Comparing chronic condition rates using ICD-9 and ICD-10 in VA patients FY2014-2016.
Identifieur interne : 000A44 ( Main/Exploration ); précédent : 000A43; suivant : 000A45Comparing chronic condition rates using ICD-9 and ICD-10 in VA patients FY2014-2016.
Auteurs : Jean Yoon [États-Unis] ; Adam Chow [États-Unis]Source :
- BMC health services research [ 1472-6963 ] ; 2017.
Descripteurs français
- KwdFr :
- Anciens combattants (MeSH), Classification internationale des maladies (MeSH), Codage clinique (MeSH), Department of Veterans Affairs (USA) (MeSH), Humains (MeSH), Infections à VIH (classification), Infections à VIH (épidémiologie), Maladie chronique (classification), Maladie chronique (épidémiologie), Maladie d'Alzheimer (classification), Maladie d'Alzheimer (épidémiologie), Maladies cardiovasculaires (classification), Maladies cardiovasculaires (épidémiologie), Prévalence (MeSH), Traumatismes de la moelle épinière (classification), Traumatismes de la moelle épinière (épidémiologie), Troubles mentaux (classification), Troubles mentaux (épidémiologie), États-Unis (épidémiologie).
- MESH :
- épidémiologie : Infections à VIH, Maladie chronique, Maladie d'Alzheimer, Maladies cardiovasculaires, Traumatismes de la moelle épinière, Troubles mentaux, États-Unis.
- classification : Anciens combattants, Classification internationale des maladies, Codage clinique, Department of Veterans Affairs (USA), Humains, Infections à VIH, Maladie chronique, Maladie d'Alzheimer, Maladies cardiovasculaires, Prévalence, Traumatismes de la moelle épinière, Troubles mentaux.
English descriptors
- KwdEn :
- Alzheimer Disease (classification), Alzheimer Disease (epidemiology), Cardiovascular Diseases (classification), Cardiovascular Diseases (epidemiology), Chronic Disease (classification), Chronic Disease (epidemiology), Clinical Coding (MeSH), HIV Infections (classification), HIV Infections (epidemiology), Humans (MeSH), International Classification of Diseases (MeSH), Mental Disorders (classification), Mental Disorders (epidemiology), Prevalence (MeSH), Spinal Cord Injuries (classification), Spinal Cord Injuries (epidemiology), United States (epidemiology), United States Department of Veterans Affairs (MeSH), Veterans (MeSH).
- MESH :
- classification : Alzheimer Disease, Cardiovascular Diseases, Chronic Disease, HIV Infections, Mental Disorders, Spinal Cord Injuries.
- epidemiology : Alzheimer Disease, Cardiovascular Diseases, Chronic Disease, HIV Infections, Mental Disorders, Spinal Cord Injuries, United States.
- Clinical Coding, Humans, International Classification of Diseases, Prevalence, United States Department of Veterans Affairs, Veterans.
Abstract
BACKGROUND
Management of patients with chronic conditions relies on accurate measurement. It is unknown how transition to the ICD-10 coding system affected reporting of chronic condition rates over time. We measured chronic condition rates 2 years before and 1 year after the transition to ICD-10 to examine changes in prevalence rates and potential measurement issues in the Veterans Affairs (VA) health care system.
METHODS
We developed definitions for 34 chronic conditions using ICD-9 and ICD-10 codes and compared the prevalence rates of these conditions from FY2014 to 2016 in a 20% random sample (1.0 million) of all VA patients. In each year we estimated the total number of patients diagnosed with the conditions. We regressed each condition on an indicator of ICD-10 (versus ICD-9) measurement to obtain the odds ratio associated with ICD-10.
RESULTS
Condition prevalence estimates were similar for most conditions before and after ICD-10 transition. We found significant changes in a few exceptions. Alzheimer's disease and spinal cord injury had more than twice the odds of being measured with ICD-10 compared to ICD-9. HIV/AIDS had one-third the odds, and arthritis had half the odds of being measured with ICD-10. Alcohol dependence and tobacco/nicotine dependence had half the odds of being measured in ICD-10.
CONCLUSION
Many chronic condition rates were consistent from FY14-16, and there did not appear to be widespread undercoding of conditions after ICD-10 transition. It is unknown whether increased sensitivity or undercoding led to decreases in mental health conditions.
DOI: 10.1186/s12913-017-2504-9
PubMed: 28818082
PubMed Central: PMC5561575
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alzheimer Disease (classification)</term>
<term>Alzheimer Disease (epidemiology)</term>
<term>Cardiovascular Diseases (classification)</term>
<term>Cardiovascular Diseases (epidemiology)</term>
<term>Chronic Disease (classification)</term>
<term>Chronic Disease (epidemiology)</term>
<term>Clinical Coding (MeSH)</term>
<term>HIV Infections (classification)</term>
<term>HIV Infections (epidemiology)</term>
<term>Humans (MeSH)</term>
<term>International Classification of Diseases (MeSH)</term>
<term>Mental Disorders (classification)</term>
<term>Mental Disorders (epidemiology)</term>
<term>Prevalence (MeSH)</term>
<term>Spinal Cord Injuries (classification)</term>
<term>Spinal Cord Injuries (epidemiology)</term>
<term>United States (epidemiology)</term>
<term>United States Department of Veterans Affairs (MeSH)</term>
<term>Veterans (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Anciens combattants (MeSH)</term>
<term>Classification internationale des maladies (MeSH)</term>
<term>Codage clinique (MeSH)</term>
<term>Department of Veterans Affairs (USA) (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à VIH (classification)</term>
<term>Infections à VIH (épidémiologie)</term>
<term>Maladie chronique (classification)</term>
<term>Maladie chronique (épidémiologie)</term>
<term>Maladie d'Alzheimer (classification)</term>
<term>Maladie d'Alzheimer (épidémiologie)</term>
<term>Maladies cardiovasculaires (classification)</term>
<term>Maladies cardiovasculaires (épidémiologie)</term>
<term>Prévalence (MeSH)</term>
<term>Traumatismes de la moelle épinière (classification)</term>
<term>Traumatismes de la moelle épinière (épidémiologie)</term>
<term>Troubles mentaux (classification)</term>
<term>Troubles mentaux (épidémiologie)</term>
<term>États-Unis (épidémiologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Alzheimer Disease</term>
<term>Cardiovascular Diseases</term>
<term>Chronic Disease</term>
<term>HIV Infections</term>
<term>Mental Disorders</term>
<term>Spinal Cord Injuries</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alzheimer Disease</term>
<term>Cardiovascular Diseases</term>
<term>Chronic Disease</term>
<term>HIV Infections</term>
<term>Mental Disorders</term>
<term>Spinal Cord Injuries</term>
<term>United States</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à VIH</term>
<term>Maladie chronique</term>
<term>Maladie d'Alzheimer</term>
<term>Maladies cardiovasculaires</term>
<term>Traumatismes de la moelle épinière</term>
<term>Troubles mentaux</term>
<term>États-Unis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Clinical Coding</term>
<term>Humans</term>
<term>International Classification of Diseases</term>
<term>Prevalence</term>
<term>United States Department of Veterans Affairs</term>
<term>Veterans</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="fr"><term>Anciens combattants</term>
<term>Classification internationale des maladies</term>
<term>Codage clinique</term>
<term>Department of Veterans Affairs (USA)</term>
<term>Humains</term>
<term>Infections à VIH</term>
<term>Maladie chronique</term>
<term>Maladie d'Alzheimer</term>
<term>Maladies cardiovasculaires</term>
<term>Prévalence</term>
<term>Traumatismes de la moelle épinière</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Management of patients with chronic conditions relies on accurate measurement. It is unknown how transition to the ICD-10 coding system affected reporting of chronic condition rates over time. We measured chronic condition rates 2 years before and 1 year after the transition to ICD-10 to examine changes in prevalence rates and potential measurement issues in the Veterans Affairs (VA) health care system.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We developed definitions for 34 chronic conditions using ICD-9 and ICD-10 codes and compared the prevalence rates of these conditions from FY2014 to 2016 in a 20% random sample (1.0 million) of all VA patients. In each year we estimated the total number of patients diagnosed with the conditions. We regressed each condition on an indicator of ICD-10 (versus ICD-9) measurement to obtain the odds ratio associated with ICD-10.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Condition prevalence estimates were similar for most conditions before and after ICD-10 transition. We found significant changes in a few exceptions. Alzheimer's disease and spinal cord injury had more than twice the odds of being measured with ICD-10 compared to ICD-9. HIV/AIDS had one-third the odds, and arthritis had half the odds of being measured with ICD-10. Alcohol dependence and tobacco/nicotine dependence had half the odds of being measured in ICD-10.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Many chronic condition rates were consistent from FY14-16, and there did not appear to be widespread undercoding of conditions after ICD-10 transition. It is unknown whether increased sensitivity or undercoding led to decreases in mental health conditions.</p>
</div>
</front>
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<AbstractText Label="RESULTS" NlmCategory="RESULTS">Condition prevalence estimates were similar for most conditions before and after ICD-10 transition. We found significant changes in a few exceptions. Alzheimer's disease and spinal cord injury had more than twice the odds of being measured with ICD-10 compared to ICD-9. HIV/AIDS had one-third the odds, and arthritis had half the odds of being measured with ICD-10. Alcohol dependence and tobacco/nicotine dependence had half the odds of being measured in ICD-10.</AbstractText>
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