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dc.contributor.authorAndrade, Susan E.
dc.contributor.authorGurwitz, Jerry H.
dc.contributor.authorChan, K. Arnold
dc.contributor.authorDonahue, James G.
dc.contributor.authorBeck, Arne
dc.contributor.authorBoles, Myde
dc.contributor.authorBuist, Diana S. M.
dc.contributor.authorGoodman, Michael J.
dc.contributor.authorLaCroix, Andrea Z.
dc.contributor.authorLevin, T. R.
dc.contributor.authorPlatt, Richard
dc.date2022-08-11T08:09:22.000
dc.date.accessioned2022-08-23T16:27:58Z
dc.date.available2022-08-23T16:27:58Z
dc.date.issued2002-03-28
dc.date.submitted2011-12-09
dc.identifier.citationJ Clin Epidemiol. 2002 Mar;55(3):310-3.
dc.identifier.issn0895-4356 (Linking)
dc.identifier.pmid11864803
dc.identifier.urihttp://hdl.handle.net/20.500.14038/36909
dc.description.abstractThe automated health plan data and data from medical chart abstractions from eight large health maintenance organizations were used to evaluate the positive predictive values (PPVs) of the International Classification of Diseases, 9th revision (ICD-9) codes for cases of peptic ulcers and upper gastrointestinal bleeding. Overall, 207 of 884 cases of peptic ulcers and upper gastrointestinal bleeding (23%) were confirmed by surgery, endoscopy, X-ray, or autopsy. The PPVs were 66% for hospitalizations with codes for duodenal ulcer (ICD-9-CM 532), 61% for gastric/gastrojejunal ulcer (ICD-9-CM 531, 534), 1% for peptic ulcer (ICD-9-CM 533), and 9% for gastrointestinal hemorrhage (ICD-9-CM578). The overall and diagnostic category-specific PPVs were generally similar for the various HMOs. This study, using data from a large number of health plans located in different geographical regions, underscores the importance of evaluating the accuracy of the diagnoses from automated health plan databases.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=11864803&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1016/S0895-4356(01)00480-2
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectFemale
dc.subjectGastrointestinal Hemorrhage
dc.subject*Health Maintenance Organizations
dc.subjectHospitalization
dc.subjectHumans
dc.subjectMale
dc.subject*Medical Records Systems, Computerized
dc.subjectMiddle Aged
dc.subjectPeptic Ulcer
dc.subjectPredictive Value of Tests
dc.subjectRetrospective Studies
dc.subjectUnited States
dc.subjectHealth Services Research
dc.subjectPrimary Care
dc.titleValidation of diagnoses of peptic ulcers and bleeding from administrative databases: a multi-health maintenance organization study
dc.typeJournal Article
dc.source.journaltitleJournal of clinical epidemiology
dc.source.volume55
dc.source.issue3
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/meyers_pp/290
dc.identifier.contextkey2396650
html.description.abstract<p>The automated health plan data and data from medical chart abstractions from eight large health maintenance organizations were used to evaluate the positive predictive values (PPVs) of the International Classification of Diseases, 9th revision (ICD-9) codes for cases of peptic ulcers and upper gastrointestinal bleeding. Overall, 207 of 884 cases of peptic ulcers and upper gastrointestinal bleeding (23%) were confirmed by surgery, endoscopy, X-ray, or autopsy. The PPVs were 66% for hospitalizations with codes for duodenal ulcer (ICD-9-CM 532), 61% for gastric/gastrojejunal ulcer (ICD-9-CM 531, 534), 1% for peptic ulcer (ICD-9-CM 533), and 9% for gastrointestinal hemorrhage (ICD-9-CM578). The overall and diagnostic category-specific PPVs were generally similar for the various HMOs. This study, using data from a large number of health plans located in different geographical regions, underscores the importance of evaluating the accuracy of the diagnoses from automated health plan databases.</p>
dc.identifier.submissionpathmeyers_pp/290
dc.contributor.departmentDepartment of Medicine, Division of Geriatric Medicine
dc.contributor.departmentMeyers Primary Care Institute
dc.source.pages310-3


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