Evidence map›Paper›PMID 34749937›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2022

A mapping algorithm for International Classification of Diseases 10th Revision codes for congenital heart surgery benchmark procedures.

Farhan Zafar, Philip Allen, Roosevelt Bryant, James S Tweddell, Hani K Najm, Brett R Anderson, Tara Karamlou

Open access · greenAbstract read
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Observational
  2. Article
  3. Incidence and Outcomes of Pericardial Effusion After Congenital Heart Surgery.World journal for pediatric & congenital heart surgery · 2026
    Article
  4. Adjusting for Congenital Heart Surgery Risk Using Administrative Data.Journal of the American College of Cardiology · 2023
    Article
  5. Article
  6. Pericardial Effusions After the Arterial Switch Operation: A PHIS Database Review.World journal for pediatric & congenital heart surgery · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Farhan ZafarThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Electronic address: farhan.zafar@cchmc.org.
Philip AllenColumbia University Mailman School of Public Health, New York, NY.
Roosevelt BryantDivision of Cardiac Surgery, Phoenix Children's Hospital, Phoenix, Ariz.
James S TweddellThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Hani K NajmDepartment of Pediatric Cardiac Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Brett R AndersonDivision of Pediatric Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
Tara KaramlouDepartment of Pediatric Cardiac Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Cincinnati Children's Hospital Medical Center · USCleveland Clinic · USColumbia University · USColumbia University Irving Medical Center · USPhoenix Children's Hospital · US

Funding

Linking State Medicaid and Congenital Heart Surgical Registry Data: Building Capacity to Assess Disparities in Longitudinal Outcomes and Value for Children with Congenital Heart DiseaseR01HL150044 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Brett Romeo Anderson · 2020 to 2026
$5.3M
NHLBI NIH HHS R01 HL150044
6 · The paper itself

Abstract

backgroundAdministrative billing data are critical to many initiatives in congenital heart surgery. Mapping algorithms for International Classification of Disease, 10th Revision diagnosis and procedure codes to clinical registry procedure definitions will allow identification of surgical cases and account for patient and procedural factors within administrative data. Our objectives were to develop mapping logic to crosswalk International Classification of Disease, 10th Revision procedure codes to 10 Society of Thoracic Surgeons Congenital Heart Surgery Database benchmark and beta-test the algorithm.

methodsPatients undergoing Society of Thoracic Surgeons Congenital Heart Surgery Database benchmark procedures from 2015 to 2019 were identified and served as the gold standard. Cases were linked on direct identifiers to cases from the Pediatric Health Information System Database. Two independent teams developed International Classification of Disease, 10th Revision-based algorithms for cases capture. Algorithms were compared and iteratively refined to optimize sensitivity and specificity. Operative mortalities for cases identified in the administrative versus registry data were compared.

resultsOverall sensitivity was 91% and specificity was 99% for capture of benchmark operations using International Classification of Diseases 10th Revision codes. Sensitivity was more than 90% in identifying 6 of the 10 individual benchmark procedures and more than 98% sensitive in identifying Fontan, Glenn, and arterial switch with ventricular septal defect procedures. Specificity was more than 98% for all benchmark operations. There were no statistical differences in operative mortality between cases identified in the administrative versus the registry data.

conclusionsNovel mapping algorithm for International Classification of Disease, 10th Revision procedure codes enables identification of congenital heart benchmark procedures within administrative billing data. This crosswalk facilitates population-based congenital heart surgical research and quality assessment.

Indexed as

Cardiac Surgical ProceduresHeart Defects, CongenitalAlgorithmsBenchmarkingChildDatabases, FactualHumansInternational Classification of Diseasesadministrative databenchmark operationscongenital heart surgery ICD-10 procedure codes

Identifiers

PMID34749937
PMCPMC9021320
OpenAlexW3207376968

What OpenQuestion holds

Textmetadata
LicenceTDM
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.