ArticleJournal of medical Internet research2018
Web-Based Information Infrastructure Increases the Interrater Reliability of Medical Coders: Quasi-Experimental Study.
Article in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
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Who cites it
7 citing papers in PubMed.
- Europe's Largest Research Infrastructure for Curated Medical Data Models with Semantic Annotations.Methods of information in medicine · 2024Article
- Pragmatic MDR: a metadata repository with bottom-up standardization of medical metadata through reuse.BMC medical informatics and decision making · 2021Article
- Artificial Intelligence in Medicine: Chances and Challenges for Wide Clinical Adoption.Visceral medicine · 2020Review
- Conceptual Design, Implementation, and Evaluation of Generic and Standard-Compliant Data Transfer into Electronic Health Records.Applied clinical informatics · 2020Article
- Implementation of Mock Acute Care Advance Pharmacy Practice Experience Simulations and an Assessment Rubric.American journal of pharmaceutical education · 2019Article
- CDEGenerator: an online platform to learn from existing data models to build model registries.Clinical epidemiology · 2018Article
- Medical Coders' Use of the ICD-10-CM "Unspecified" Codes for Head and Brain Injury in Emergency Department Settings.Journal of public health management and practice : JPHMPArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedical coding is essential for standardized communication and integration of clinical data. The Unified Medical Language System by the National Library of Medicine is the largest clinical terminology system for medical coders and Natural Language Processing tools. However, the abundance of ambiguous codes leads to low rates of uniform coding among different coders.
objectiveThe objective of our study was to measure uniform coding among different medical experts in terms of interrater reliability and analyze the effect on interrater reliability using an expert- and Web-based code suggestion system.
methodsWe conducted a quasi-experimental study in which 6 medical experts coded 602 medical items from structured quality assurance forms or free-text eligibility criteria of 20 different clinical trials. The medical item content was selected on the basis of mortality-leading diseases according to World Health Organization data. The intervention comprised using a semiautomatic code suggestion tool that is linked to a European information infrastructure providing a large medical text corpus of >300,000 medical form items with expert-assigned semantic codes. Krippendorff alpha (K
resultsThe intervention improved interrater reliability in structured quality assurance form items (from K
conclusionsThe Web-based code suggestion mechanism improved interrater reliability toward moderate or even substantial intercoder agreement. Precoordination and the use of structured versus free-text data elements are key drivers of higher interrater reliability.
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Registered trials
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