Evidence map›Paper›PMID 34850420›Full record

ArticleJournal of medical virology2022

Comparing reliability of ICD-10-based COVID-19 comorbidity data to manual chart review, a retrospective cross-sectional study.

Joseph W Schaefer, Joshua M Riley, Michael Li, Dianna R Cheney-Peters, Chantel M Venkataraman, Chris J Li, Christa M Smaltz, Conor G Bradley, Crystal Y Lee, Danielle M Fitzpatrick and 10 more

Abstract readComparative StudyValidation Study
In one paragraph

Article in Journal of medical virology, 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
–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

6 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

20 authors.

Joseph W SchaeferSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Joshua M RileySidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0001-6544-1606
Michael LiInstitute of Emerging Health Professions, Center for Digital Health and Data Science, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Dianna R Cheney-PetersDivision of Hospital Medicine, Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Chantel M VenkataramanDepartment of Medicine, Internal Medicine Residency, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Chris J LiSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Christa M SmaltzDepartment of Medicine, Internal Medicine Residency, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Conor G BradleySidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Crystal Y LeeSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Danielle M FitzpatrickDepartment of Medicine, Internal Medicine Residency, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
David B NeySidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Dina S ZaretSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Divya M ChalikondaDepartment of Medicine, Internal Medicine Residency, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Joshua D MairoseSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Kashyap ChauhanDepartment of Medicine, Internal Medicine Residency, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Margaret V SzotDepartment of Medicine, Internal Medicine Residency, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Robert B JonesDepartment of Medicine, Internal Medicine Residency, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Rukaiya Bashir-HamiduDepartment of Medicine, Internal Medicine Residency, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Shuji MitsuhashiDepartment of Medicine, Internal Medicine Residency, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Alan A KubeyDivision of Hospital Medicine, Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-8742-9381

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

International Statistical Classification of Disease and Related Health Problems, 10th Revision codes (ICD-10) are used to characterize cohort comorbidities. Recent literature does not demonstrate standardized extraction methods.

objectiveCompare COVID-19 cohort manual-chart-review and ICD-10-based comorbidity data; characterize the accuracy of different methods of extracting ICD-10-code-based comorbidity, including the temporal accuracy with respect to critical time points such as day of admission.

designRetrospective cross-sectional study. MEASUREMENTS: ICD-10-based-data performance characteristics relative to manual-chart-review.

resultsDischarge billing diagnoses had a sensitivity of 0.82 (95% confidence interval [CI]: 0.79-0.85; comorbidity range: 0.35-0.96). The past medical history table had a sensitivity of 0.72 (95% CI: 0.69-0.76; range: 0.44-0.87). The active problem list had a sensitivity of 0.67 (95% CI: 0.63-0.71; range: 0.47-0.71). On day of admission, the active problem list had a sensitivity of 0.58 (95% CI: 0.54-0.63; range: 0.30-0.68)and past medical history table had a sensitivity of 0.48 (95% CI: 0.43-0.53; range: 0.30-0.56). CONCLUSIONS AND RELEVANCE: ICD-10-based comorbidity data performance varies depending on comorbidity, data source, and time of retrieval; there are notable opportunities for improvement. Future researchers should clearly outline comorbidity data source and validate against manual-chart-review.

Indexed as

Clinical CodingComorbidityCOVID-19Cross-Sectional StudiesFemaleHumansInternational Classification of DiseasesMaleMiddle AgedPhiladelphiaReproducibility of ResultsRetrospective StudiesSARS-CoV-2comorbidityCOVID-19electronic health recordsInternational Classification of Diseasesresearch design

Identifiers

PMID34850420
PMCPMC9015484

What OpenQuestion holds

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Registered trials

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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.