Evidence map›Paper›PMID 36808078›Full record

ArticlePractical neurology2023

Outpatient neurology diagnostic coding: a proposed scheme for standardised implementation.

Fran Biggin, Jo Knight, Rejith Dayanandan, Anthony Marson, Martin Wilson, Arani Nitkunan, David Rog, Christopher Kipps, Catherine Mummery, Adrian Williams and 1 more

Abstract read
In one paragraph

Article in Practical neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Fran BigginLancaster Medical School, Lancaster University, Lancaster, UK.
Jo KnightLancaster Medical School, Lancaster University, Lancaster, UK.
Rejith DayanandanDepartment of Neurology, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
Anthony MarsonDepartment of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Martin WilsonDepartment of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Arani NitkunanNeurology Department, St George's Hospital, London, UK.ORCID http://orcid.org/0000-0002-6392-4927
David RogManchester Centre for Clinical Neurosciences, Salford Royal NHS Foundation Trust, Salford, UK.
Christopher KippsNeurology Department, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Catherine MummeryDementia Research Centre, University College Hospitals NHS Foundation Trust, London, UK.
Adrian WilliamsDivision of Neurosciences, University of Birmingham, Birmingham, UK.
Hedley C A EmsleyLancaster Medical School, Lancaster University, Lancaster, UK hedley.emsley@lancaster.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical coding uses a classification system to assign standard codes to clinical terms and so facilitates good clinical practice through audit, service design and research. However, despite clinical coding being mandatory for inpatient activity, this is often not so for outpatient services, where most neurological care is delivered. Recent reports by the UK National Neurosciences Advisory Group and NHS England's 'Getting It Right First Time' initiative recommend implementing outpatient coding. The UK currently has no standardised system for outpatient neurology diagnostic coding. However, most new attendances at general neurology clinics appear to be classifiable with a limited number of diagnostic terms. We present the rationale for diagnostic coding and its benefits, and the need for clinical engagement to develop a system that is pragmatic, quick and easy to use. We outline a scheme developed in the UK that could be used elsewhere.

Indexed as

NeurologyNeurosciencesAmbulatory CareClinical CodingHumansOutpatientsCLINICAL NEUROLOGY

Identifiers

PMID36808078
PMCPMC10423506

What OpenQuestion holds

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LicenceCC BY
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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.