Evidence map›Paper›PMID 41451181›Full record

ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2025

Evaluation of an Automated Software Method Versus a Delphi Process to Translate Emergency General Surgery ICD Diagnosis Codes: Lost in Translation.

Van Christian Sanderfer, Sullivan A Ayuso, Mary M Jordan, Kyle W Cunningham, Susan Evans, Pooja Palmer, Marc Kowalkowski, Huaping Wang, A Britton Christmas, Michael Houston and 4 more

Abstract read
In one paragraph

Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2025. 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. The Path Toward Harmonized Codesets for Emergency General Surgery.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    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

14 authors.

Van Christian SanderferFrom the Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
Sullivan A AyusoFrom the Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
Mary M JordanFrom the Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
Kyle W CunninghamFrom the Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
Susan EvansFrom the Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
Pooja PalmerDivision of Research, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC.
Marc KowalkowskiDivision of Research, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC.
Huaping WangDivision of Research, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC.
A Britton ChristmasFrom the Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
Michael HoustonFrom the Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
Brent D MatthewsDivision of General and Gastrointestinal Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
Addison K MayFrom the Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
Caroline E ReinkeDivision of General and Gastrointestinal Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
Samuel W RossFrom the Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study provides an up-to-date diagnosis framework for the study of emergency general surgery (EGS) patients. A final list of International Classification of Diseases, Tenth Revision (ICD-10) codes was the main outcome for the study. Codes were compared with the number codes generated by MapIT alone. Background: Since transition to ICD-10, a Delphi process to define EGS diagnoses, as originally described for the ICD, Ninth Revision (ICD-9) codeset, has not been performed. Automated mapping software (MapIT) has been utilized, with a few studies verifying the translation. Methods: Using previously defined ICD-9 EGS codes, MapIT was used to identify ICD-10 EGS codes. Review of adjacent codes in a Delphi process resulted in a finalized list of ICD-10 codes. Delphi and MapIT codes were quantified in the Nationwide Inpatient Sample to compare rates to the ICD-9 era. Results: MapIT identified 935 ICD-10 codes from 485 ICD-9 codes. Manual review identified an additional 1907 adjacent codes. In total, after the modified Delphi process, 1579 (55.6%) of manually and MapIT-identified codes were included in the final codeset. After initial mapping, 880 (55.7%) of the final codes did not automatically map through the software. MapIT codes resulted in a significantly decreased number of patient encounters in the Nationwide Inpatient Sample compared with Delphi codes in the ICD-10 era. Conclusions: The Delphi-created ICD-10 EGS codeset provides a more robust, accurate translation of the ICD-9 codes than MapIT software. This codeset can be used to inform EGS research to study and improve EGS patients' care.

Indexed as

emergency general surgeryInternational Classification of DiseasesMapITModified DelphiTenth Revision translation

Identifiers

PMID41451181
PMCPMC12727385

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.