Evidence map›Paper›PMID 33649436›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

Specificity of International Classification of Diseases codes for bronchopulmonary dysplasia: an investigation using electronic health record data and a large insurance database.

Kristyn S Beam, Matthew Lee, Keith Hirst, Andrew Beam, Richard B Parad

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. International classification of diseases codes have low positive predictive value for neonatal morbidities.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
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  5. Article
  6. Artificial intelligence in the neonatal intensive care unit: the time is now.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Review
  7. Article
  8. Article
  9. The validity of hospital diagnostic and procedure codes reflecting morbidity in preterm neonates born <32 weeks gestation.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  10. Article
  11. Article
  12. Article
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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

5 authors.

Kristyn S BeamDepartment of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA. kbeam@bidmc.harvard.edu.ORCID http://orcid.org/0000-0001-8245-0440
Matthew LeeCollege of Health Solutions, Arizona State University, Tempe, AZ, USA.
Keith HirstDepartment of Newborn Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Andrew BeamDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-6657-2787
Richard B ParadDepartment of Newborn Medicine, Brigham and Women's Hospital, Boston, MA, USA.

Funding

Training in Child Health Services Research and Implementation ScienceT32HS000063 · AHRQ · CHILDREN'S HOSPITAL BOSTON · PI GARABEDIAN, LAURA FADEN, WALSH, KATHLEEN ELIZABETH · 1994 to 2024
$7.6M
Predicting Pulmonary and Cardiac Morbidity in Preterm Infants with Deep LearningK01HL141771 · NHLBI · HARVARD SCHOOL OF PUBLIC HEALTH · PI BEAM, ANDREW L. · 2019 to 2023
$832k
AHRQ HHS T32 HS000063NHLBI NIH HHS K01 HL141771
6 · The paper itself

Abstract

objectiveInternational Classification of Diseases (ICD) codes in electronic health records (EHRs) are increasingly used for health services research, in spite of unknown diagnostic accuracy. The accuracy of ICD codes to identify bronchopulmonary dysplasia (BPD) is unknown. STUDY

designRetrospective cohort study in a single-center NICU (n = 166) to evaluate sensitivity and specificity of ICD-10 codes for the diagnosis of BPD. Analysis of large insurance claims database (n = 7887) to determine date of assignment of the code.

resultsThe sensitivity of any BPD-related ICD codes ranged from 0.82 to 0.95, while the specificity ranged from 0.25 to 0.36. In a large national insurance database, the most common date of ICD-9 or ICD-10 code assignment was the day of birth, which is inconsistent with the clinical definition.

conclusionsICD codes registered for BPD are unlikely to accurately reflect the current clinical definition and should be interpreted with caution.

Indexed as

Bronchopulmonary DysplasiaInsuranceElectronic Health RecordsHumansInfant, NewbornInternational Classification of DiseasesRetrospective Studies

Identifiers

PMID33649436
PMCPMC7917960

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.