Evidence map›Paper›PMID 18665858›Full record

ArticleHealth services research2008

Accuracy of physician billing claims for identifying acute respiratory infections in primary care.

Geneviève Cadieux, Robyn Tamblyn

Abstract readValidation Study
In one paragraph

Article in Health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

35 citing papers in PubMed.

  1. Article
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  6. Retrospective Cohort Analysis of Outpatient Antibiotic Use forThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2023
    Article
  7. Article
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  9. Antibiotic prescribing for respiratory tract infection across a national primary care network in 2019.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2022
    Article
  10. Article
  11. Article
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  13. Article
  14. Infant Respiratory Syncytial Virus Bronchiolitis and Subsequent Risk of Pneumonia, Otitis Media, and Antibiotic Utilization.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  15. Defining appropriate antibiotic prescribing in primary care: A modified Delphi panel approach.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2020
    Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Geneviève CadieuxClinical and Health Informatics Research Group, McGill University, 1140 Pine Avenue West, Montreal, QC H3A1A3, Canada. genevieve.cadieux@mail.mcgill.ca
Robyn Tamblyn

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the accuracy of physician billing claims for identifying acute respiratory infections in primary care. STUDY SETTING. Nine primary care physician practices in Montreal, Canada (2002-2005). STUDY

designA validation study was carried out to compare diagnoses in 3,526 physician billing claims with diagnoses documented in the corresponding patient medical records. DATA COLLECTION: In-office medical record abstraction. PRINCIPAL

findingsClaims had a high positive predictive value (PPV), negative predictive value, and specificity for identifying respiratory infections; however, their sensitivity was below 50 percent. Large variation in sensitivity and PPV was observed among physicians.

conclusionsBecause claims data are now routinely used to monitor antibiotic prescribing in primary care, future research should determine if acute respiratory infection diagnoses are missing from claims at random, or if bias is present.

Indexed as

Physicians' OfficesPrimary Health CareAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansInfantInsurance Claim ReportingMaleMedical RecordsMiddle AgedQuebec

Identifiers

PMID18665858
PMCPMC2614002

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.