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https://www.readbyqxmd.com/read/28207753/analysis-of-diagnoses-extracted-from-electronic-health-records-in-a-large-mental-health-case-register
#1
Yevgeniya Kovalchuk, Robert Stewart, Matthew Broadbent, Tim J P Hubbard, Richard J B Dobson
The UK government has recently recognised the need to improve mental health services in the country. Electronic health records provide a rich source of patient data which could help policymakers to better understand needs of the service users. The main objective of this study is to unveil statistics of diagnoses recorded in the Case Register of the South London and Maudsley NHS Foundation Trust, one of the largest mental health providers in the UK and Europe serving a source population of over 1.2 million people residing in south London...
2017: PloS One
https://www.readbyqxmd.com/read/28152688/a-new-digital-classification-schema-to-detect-treatment-variances-and-enable-value-based-payment-reforms
#2
Eric V Schultz, Kelly Choi, William Kea, Augie Smith, Cindy Kim, Matthew Axelrod, Teresa Fletcher, Matthew Love, Ruth Pe Benito, Samira Daswani, Sukhi Kaur, Kathyrn Tanenbaum, James Schaffer, Ali Hasan, Dilip Raj, Kumar Bharath Prabhu, Kiran Suryadevara, Ryan Callahan, Stuart L Goldberg
: 28 Background: Value based payment reforms which improve the outcome to cost ratio (paying for outcomes not for services) require detailed information on both elements. Although the digitalization of medicine via the EHR may facilitate data collection, the imprecise ICD9 and ICD10 schemas hinder analysis (eg: all breast cancers are ICD9 174.9). A more precise classification schema that accounts for biologic variances to allow analysis (and reduction) of treatment variances is needed...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28100209/lifelong-vegetarianism-and-breast-cancer-risk-a-large-multicentre-case-control-study-in-india
#3
Toral Gathani, Isobel Barnes, Raghib Ali, Rajkumar Arumugham, Raju Chacko, Raghunadharao Digumarti, Parimal Jivarajani, Ravi Kannan, Dasappa Loknatha, Hemant Malhotra, Beela S Mathew
BACKGROUND: The lower incidence of breast cancer in Asian populations where the intake of animal products is lower than that of Western populations has led some to suggest that a vegetarian diet might reduce breast cancer risk. METHODS: Between 2011 and 2014 we conducted a multicentre hospital based case-control study in eight cancer centres in India. Eligible cases were women aged 30-70 years, with newly diagnosed invasive breast cancer (ICD10 C50). Controls were frequency matched to the cases by age and region of residence and chosen from the accompanying attendants of the patients with cancer or those patients in the general hospital without cancer...
January 18, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28056836/a-significant-cancer-burden-and-high-mortality-of-intrahepatic-cholangiocarcinoma-in-thailand-a-nationwide-database-study
#4
Sombat Treeprasertsuk, Kittiyod Poovorawan, Ngamphol Soonthornworasiri, Roongruedee Chaiteerakij, Kessarin Thanapirom, Pisaln Mairiang, Kookwan Sawadpanich, Kanokwan Sonsiri, Varocha Mahachai, Kamthorn Phaosawasdi
BACKGROUND: We aimed to examine the burden of intrahepatic cholangiocarcinoma (ICC) in Thailand and identify the prognostic factors for all-causes of death. METHODS: We conducted a population-based study of ICC patients admitted during 2009-2013 using the Nationwide Hospital Admission Database, the National Health Security Office (NHSO). There was an average of 1,051,146 patients/year with diagnosis of gastrointestinal diseases (GI). All patients with a diagnosis of ICC (ICD10- C221) were included from a total of 72,479 admissions from 858 hospitals...
January 5, 2017: BMC Gastroenterology
https://www.readbyqxmd.com/read/28043767/bleeding-after-circumcision-is-more-likely-in-children-with-lichen-sclerosus-balanitis-xerotica-obliterans
#5
P Somov, B K Y Chan, C Wilde, H Corbett
INTRODUCTION: Over 27,000 circumcisions were performed in England in 2012-13. The complication rate is generally perceived to be low, although published figures vary widely. Balanitis xerotica obliterans, more correctly termed Lichen Sclerosus et atrophicus (LS), is one of the commonest indications for medical circumcision. To test the hypothesis that children undergoing circumcision for LS have a higher rate of postoperative bleeding than those undergoing the procedure for other reasons, we retrospectively reviewed records for patients undergoing circumcision...
December 9, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27969074/assessing-catatonia-using-four-different-instruments-inter-rater-reliability-and-prevalence-in-inpatient-clinical-population
#6
Siddharth Sarkar, Sreekanth Sakey, Kaliaperumal Mathan, Balaji Bharadwaj, Shivanand Kattimani, Ravi P Rajkumar
BACKGROUND AND AIMS: The present study aimed to assess inter-rater reliability and prevalence of catatonia according to four diagnostic methods: Bush Francis Catatonia Rating Scale (BFCRS) both screening and complete scale, Braunig's Catatonia Rating Scale (CRS), ICD 10 and DSM5. METHODS: For inter-rater reliability, different raters evaluated patients using the definitions provides by the four scales: BFCRS Screen and Total, CRS, ICD10 and DSM5. Kippendorff'α was used to compute the inter-rater reliability...
October 2016: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/27905953/improving-the-usefulness-of-us-mortality-data-new-methods-for-reclassification-of-underlying-cause-of-death
#7
Kyle J Foreman, Mohsen Naghavi, Majid Ezzati
BACKGROUND: Mortality data are affected by miscertification of the medical cause of death deaths and changes to cause of death classification systems. We present both mappings of ICD9 and ICD10 to a unified list of causes, and a new statistical model for reducing the impact of misclassification of cause of death. METHODS: We propose a Bayesian mixed-effects multinomial logistic model that can be run on individual record level death certificates to reclassify "garbage-coded" deaths onto causes that are more meaningful for public health purposes...
April 28, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27884150/identifying-and-prioritizing-lower-value-services-from-dutch-specialist-guidelines-and-a-comparison-with-the-uk-do-not-do-list
#8
Joost Johan Godert Wammes, M Elske van den Akker-van Marle, Eva W Verkerk, Simone A van Dulmen, Gert P Westert, Antoinette D I van Asselt, R B Kool
BACKGROUND: The term 'lower value services' concerns healthcare that is of little or no value to the patient and consequently should not be provided routinely, or not be provided at all. De-adoption of lower value care may occur through explicit recommendations in clinical guidelines. The present study aimed to generate a comprehensive list of lower value services for the Netherlands that assesses the type of care and associated medical conditions. The list was compared with the NICE do-not-do list (United Kingdom)...
November 25, 2016: BMC Medicine
https://www.readbyqxmd.com/read/27834008/severe-gastrointestinal-haemorrhage-summary-of-a-national-quality-of-care-study-with-focus-on-radiological-services
#9
Simon J McPherson, Martin T Sinclair, Neil C E Smith
PURPOSE OF STUDY: To identify the remediable factors in the quality of care provided to patients with severe gastrointestinal (GI) bleeding. METHOD: All hospital admissions in the first four months of 2013 with ICD10 coding for GI bleeding who received a transfusion of 4 units or more of blood. Up to five cases/hospital randomly selected for structured case note peer review. National availability of GI bleeding services data derived from organisational questionnaire completed by all hospitals...
February 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27792735/systematic-analysis-of-self-reported-comorbidities-in-large-cohort-studies-a-novel-stepwise-approach-by-evaluation-of-medication
#10
Tanja Lucke, Ronald Herrera, Margarethe Wacker, Rolf Holle, Frank Biertz, Dennis Nowak, Rudolf M Huber, Sandra Söhler, Claus Vogelmeier, Joachim H Ficker, Harald Mückter, Rudolf A Jörres
OBJECTIVE: In large cohort studies comorbidities are usually self-reported by the patients. This way to collect health information only represents conditions known, memorized and openly reported by the patients. Several studies addressed the relationship between self-reported comorbidities and medical records or pharmacy data, but none of them provided a structured, documented method of evaluation. We thus developed a detailed procedure to compare self-reported comorbidities with information on comorbidities derived from medication inspection...
2016: PloS One
https://www.readbyqxmd.com/read/27774710/closing-the-aboriginal-child-injury-gap-targets-for-injury-prevention
#11
Holger Möller, Kathleen Falster, Rebecca Ivers, Michael O Falster, Kathleen Clapham, Louisa Jorm
OBJECTIVE: To describe the leading mechanisms of hospitalised unintentional injury in Australian Aboriginal children and identify the injury mechanisms with the largest inequalities between Aboriginal and non-Aboriginal children. METHODS: We used linked hospital and mortality data to construct a whole of population birth cohort including 1,124,717 children (1,088,645 non-Aboriginal and 35,749 Aboriginal) born in the state of New South Wales (NSW), Australia, between 1 July 2000 and 31 December 2012...
October 23, 2016: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/27749656/children-hospitalized-with-varicella-in-denmark-sensitivity-of-the-national-patient-register
#12
Ida Glode Helmuth, Marcella Ditte Broccia, Jonathan Peter Glenthøj, Katja Harder, Lise Jensen, Marie-Louise von Linstow, Anja Poulsen, Kåre Mølbak
BACKGROUND: Varicella, common in childhood and most often self-limiting, may cause complications including bacterial superinfection, pneumonia and encephalitis. Universal childhood varicella vaccination has been introduced in several countries, but is controversial in Europe. In Denmark, varicella is not part of the national immunization program and there is no national surveillance of varicella. The primary aim of the study was to describe the epidemiology and clinical characteristics of children hospitalized with varicella in Denmark...
January 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/27738704/-evaluation-of-an-icd-10-based-electronic-surveillance-of-acute-respiratory-infections-seed-ari-in-germany
#13
Karla Köpke, Kerstin Prahm, Silke Buda, Walter Haas
BACKGROUND: Every year epidemic waves of influenza and other acute respiratory infections (ARIs) cause a highly variable burden of disease in the population. Thus, assessment of the situation and adaptation of prevention strategies have to rely on real time syndromic surveillance. OBJECTIVE: We have established an ICD-10-based electronic system allowing rapid capture and transmission of information on ARI (SEED(ARI)), in Germany. Here we report the evaluation of this new system based on results of the syndromic and virologic surveillance carried out by the working group on influenza in Germany (AGI)...
November 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/27652197/isass-policy-2016-update-minimally-invasive-sacroiliac-joint-fusion
#14
Morgan P Lorio
The index 2014 ISASS Policy Statement - Minimally Invasive Sacroiliac Joint Fusion was generated out of necessity to provide an ICD9-based background and emphasize tools to ensure correct diagnosis. A timely ICD10-based 2016 Update provides a granular threshold selection with improved level of evidence and a more robust, relevant database.
2016: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/27615323/increased-mortality-after-lower-extremity-fractures-in-patients-65-years-of-age
#15
Axel Somersalo, Juha Paloneva, Hannu Kautiainen, Eija LÖNnroos, Mikko HEinÄNen, Ilkka Kiviranta
Background and purpose - The association between mortality and lower extremity fractures (other than hip fractures in older individuals) is unclear. We therefore investigated mortality in adults of all ages after lower extremity fractures that required inpatient care. Patients and methods - Diagnosis code (ICD10), procedure code (NOMESCO), and 7 additional characteristics of patients admitted to the trauma ward at Central Finland Hospital were collected between 2002 and 2008 (n = 3,567). Patients were followed up until the end of 2012...
December 2016: Acta Orthopaedica
https://www.readbyqxmd.com/read/27614089/the-impact-of-serious-adverse-drug-reactions-a-population-based-study-of-a-decade-of-hospital-admissions-in-new-south-wales-australia
#16
Scott R Walter, Richard O Day, Blanca Gallego, Johanna I Westbrook
AIMS: Adverse drug reactions (ADRs) have major impacts on patients and the hospital system. Methods identifying ADRs from selected International Classification of Diseases-10th revision (ICD-10) diagnosis and external cause codes can be applied to population-level hospital admissions data, enabling the study of rare, yet serious ADRs. The present study aimed to use ICD10-based methods to identify four types of serious idiosyncratic ADRs in Australia, and to assess changes in incidence and their impact on length of stay (LOS), readmission and in-hospital mortality...
February 2017: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/27607541/deaths-related-to-nontuberculous-mycobacterial-infections-in-the-united-states-1999-2014
#17
Christopher Vinnard, Sarah Longworth, Alyssa Mezochow, Amee Patrawalla, Barry N Kreiswirth, Keith Hamilton
RATIONALE: Unlike tuberculosis, nontuberculous mycobacterial disease is not reportable to public health authorities in the United States, and the total burden of disease is uncertain. OBJECTIVES: To estimate the mortality of nontuberculous mycobacterial disease in the United States over a 15-year period and to identify temporal trends. METHODS: The U.S. Multiple Cause of Death Files from 1999 through 2014 were searched for a listing of nontuberculous mycobacterial disease by International Classification of Diseases, Tenth Revision code as either the underlying or a contributing cause of death...
November 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27566470/racial-disparities-in-prostate-cancer-mortality-in-the-50-largest-us-cities
#18
Maureen R Benjamins, Bijou R Hunt, Sarah M Raleigh, Jana L Hirschtick, Michelle M Hughes
INTRODUCTION: This paper presents race-specific prostate cancer mortality rates and the corresponding disparities for the largest cities in the US over two decades. METHODS: The 50 largest cities in the US were the units of analysis. Data from two 5-year periods were analyzed: 1990-1994 and 2005-2009. Numerator data were abstracted from national death files where the cause was malignant neoplasm of prostate (prostate cancer) (ICD9=185 and ICD10=C61). Population-based denominators were obtained from US Census data...
October 2016: Cancer Epidemiology
https://www.readbyqxmd.com/read/27547191/physical-functional-capacity-and-c-reactive-protein-in-schizophrenia
#19
Michele Fonseca Vieira Szortyka, Viviane Batista Cristiano, Keila Maria Ceresér, Lenise Petter Francesconi, Maria Inês Lobato, Clarissa Gama, Paulo Belmonte-de-Abreu
INTRODUCTION: Schizophrenia is a severe, debilitating mental disorder that affects both the physical health and the functional capacity of patients, causing great impairment throughout the life course. Although physical and cognitive impairments may represent different expressions of a single systemic inflammatory process, little is known about the relationship between motor function and schizophrenia. OBJECTIVE: To evaluate physical functional capacity in patients with schizophrenia and ascertain whether it correlates with markers of inflammation, disease severity, and pharmacotherapy...
2016: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/27544662/the-costs-of-hazardous-alcohol-consumption-in-germany
#20
Tobias Effertz, Frank Verheyen, Roland Linder
Hazardous alcohol consumption in Germany is a main threat to health. By using insurance claim data from the German Statutory Health Insurance and a classification strategy based on ICD10 diagnoses-codes we analyzed a sample of 146,000 subjects with more than 19,000 hazardous alcohol consumers. Employing different regression models with a control function approach, we calculate life years lost due to alcohol consumption, annual direct and indirect health costs, and the burden of pain and suffering measured by the Charlson-Index and assessed pain diagnoses...
August 20, 2016: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
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