Evidence map›Paper›PMID 28392715›Full record

ArticleClinical epidemiology2017

Positive predictive values of International Classification of Diseases, 10th revision codes for dermatologic events and hypersensitivity leading to hospitalization or emergency room visit among women with postmenopausal osteoporosis in the Danish and Swedish national patient registries.

Kasper Adelborg, Lotte Brix Christensen, Troels Munch, Johnny Kahlert, Ylva Trolle Lagerros, Grethe S Tell, Ellen M Apalset, Fei Xue, Vera Ehrenstein

Abstract read
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Article in Clinical epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Kasper AdelborgDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
Lotte Brix ChristensenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
Troels MunchDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
Johnny KahlertDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
Ylva Trolle LagerrosDepartment of Medicine, Clinical Epidemiology Unit, Karolinska Institutet; Department of Medicine, Clinic of Endocrinology, Metabolism and Diabetes, Karolinska University Hospital, Stockholm, Sweden.
Grethe S TellDepartment of Global Public Health and Primary Care, University of Bergen.
Ellen M ApalsetDepartment of Global Public Health and Primary Care, University of Bergen; Department of Rheumatology, Haukeland University Hospital, Bergen, Norway.
Fei XueCenter for Observational Research, Amgen Inc. Thousand Oaks, CA, USA.
Vera EhrensteinDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical epidemiology research studies, including pharmacoepidemiology and pharmacovigilance studies, use routinely collected health data, such as diagnoses recorded in national health and administrative registries, to assess clinical effectiveness and safety of treatments. We estimated positive predictive values (PPVs) of International Classification of Diseases, 10th revision (ICD-10) codes for primary diagnoses of dermatologic events and hypersensitivity recorded at hospitalization or emergency room visit in the national patient registries of Denmark and Sweden among women with postmenopausal osteoporosis (PMO).

methodsThis validation study included women with PMO identified from the Danish and Swedish national patient registries (2005-2014). Medical charts of the potential cases served as the gold standard for the diagnosis confirmation and were reviewed and adjudicated by physicians.

resultsWe obtained and reviewed 189 of 221 sampled medical records (86%). The overall PPV was 92.4% (95% confidence interval [CI], 85.1%-96.3%) for dermatologic events, while the PPVs for bullous events and erythematous dermatologic events were 52.5% (95% CI, 37.5%-67.1%) and 12.5% (95% CI, 2.2%-47.1%), respectively. The PPV was 59.0% (95% CI, 48.3%-69.0%) for hypersensitivity; however, the PPV of hypersensitivity increased to 100.0% (95% CI, 67.6%-100.0%) when restricting to diagnostic codes for anaphylaxis. The overall results did not vary by country.

conclusionAmong women with PMO, the PPV for any dermatologic event recorded as the primary diagnosis at hospitalization or at an emergency room visit was high and acceptable for epidemiologic research in the Danish and Swedish national patient registries. The PPV was substantially lower for hypersensitivity leading to hospitalization or emergency room visit.

Indexed as

dermatologypharmacoepidemiologypositive predictive valuevalidation

Identifiers

PMID28392715
PMCPMC5373846

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