ArticleEGEMS (Washington, DC)2016
Preparing for the ICD-10-CM Transition: Automated Methods for Translating ICD Codes in Clinical Phenotype Definitions.
Article in EGEMS (Washington, DC), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Use of International Classification of Diseases Codes to Identify Patients with Pancreatitis: A Systematic Review and Meta-analysis of Diagnostic Accuracy Studies.Clinical and translational gastroenterology · 2018Pooled it
- Adverse Drug Events Associated with Opioid Treatment for Pain After Motor Vehicle Crash.Journal of pain research · 2026Article
- Assessing the safety and efficacy of prescribing psychologists in New Mexico and Louisiana.The American psychologist · 2025Article
- Effects of Initiating Different Antidepressant Subclasses on Motor Vehicle Crash Risk Among Older Adults With Depression.Journal of the American Geriatrics Society · 2025Article
- Hierarchical clustering analysis to inform classification of congenital malformations for surveillance of medication safety in pregnancy.American journal of epidemiology · 2025Article
- Observational
- Validating claims-based definitions for deprescribing: Bridging the gap between clinical and administrative data.Pharmacoepidemiology and drug safety · 2024Article
- Influenza Vaccine Administration and Effectiveness Among Children and Adults With Glomerular Disease.Kidney international reports · 2024Article
- Article
- Adverse drug reactions in hospitals: population estimates for Portugal and the ICD-9-CM to ICD-10-CM crosswalk.BMC health services research · 2023Article
- Next-generation phenotyping: introducing phecodeX for enhanced discovery research in medical phenomics.Bioinformatics (Oxford, England) · 2023Article
- Validation of claims-based algorithms to identify non-live birth outcomes.Pharmacoepidemiology and drug safety · 2023Article
- Improving Methods of Identifying Anaphylaxis for Medical Product Safety Surveillance Using Natural Language Processing and Machine Learning.American journal of epidemiology · 2023Article
- Risk of Duplicate ICD Codes for Orthopedic and Injury Related Research.Perspectives in health information managemen · 2023Article
- Clinical implications of gender and race in patients admitted with autoimmune hepatitis: updated analysis of US hospitals.Frontline gastroenterology · 2023Article
- The clinical implication of psychiatric illnesses in patients with alcoholic liver disease: an analysis of US hospitals.Expert review of gastroenterology & hepatology · 2022Article
- Sequential Mapping - A Novel Approach to Map from ICD-10-CM to ICD-11.Studies in health technology and informatics · 2022Article
- The clinical impact of frailty on the postoperative outcomes of patients undergoing gastrectomy for gastric cancer: a propensity-score matched database study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2022Article
- Validity of claims-based algorithms to identify neurodevelopmental disorders in children.Pharmacoepidemiology and drug safety · 2021Article
- Effects of anticholinergic and sedative medication use on fractures: A self-controlled design study.Journal of the American Geriatrics Society · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundThe national mandate for health systems to transition from ICD-9-CM to ICD-10-CM in October 2015 has an impact on research activities. Clinical phenotypes defined by ICD-9-CM codes need to be converted to ICD-10-CM, which has nearly four times more codes and a very different structure than ICD-9-CM.
methodsWe used the Centers for Medicare & Medicaid Services (CMS) General Equivalent Maps (GEMs) to translate, using four different methods, condition-specific ICD-9-CM code sets used for pragmatic trials (n=32) into ICD-10-CM. We calculated the recall, precision, and F score of each method. We also used the ICD-9-CM and ICD-10-CM value sets defined for electronic quality measure as an additional evaluation of the mapping methods.
resultsThe forward-backward mapping (FBM) method had higher precision, recall and F-score metrics than simple forward mapping (SFM). The more aggressive secondary (SM) and tertiary mapping (TM) methods resulted in higher recall but lower precision. For clinical phenotype definition, FBM was the best (F=0.67), but was close to SM (F=0.62) and TM (F=0.60), judging on the F-scores alone. The overall difference between the four methods was statistically significant (one-way ANOVA, F=5.749, p=0.001). However, pairwise comparisons between FBM, SM, and TM did not reach statistical significance. A similar trend was found for the quality measure value sets. DISCUSSION: The optimal method for using the GEMs depends on the relative importance of recall versus precision for a given use case. It appears that for clinically distinct and homogenous conditions, the recall of FBM is sufficient. The performance of all mapping methods was lower for heterogeneous conditions. Since code sets used for phenotype definition and quality measurement can be very similar, there is a possibility of cross-fertilization between the two activities.
conclusionDifferent mapping approaches yield different collections of ICD-10-CM codes. All methods require some level of human validation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.