Evidence map›Paper›PMID 10943880›Full record

ArticleArthritis and rheumatism2000

Evaluating the predictive value of osteoarthritis diagnoses in an administrative database.

L R Harrold, R A Yood, S E Andrade, J I Reed, J Cernieux, W Straus, M Weeks, B Lewis, J H Gurwitz

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Article in Arthritis and rheumatism, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Identifying cases of chronic pain using health administrative data: A validation study.Canadian journal of pain = Revue canadienne de la douleur · 2020
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  14. Knee Disorders Among Carpenters in the St. Louis Area.The open occupational health & safety journal · 2014
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

L R HarroldMeyers Primary Care Institute, Fallon Healthcare System, and the University of Massachusetts Medical School, Worcester 01608, USA.
R A Yood
S E Andrade
J I Reed
J Cernieux
W Straus
M Weeks
B Lewis
J H Gurwitz

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the positive and negative predictive values of osteoarthritis (OA) diagnoses contained in an administrative database.

methodsWe identified all members (> or =18 years of age) of a Massachusetts health maintenance organization with documentation of at least one health care encounter associated with an OA diagnosis during the period 1994-1996. From this population, we randomly selected 350 subjects. In addition, we randomly selected 250 enrollees (proportionally by the age and sex of the 350 subjects) who did not have a health care encounter associated with an OA diagnosis. Trained nurse reviewers abstracted OA-related clinical, laboratory, and radiologic data from the medical records of both study groups (all but 1 chart was available for review). Pairs of physician reviewers evaluated the abstracted information for both groups of subjects and rated the evidence for the presence of OA according to 3 levels: definite, possible, and unlikely.

resultsAmong the group of patients with an administrative diagnosis of OA, 215 (62%) were rated as having definite OA, 36 (10%) possible OA, and 98 (28%) unlikely OA, according to information contained in the medical record. The positive predictive value of an OA diagnosis was 62%. In those without an administrative OA diagnosis, 44 (18%) were assigned a rating of definite OA. The negative predictive value of the absence of an administrative OA diagnosis was 78%.

conclusionUse of administrative data in epidemiologic and health services research on OA may lead to both case misclassification and under ascertainment.

Indexed as

AgedConfidence IntervalsDatabases, FactualEvaluation Studies as TopicFemaleHumansMaleMiddle AgedOsteoarthritisPredictive Value of TestsPrevalenceSex Ratio

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