Forman,Heather Bryant,John Butler,Bernard Rachet,Camille Maringe,Ula Nur,Elizabeth Tracey,Michael Coory,Juanita Hatcher,Colleen E. McGahan,D Turner,Loraine D. Marrett,ML Gjerstorff,Tom Børge Johannesen,Jan Adolfsson,Mats Lambe,Mats Lambe,Glenda Lawrence,David Meechan,Eva Morris,Richard Middleton,John Steward,Michael Richards +23 more
TL;DR: In this paper, the first study in a programme to investigate international survival disparities, with the aim of informing health policy to raise standards and reduce inequalities in survival, was presented, where data from population-based cancer registries in 12 jurisdictions in six countries were provided for 2·4 million adults diagnosed with primary colorectal, lung, breast, ovarian, or ovarian cancer during 1995-2007, with follow-up to Dec 31, 2007.
Journal ArticleDOI
A systematic review and economic evaluation of alendronate, etidronate, risedronate, raloxifene and teriparatide for the prevention and treatment of postmenopausal osteoporosis
TL;DR: Of the five interventions reviewed, only raloxifene appeared to reduce the risk of vertebral fracture in postmenopausal women unselected for low bone mineral density (BMD).
Journal ArticleDOI
A systematic review of discharge coding accuracy.
TL;DR: Coding accuracy on average is high in the United Kingdom, especially for operations and procedures, however, policy-makers, planners and researchers need to recognize and account for the degree of inaccuracy in routine hospital information statistics.