Evidence map›Paper›PMID 26959724›Full record

ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2016

Estimating the completeness of physician billing claims for diabetes case ascertainment using population-based prescription drug data.

L M Lix, J P Kuwornu, K Kroeker, G Kephart, K C Sikdar, M Smith, H Quan

Abstract read
In one paragraph

Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

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

  1. Pooled it
  2. Trial
  3. Estimating the completeness of physician billing claims for diabetes case ascertainment: a multiprovince investigation.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2023
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  6. Effects of long-term inhaled corticosteroid treatment on fragility fractures in older women: the Manitoba BMD registry study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
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  9. Public housing and healthcare use: an investigation using linked administrative data.Canadian journal of public health = Revue canadienne de sante publique · 2019
    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

7 authors.

L M LixDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
J P KuwornuDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
K KroekerDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
G KephartDepartment of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
K C SikdarLibin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.
M SmithManitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada.
H QuanLibin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.

Funding

Canadian Institutes of Health Research 123357
6 · The paper itself

Abstract

introductionChanges in physician reimbursement policies may hinder the collection of billing claims in administrative data; this can result in biased estimates of disease prevalence and incidence. However, the magnitude of data loss is largely unknown. The purpose of this study was to estimate completeness of capture of disease cases for Manitoba physicians paid by fee-for-service (FFS) and non-fee-for-service (NFFS) methods.

methodsManitoba's administrative data were used to identify a cohort (≥ 20 years) with a new diabetes medication between 1 April, 2007, and 31 March, 2009. Cohort members were classified by payment method of the prescribing physician (i.e. FFS vs. NFFS). The cohort was then classified as missing or not missing a diabetes diagnosis using physician claims and hospital records. Then, χ2 statistics were used to test for differences in the characteristics of the two groups.

resultsThe cohort consisted of 12 394 individuals; 86.4% had a prescription for a diabetes medication from an FFS physician. A total of 1172 physicians (81.8% FFS) prescribed these medications for the cohort. Cohort members with a prescription from an FFS physician were older and more likely to reside in the urban Winnipeg health region than those with a prescription from a NFFS physician. A greater percentage of NFFS physicians' cases were missing a diabetes diagnosis (18.7%vs. 14.9% for FFS physicians).

conclusionThe results suggest minimal loss of physician claims associated with remuneration policies in Manitoba. This method of assessing data completeness could be applied to other chronic diseases and jurisdictions to estimate completeness.

Indexed as

Diabetes MellitusAdultFee-for-Service PlansFemaleHumansHypoglycemic AgentsInsurance Claim ReviewMaleManitobaMiddle AgedPractice Patterns, Physicians'Prescription DrugsPrevalenceSocioeconomic FactorsHypoglycemic AgentsPrescription Drugschronic diseasedata qualitymedical recordssurveillance

Identifiers

PMID26959724
PMCPMC4910418

What OpenQuestion holds

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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.