ArticlePancreas2016
The Chronic Pancreatitis International Classification of Diseases, Ninth Revision, Clinical Modification Code 577.1 Is Inaccurate Compared With Criterion-Standard Clinical Diagnostic Scoring Systems.
Article in Pancreas, 2016. 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.
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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.
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Who cites it
16 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
- Early Chronic Pancreatitis-Consider Alternatives When There Is Low Diagnostic Confidence: A Concise Commentary.Digestive diseases and sciences · 2025Article
- Review
- Identification of pancreatic cancer risk factors from clinical notes using natural language processing.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2024Article
- Clinical significance of pancreatic calcifications: a 15-year single-center observational study.European journal of medical research · 2022Observational
- Class III obesity rather than metabolic syndrome impacts clinical outcomes of acute pancreatitis: A propensity score weighted analysis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2020Article
- Bone health assessment in clinical practice is infrequenty performed in patients with chronic pancreatitis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2020Article
- The use of pancreatic enzyme replacement therapy in patients with a diagnosis of chronic pancreatitis and pancreatic cancer in the US is infrequent and inconsistent.Alimentary pharmacology & therapeutics · 2020Article
- Characterization of patients with advanced chronic pancreatitis using natural language processing of radiology reports.PloS one · 2020Article
- Chronic Pancreatitis: Managing a Difficult Disease.The American journal of gastroenterology · 2020Review
- Factors Related to Development of Pancreatic Adenocarcinoma in Patients With Chronic Pancreatitis on Long-term Follow-up: A Database Study.The Permanente journal · 2020Article
- Period prevalence of chronic pancreatitis diagnosis from 2001-2013 in the commercially insured population of the United States.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2019Article
- Small Intestinal Bacterial Overgrowth Is Common in Chronic Pancreatitis and Associates With Diabetes, Chronic Pancreatitis Severity, Low Zinc Levels, and Opiate Use.The American journal of gastroenterology · 2019Article
- Intraluminal bezoar caused obstruction and pancreatitis: A case report.Clinical case reports · 2019Article
- Dietary Factors Reduce Risk of Acute Pancreatitis in a Large Multiethnic Cohort.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2017Article
- Chronic pancreatitis.Current opinion in gastroenterology · 2013Review
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesEpidemiological studies utilizing administrative databases use the International Classification of Diseases, Ninth Revision, Clinical Modification code (577.1) to identify patients with chronic pancreatitis (CP). We hypothesized that coding of CP in these databases is inaccurate.
methodsWe retrospectively reviewed the records of 1343 consecutive patients having an International Classification of Diseases, Ninth Revision, Clinical Modification code 577.1 between October 1, 2005, and November 1, 2008. We labeled patients as definite CP or non-CP, defined as fulfilling any of the 3 diagnostic criteria for definite CP: Mayo, Ammann's, and the Japanese Pancreas Society criteria.
resultsSix hundred fifty-eight subjects (49%) had definite CP. Definite CP among Mayo, Ammann's, and Japanese Pancreas Society criteria was similar (49.0, 42.1, and 43.8, respectively); 84.3% of the definite CP fulfilled all 3 criteria, 6.7% fulfilled 2, and 9.0% filled 1 criterion. Etiologies of definite CP were definite/suspected nonalcohol (57.8%) or alcohol (33.5%) and not reported (8.7%). In non-CP (n = 685), 93.7% had available imaging (5.7% had endoscopic ultrasonography ≥5 or Cambridge II-III scores), and 63.5% had symptoms suggestive of CP but did not fulfill other features for definite CP. The CP versus non-CP groups had similar mean ages but significantly more men and patients ever smoking and ever drinking alcohol.
conclusionsFifty-one percent of subjects coded as CP do not fulfill the diagnostic criteria for definite CP. Relying solely on the International Classification of Diseases, Clinical Modification code for CP in administrative databases may lead to erroneous epidemiological conclusions.
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