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ArticleEuropean archives of psychiatry and clinical neuroscience2020

Accuracy of diagnostic classification and clinical utility assessment of ICD-11 compared to ICD-10 in 10 mental disorders: findings from a web-based field study.

Wolfgang Gaebel, Johannes Stricker, Mathias Riesbeck, Jürgen Zielasek, Ariane Kerst, Eva Meisenzahl-Lechner, Volker Köllner, Matthias Rose, Tobias Hofmann, Ingo Schäfer and 12 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Article
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  7. The future of diagnosis in clinical neurosciences: Comparing multiple sclerosis and schizophrenia.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Review
  8. Review
  9. Article
  10. The ICD-11 is now officially in effect.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022
    Article
  11. ICD-11-related educational activities.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021
    Article
  12. Article
  13. Review
  14. Development of the new CPTSD diagnosis for ICD-11.Borderline personality disorder and emotion dysregulation · 2021
    Review
  15. Complex PTSD: what is the clinical utility of the diagnosis?European journal of psychotraumatology · 2021
    Review
  16. Article
  17. Review
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

22 authors.

Wolfgang GaebelDepartment of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Bergische Landstr. 2, 40629, Düsseldorf, Germany. wolfgang.gaebel@uni-duesseldorf.de.
Johannes StrickerDepartment of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Bergische Landstr. 2, 40629, Düsseldorf, Germany.
Mathias RiesbeckDepartment of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Bergische Landstr. 2, 40629, Düsseldorf, Germany.
Jürgen ZielasekLVR-Institute for Healthcare Research, Cologne, Germany.
Ariane KerstDepartment of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Bergische Landstr. 2, 40629, Düsseldorf, Germany.
Eva Meisenzahl-LechnerDepartment of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Bergische Landstr. 2, 40629, Düsseldorf, Germany.
Volker KöllnerDepartment of Psychosomatic Medicine, Rehabilitation Center Seehof, Federal German Pension Agency, Teltow, Berlin, Germany.
Matthias RoseDepartment of Psychosomatic Medicine, Center for Internal Medicine and Dermatology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Tobias HofmannDepartment of Psychosomatic Medicine, Center for Internal Medicine and Dermatology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Ingo SchäferDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Annett LotzinDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Peer BrikenInstitute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Verena KleinInstitute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Franziska BrunnerInstitute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jared W KeeleyDepartment of Psychology, Virginia Commonwealth University, Richmond, USA.
Julia BrechbielDepartment of Psychology, Virginia Commonwealth University, Richmond, USA.
Tahilia J RebelloColumbia University Global Mental Health Program, New York, USA.
Howard F AndrewsColumbia University Global Mental Health Program, New York, USA.
Geoffrey M ReedColumbia University Global Mental Health Program, New York, USA.
Ulrich VogelGerman Institute of Medical Documentation and Information, Cologne, Germany.
Alkomiet HasanDepartment of Psychiatry and Psychotherapy, University Hospital LMU Munich, Munich, Germany.
Peter FalkaiDepartment of Psychiatry and Psychotherapy, University Hospital LMU Munich, Munich, Germany.

Funding

Bundesministerium für Gesundheit D105-01_09_ICD-11_TMF_DGPPN
6 · The paper itself

Abstract

In this web-based field study, we compared the diagnostic accuracy and clinical utility of 10 selected mental disorders between the ICD-11 Clinical Descriptions and Diagnostic Guidelines (CDDG) and the ICD-10 CDDG using vignettes in a sample of 928 health professionals from all WHO regions. On average, the ICD-11 CDDG displayed significantly higher diagnostic accuracy (71.9% for ICD-11, 53.2% for ICD-10), higher ease of use, better goodness of fit, higher clarity, and lower time required for diagnosis compared to the ICD-10 CDDG. The advantages of the ICD-11 CDDG were largely limited to new diagnoses in ICD-11. After limiting analyses to diagnoses existing in ICD-11 and ICD-10, the ICD-11 CDDG were only superior in ease of use. The ICD-11 CDDG were not inferior in diagnostic accuracy or clinical utility compared to the ICD-10 CDDG for any of the vignettes. Diagnostic accuracy was consistent across WHO regions and independent of participants' clinical experience. There were no differences between medical doctors and psychologists in diagnostic accuracy, but members of other health professions had greater difficulties in determining correct diagnoses based on the ICD-11 CDDG. In sum, there were no differences in diagnostic accuracy for diagnoses existing in ICD-10 and ICD-11, but the introduction of new diagnoses in ICD-11 has improved the diagnostic classification of some clinical presentations. The favourable clinical utility ratings of the ICD-11 CDDG give reason to expect a positive evaluation by health professionals in the implementation phase of ICD-11. Yet, training in ICD-11 is needed to further enhance the diagnostic accuracy.

Indexed as

AdultFemaleHealth PersonnelHealth Services ResearchHumansInternational Classification of DiseasesMaleMental DisordersMiddle AgedClinical utilityDiagnosisDiagnostic accuracyField studyICD-11International Classification of DiseasesMental and behavioural disorders

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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.