Bayesian estimation of the accuracy of ICD-9-CM- and CPT-4-based algorithms to identify cholecystectomy procedures in administrative data without a reference standard

التفاصيل البيبلوغرافية
العنوان: Bayesian estimation of the accuracy of ICD-9-CM- and CPT-4-based algorithms to identify cholecystectomy procedures in administrative data without a reference standard
المؤلفون: Anna E. Wallace, Katelin B. Nickel, Margaret A. Olsen, S. Reza Jafarzadeh, David K. Warren, Victoria J. Fraser
المصدر: Pharmacoepidemiology and Drug Safety. 25:263-268
بيانات النشر: Wiley, 2015.
سنة النشر: 2015
مصطلحات موضوعية: Bayes estimator, Epidemiology, business.industry, medicine.medical_treatment, Bayesian probability, Interval (mathematics), 01 natural sciences, Latent class model, 010104 statistics & probability, 03 medical and health sciences, Bayes' theorem, 0302 clinical medicine, Statistics, Medicine, Current Procedural Terminology, Pharmacology (medical), Cholecystectomy, 030212 general & internal medicine, Sensitivity (control systems), 0101 mathematics, business, Algorithm
الوصف: Purpose To estimate the accuracy of two algorithms to identify cholecystectomy procedures using International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) and Current Procedural Terminology (CPT-4) codes in administrative data. Methods Private insurer medical claims for 30 853 patients 18–64 years with an inpatient hospitalization between 2006 and 2010, as indicated by providers/facilities place of service in addition to room and board charges, were cross-classified according to the presence of codes for cholecystectomy. The accuracy of ICD-9-CM- and CPT-4-based algorithms was estimated using a Bayesian latent class model. Results The sensitivity and specificity were 0.92 [probability interval (PI): 0.92, 0.92] and 0.99 (PI: 0.97, 0.99) for ICD-9-CM-, and 0.93 (PI: 0.92, 0.93) and 0.99 (PI: 0.97, 0.99) for CPT-4-based algorithms, respectively. The parallel-joint scheme, where positivity of either algorithm was considered a positive outcome, yielded a sensitivity and specificity of 0.99 (PI: 0.99, 0.99) and 0.97 (PI: 0.95, 0.99), respectively. Conclusions Both ICD-9-CM- and CPT-4-based algorithms had high sensitivity to identify cholecystectomy procedures in administrative data when used individually and especially in a parallel-joint approach. Copyright © 2015 John Wiley & Sons, Ltd.
تدمد: 1053-8569
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::fc0b77757a16e4fe5ea9f112fe372efd
https://doi.org/10.1002/pds.3870
حقوق: OPEN
رقم الأكسشن: edsair.doi...........fc0b77757a16e4fe5ea9f112fe372efd
قاعدة البيانات: OpenAIRE