دورية أكاديمية
أعرض في EDS

Development and Validation of ICD-10-CM-based Algorithms for Date of Last Menstrual Period, Pregnancy Outcomes, and Infant Outcomes.

التفاصيل البيبلوغرافية
العنوان: Development and Validation of ICD-10-CM-based Algorithms for Date of Last Menstrual Period, Pregnancy Outcomes, and Infant Outcomes.
المؤلفون: Chomistek AK; Optum, 1325 Boylston Street, 11th Floor, Boston, MA, 02215, USA. andrea.chomistek@optum.com., Phiri K; Optum, 1325 Boylston Street, 11th Floor, Boston, MA, 02215, USA., Doherty MC; Optum, 1325 Boylston Street, 11th Floor, Boston, MA, 02215, USA., Calderbank JF; Optum, 1325 Boylston Street, 11th Floor, Boston, MA, 02215, USA., Chiuve SE; AbbVie, Inc, North Chicago, IL, USA., McIlroy BH; AbbVie, Inc, North Chicago, IL, USA., Snabes MC; AbbVie, Inc, North Chicago, IL, USA., Enger C; Optum, 1325 Boylston Street, 11th Floor, Boston, MA, 02215, USA., Seeger JD; Optum, 1325 Boylston Street, 11th Floor, Boston, MA, 02215, USA.
المصدر: Drug safety [Drug Saf] 2023 Feb; Vol. 46 (2), pp. 209-222. Date of Electronic Publication: 2023 Jan 19.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Adis, Springer International Country of Publication: New Zealand NLM ID: 9002928 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1179-1942 (Electronic) Linking ISSN: 01145916 NLM ISO Abbreviation: Drug Saf Subsets: MEDLINE
أسماء مطبوعة: Publication: Auckland : Adis, Springer International
Original Publication: [Mairangi Bay, Auckland, N.Z. : ADIS Press Limited, c1990-
مواضيع طبية MeSH: Pregnancy Outcome*/epidemiology , Abortion, Spontaneous*, Humans ; Infant ; Female ; Pregnancy ; International Classification of Diseases ; Predictive Value of Tests ; Algorithms ; Databases, Factual
مستخلص: Introduction and Objective: Validation studies of algorithms for pregnancy outcomes based on International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes are important for conducting drug safety research using administrative claims databases. To facilitate the conduct of pregnancy safety studies, this exploratory study aimed to develop and validate ICD-10-CM-based claims algorithms for date of last menstrual period (LMP) and pregnancy outcomes using medical records.
Methods: Using a mother-infant-linked claims database, the study included women with a pregnancy between 2016-2017 and their infants. Claims-based algorithms for LMP date utilized codes for gestational age (Z3A codes). The primary outcomes were major congenital malformations (MCMs) and spontaneous abortion; additional secondary outcomes were also evaluated. Each pregnancy outcome was identified using a claims-based simple algorithm, defined as presence of ≥ 1 claim for the outcome. Positive predictive values (PPV) and 95% confidence intervals (CI) were calculated.
Results: Overall, 586 medical records were sought and 365 (62.3%) were adjudicated, including 125 records each for MCMs and spontaneous abortion. Last menstrual period date was validated among maternal charts procured for pregnancy outcomes and fewer charts were adjudicated for the secondary outcomes. The median difference in days between LMP date based on Z3A codes and adjudicated LMP date was 4.0 (interquartile range: 2.0-10.0). The PPV of the simple algorithm for spontaneous abortion was 84.7% (95% CI 78.3, 91.2). The PPV for the MCM algorithm was < 70%. The algorithms for the secondary outcomes pre-eclampsia, premature delivery, and low birthweight performed well, with PPVs > 70%.
Conclusions: The ICD-10-CM claims-based algorithm for spontaneous abortion performed well and may be used in pregnancy studies. Further algorithm refinement for MCMs is needed. The algorithms for LMP date and the secondary outcomes would benefit from additional validation in a larger sample.
(© 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
التعليقات: Erratum in: Drug Saf. 2023 Mar 24;:. (PMID: 36964331)
References: Pharmacoepidemiol Drug Saf. 2020 Apr;29(4):419-426. (PMID: 32124511)
Pharmacoepidemiol Drug Saf. 2015 Apr;24(4):335-42. (PMID: 25627986)
Pharmacoepidemiol Drug Saf. 2021 Feb;30(2):266-274. (PMID: 33219586)
Pharmacoepidemiol Drug Saf. 2008 May;17(5):455-60. (PMID: 18081215)
Pharmacoepidemiol Drug Saf. 2013 Jan;22(1):16-24. (PMID: 22550030)
Eur J Obstet Gynecol Reprod Biol. 2020 Nov;254:119-123. (PMID: 32950890)
Drug Saf. 2021 Nov;44(11):1151-1164. (PMID: 34591264)
Pharmacoepidemiol Drug Saf. 2021 Sep;30(9):1175-1183. (PMID: 34089206)
Pharmacoepidemiol Drug Saf. 2022 Aug;31(8):863-874. (PMID: 35622900)
Health Serv Res. 2007 Apr;42(2):908-27. (PMID: 17362224)
Pharmacoepidemiol Drug Saf. 2012 Jun;21(6):640-50. (PMID: 22504840)
PLoS One. 2013 Jun 26;8(6):e67405. (PMID: 23840692)
Pediatrics. 2003 Jun;111(6 Pt 1):1253-61. (PMID: 12777538)
PLoS One. 2018 Feb 1;13(2):e0192033. (PMID: 29389968)
Am J Obstet Gynecol. 2004 Jun;190(6):1629-33; discussion 1633-4. (PMID: 15284758)
Pharmacoepidemiol Drug Saf. 2015 Apr;24(4):381-8. (PMID: 25656656)
Pharmacoepidemiol Drug Saf. 2017 Sep;26(9):1109-1118. (PMID: 28758274)
BMJ. 2021 Feb 10;372:n102. (PMID: 33568363)
Pediatrics. 2017 Jul;140(1):. (PMID: 28759401)
Curr Epidemiol Rep. 2017;4(2):106-116. (PMID: 29399433)
Obstet Gynecol. 2017 May;129(5):e150-e154. (PMID: 28426621)
تواريخ الأحداث: Date Created: 20230119 Date Completed: 20230131 Latest Revision: 20230328
رمز التحديث: 20230328
مُعرف محوري في PubMed: PMC9981491
DOI: 10.1007/s40264-022-01261-5
PMID: 36656445
قاعدة البيانات: MEDLINE
الوصف
تدمد:1179-1942
DOI:10.1007/s40264-022-01261-5