دورية أكاديمية

Toward Uniform Case Identification Criteria in Observational Studies on Peripheral Arterial Disease: A Scoping Review.

التفاصيل البيبلوغرافية
العنوان: Toward Uniform Case Identification Criteria in Observational Studies on Peripheral Arterial Disease: A Scoping Review.
المؤلفون: Keekstra N; Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands., Biemond M; Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands., van Schaik J; Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands., Schepers A; Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands., Hamming JF; Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands., van der Vorst JR; Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands., Lindeman JHN; Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands. Electronic address: Lindeman@lumc.nl.
المصدر: Annals of vascular surgery [Ann Vasc Surg] 2024 Sep; Vol. 106, pp. 71-79. Date of Electronic Publication: 2024 Apr 13.
نوع المنشور: Journal Article; Systematic Review; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8703941 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1615-5947 (Electronic) Linking ISSN: 08905096 NLM ISO Abbreviation: Ann Vasc Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: <2007->: Netherlands : Elsevier
Original Publication: Detroit : [Published by Expansion scientifique française for Annals of Vascular Surgery, Inc. and Association pour la promotion de la chirurgie vasculaire, Paris, c1986-
مواضيع طبية MeSH: Peripheral Arterial Disease*/diagnosis , Peripheral Arterial Disease*/classification , Peripheral Arterial Disease*/physiopathology , Peripheral Arterial Disease*/therapy , Observational Studies as Topic*, Humans ; International Classification of Diseases ; Consensus ; Predictive Value of Tests ; Databases, Factual ; Registries
مستخلص: Background: The diagnosis of peripheral arterial disease (PAD) is commonly applied for symptoms related to atherosclerotic obstructions in the lower extremity, though its clinical manifestations range from an abnormal ankle-brachial index to critical limb ischemia. Subsequently, management and prognosis of PAD vary widely with the disease stage. A critical aspect is how this variation is addressed in administrative database-based studies that rely on diagnosis codes for case identification. The objective of this scoping review is to inventory the identification strategies used in studies on PAD that rely on administrative databases, to map the pros and cons of the International Classification of Diseases (ICD) codes applied, and to propose a first outline for a consensus framework for case identification in administrative databases.
Methods: Registry-based reports published between 2010 and 2021 were identified through a systematic PubMed search. Studies were subcategorized on the basis of the expressed study focus: claudication, critical limb ischemia, or general peripheral arterial disease, and the ICD code(s) applied for case identification mapped.
Results: Ninety studies were identified, of which 36 (40%) did not specify the grade of PAD studied. Forty-nine (54%) articles specified PAD grade studied. Five (6%) articles specified different PAD subgroups in methods and baseline demographics, but not in further analyses. Mapping of the ICD codes applied for case identification for studies that specified the PAD grade studied indicated a remarkable heterogeneity, overlap, and inconsistency.
Conclusions: A large proportion of registry-based studies on PAD fail to define the study focus. In addition, inconsistent strategies are used for PAD case identification in studies that report a focus. These findings challenge study validity and interfere with inter-study comparison. This scoping review provides a first initiative for a consensus framework for standardized case selection in administrative studies on PAD. It is anticipated that more uniform coding will improve study validity and facilitate inter-study comparisons.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
تواريخ الأحداث: Date Created: 20240414 Date Completed: 20240810 Latest Revision: 20240810
رمز التحديث: 20240812
DOI: 10.1016/j.avsg.2024.02.008
PMID: 38615752
قاعدة البيانات: MEDLINE
الوصف
تدمد:1615-5947
DOI:10.1016/j.avsg.2024.02.008