Evidence map›Paper›PMID 32059039›Full record

Trial reportPloS one2020

Development of stroke identification algorithm for claims data using the multicenter stroke registry database.

Jun Yup Kim, Keon-Joo Lee, Jihoon Kang, Beom Joon Kim, Moon-Ku Han, Seong-Eun Kim, Heeyoung Lee, Jong-Moo Park, Kyusik Kang, Soo Joo Lee and 25 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

35 authors.

Jun Yup KimDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.ORCID 0000-0003-4764-5714
Keon-Joo LeeDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Jihoon KangDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.ORCID 0000-0001-5715-6610
Beom Joon KimDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Moon-Ku HanDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Seong-Eun KimDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Heeyoung LeeDepartment of Clinical Preventive Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Jong-Moo ParkDepartment of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, Republic of Korea.
Kyusik KangDepartment of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, Republic of Korea.
Soo Joo LeeDepartment of Neurology, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Republic of Korea.ORCID 0000-0001-8622-7000
Jae Guk KimDepartment of Neurology, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Republic of Korea.
Jae-Kwan ChaDepartment of Neurology, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Republic of Korea.
Dae-Hyun KimDepartment of Neurology, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Republic of Korea.
Tai Hwan ParkDepartment of Neurology, Seoul Medical Center, Seoul, Republic of Korea.
Moo-Seok ParkDepartment of Neurology, Seoul Medical Center, Seoul, Republic of Korea.
Sang-Soon ParkDepartment of Neurology, Seoul Medical Center, Seoul, Republic of Korea.
Kyung Bok LeeDepartment of Neurology, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, Republic of Korea.
Hong-Kyun ParkDepartment of Neurology, Inje University Ilsan Paik Hospital, Goyang, Republic of Korea.ORCID 0000-0002-8120-2469
Yong-Jin ChoDepartment of Neurology, Inje University Ilsan Paik Hospital, Goyang, Republic of Korea.
Keun-Sik HongDepartment of Neurology, Inje University Ilsan Paik Hospital, Goyang, Republic of Korea.
Kang-Ho ChoiDepartment of Neurology, Chonnam National University Hospital, Chonnam National University College of Medicine, Gwangju, Republic of Korea.
Joon-Tae KimDepartment of Neurology, Chonnam National University Hospital, Chonnam National University College of Medicine, Gwangju, Republic of Korea.
Dong-Eog KimDepartment of Neurology, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.
Wi-Sun RyuDepartment of Neurology, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.
Jay Chol ChoiDepartment of Neurology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Republic of Korea.
Mi-Sun OhDepartment of Neurology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Republic of Korea.
Kyung-Ho YuDepartment of Neurology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Republic of Korea.
Byung-Chul LeeDepartment of Neurology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Republic of Korea.ORCID 0000-0002-3885-981X
Kwang-Yeol ParkDepartment of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Republic of Korea.
Ji Sung LeeClinical Research Center, Asan Institute for Life Sciences, Asan Medical Center, Seoul, Republic of Korea.
Sujung JangDepartment of Biostatistics, Korea University College of Medicine, Seoul, Republic of Korea.
Jae Eun ChaeDepartment of Biostatistics, Korea University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0001-9069-0575
Juneyoung LeeDepartment of Biostatistics, Korea University College of Medicine, Seoul, Republic of Korea.
Hee-Joon BaeDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.ORCID 0000-0003-0051-1997
CRCS-K investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentifying acute ischemic stroke (AIS) among potential stroke cases is crucial for stroke research based on claims data. However, the accuracy of using the diagnostic codes of the International Classification of Diseases 10th revision was less than expected.

methodsFrom the National Health Insurance Service (NHIS) claims data, stroke cases admitted to the hospitals participating in the multicenter stroke registry (Clinical Research Collaboration for Stroke in Korea, CRCS-K) during the study period with principal or additional diagnosis codes of I60-I64 on the 10th revision of International Classification of Diseases were extracted. The datasets were randomly divided into development and validation sets with a ratio of 7:3. A stroke identification algorithm using the claims data was developed and validated through the linkage between the extracted datasets and the registry database.

resultsAltogether, 40,443 potential cases were extracted from the NHIS claims data, of which 31.7% were certified as AIS through linkage with the CRCS-K database. We selected 17 key identifiers from the claims data and developed 37 conditions through combinations of those key identifiers. The key identifiers comprised brain CT, MRI, use of tissue plasminogen activator, endovascular treatment, carotid endarterectomy or stenting, antithrombotics, anticoagulants, etc. The sensitivity, specificity, and diagnostic accuracy of the algorithm were 81.2%, 82.9%, and 82.4% in the development set, and 80.2%, 82.0%, and 81.4% in the validation set, respectively.

conclusionsOur stroke identification algorithm may be useful to grasp stroke burden in Korea. However, further efforts to refine the algorithm are necessary.

Indexed as

AlgorithmsDatabases, FactualInsurance Claim ReviewMagnetic Resonance ImagingRegistriesTomography, X-Ray ComputedAgedAged, 80 and overFemaleHumansMaleMiddle AgedRepublic of KoreaStroke

Identifiers

PMID32059039
PMCPMC7021298

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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.